Facial Bones and Paranasal Sinuses Positioning

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Radiologic Anatomy FlashCards sobre Facial Bones and Paranasal Sinuses Positioning, criado por Emily Moore em 30-06-2016.
Emily Moore
FlashCards por Emily Moore, atualizado more than 1 year ago
Emily Moore
Criado por Emily Moore mais de 10 anos atrás
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Questão Responda
PA axial projection: Caldwell -___ & ___ against board -___ perp. to IR -___ perp. to board -nose and forehead -OML -MSP
PA axial projection: Caldwell -CR angled __ degrees ___ to exit at ___. -If AOI is orbital floors, use a ___ degree ___ angle exiting at ___. -15 degrees, caudad, nasion -30 degree, caudad, nasion
What structures are shown on a PA axial: Caldwell? -orbital rim, maxillae, nasal septum, anterior nasal spine, zygomatic bone
What will you see if you angle 15 degrees caudad on an AP axial Caldwell -petrous ridges in lower 1/3 of orbits
what will you see if you angle 30 degrees caudad on an AP axial Caldwell -petrous ridges below inferior orbital margins
Parietoacanthial Projection: Waters Method -extend neck, resting chin on board -adjust head until ___ is perp. to IR -___ forms a ___ angle with IR -___ perp to board -CR perp to IR, to exit at __ -MML -OML, 37 degree -MSP -acanthion
What structures are shown on a Parietoacanthial waters? -inferior orbital rim, maxillae, nasal septum, anterior nasal spine, zygomatic bone -tripod/blowout fx, FB in eye, deviated nasal septum
How do you know if the patient was positioned correctly? -petrous ridges below maxillary sinuses -equal distance from orbital margin to outer skull margin on each side
Reverse Waters Method: Trauma Facial -angle CR ___ so CR parallel to __ -Center CR to ____ -cephalad, MML -acanthion
Facial Bones: Lateral -___ parallel to IR, ___ perp to IR, and ___ perp to front edge of IR -MSP, IPL, IOML
Facial Bones: Lateral -CR perp to ____ = midway between EAM and outer canthus -what structures are shown? -zygoma -superimposed facial bones = zygoma and mandible. *orbital roofs, sella turcica
How do you know if you positioned correctly? -no rotation of vertical structures: superimposed mandibular rami -no tilt of horizontal structures: superimposed orbital roofs
Special Projection: Modified Parietoacanthial Modified Waters Method -extend neck, resting chin & nose against board -___ perp to IR -___ forms a __ angle to IR -___ perp to board -LML -OML, 55 -MSP
Special Projection: Modified Parietoacanthial Modified Waters Method -CR perp, to exit at ____ -strucures shown? -acanthion -orbital rims, floors, and plates not distorted. Orbital fx and FB in eye
How do you know if you positioned patient correctly? -Petrous ridges projected in lower 1/2 of maxillary sinuses (below orbital rim) -equal distance from orbital margin to outer skull margin on each side
Modified Reverse Waters: Trauma -angle CR ___ so CR parallel to ___ -Center CR to ____ -LML -acanthion
Nasal Bone: Lateral -Bilateral for comparison -CR perp, centered to ___ below ___. -Structures shown? - 1/2 in, nasion -both nasal bones with soft tissue nasal structures -frontonasal suture, anterior nasal spine of maxilla
Zygomatic Arches: SMV -raise chin, hyperextend neck until ___ parallel to IR -rest head on ___ of skull -___ perp to board -IOML -Vertex -MSP
SMV -IOML ___ to IR -CR ___ to IOML and IR -CR midway between zygomatic arches, at ___ below ___ ___ (chin). -parallel -perp -1 1/2, mandibular symphysis
-Structures shown on SMV -Correct poisoning/CR -zygomatic arches lateral from mandibular ramus -Superimposition of mandibular symphysis on frontal bone -no rotation = symmetric zygomatic arches
Oblique Inferosuperior Tangential Projection for single arch -both sides for comparison -SMV position then rotate head and tilt chin toward side of interest ___ degrees -___ parallel to IR -15 -IOML
Oblique Inferosuperior Tangential -CR perp to IR and IOML -CR to arch of interest -CR skims ___ ___, passes thru arch, and skims the parietal ____. -IR ____ to IOML and perp to CR -mandibular ramus, eminence -parallel
Oblique Inferosuperior Tangential -purpose of rotation and tilt is to prevent superimposition of ___ over parietal ___. -structures shown -correct positioning -arch, eminence -zygomatic arch free of superimposition -zygomatic arch without superimposition of parietal bone or mandible
AP axial projection: Modified Towne "Jug Handle View" -rest back of skull against board -tuck chin to bring ___ or __ perp to IR -___ perp to bucky -OML, IOML -MSP
AP axial projection: Modified Towne "Jug Handle View" -angle CR __ degrees caudad to OML or ___ degrees caudad to IOML -CR to __ inch above ___ to pass thru mid arches -30, 37 -1 inch, glabella
AP axial projection: Modified Towne "Jug Handle View" -structures shown: -correct positioning: -bilateral zygomatic arches -zygomatic arches visualized without rotation by symmetric appearance of arches bilaterally
Mandible AP axial projection: Towne -rest back of skull against board -tuck chin to bring OML or IOML ___ to IR -___ perp to board -angle CR ___ degrees caudad to OML or ___ degrees cuadad to IOML -CR centered to _____ -perp -MSP -35 degrees, 42 degrees -glabella
Mandible AP axial projection: Towne -structures shown: -correct positioning: -condyloid processes of mandible and temporomandibular fossa -condyloid processes visualized without rotation by symmetric appearance, lateral to C-spine. Visualization of condyle & TM fossa relationship
Mandible PA projection -rest nose & forehead against board -tuck chin to bring ___ perp to IR -MSP ___ to board -CR perp. centered to exit at junction of __ -OML -perp -lips
Mandible PA projection -structures shown: -correct positioning: -mandibular rami and lateral portion of body -body and mentum of mandible superimposed on C-spine. No rotation = symmetric mandibular rami, lateral to C-spine
Mandible PA Axial projection -tuck chin to bring ___ perp to IR -MSP ___ to board -CR angled __-__ degrees ___ centered to exit at the ____ -OML -perp -20-25 degrees, cephalad, acanthion
Mandible PA axial projection -structures shown: -correcting positioning: -TMJ region, proximal rami, head of condyles, and elongated condyloid processes -body and mentum of mandible superimposed on C-spine. No rotation = symmetric mandibular rami, lateral to C-spine
Axiolateral Oblique Projection: how to position: -(both sides examined for comparison) -place head in true lateral, SOI against IR -Extend chin to prevent superimposition of gonion over C-spine
Axiolateral Oblique Projection: how to position: -rotate head toward IR to place mandibular AOI parallel with IR -To avoid distortion of the AOI: *true lateral = demonstrates ramus *10-15 degrees = general survey of mandible *30 degree rotation toward IR = Body *45 degree rotation toward IR = Mentum
Axiolateral Oblique Projection: Central Ray -3 methods to minimize superimposition of opposite mandibular body over mandible of interest: What's the first method? 1. Combination of head tilt and CR angle not to exceed 25 degrees (angle CR 10 degrees with 15 degree of head tilt) Direct CR to exit mandibular region of interest
Axiolateral Oblique Projection: Central Ray -3 methods to minimize superimposition of opposite mandibular body over mandible of interest: What's the second method? 2. Angle CR 25 degrees cephalad toward IR with no head tilt Direct CR to exit mandibular region of interest
Axiolateral Oblique Projection: Central Ray -3 methods to minimize superimposition of opposite mandibular body over mandible of interest: What's the third method? 3. 25 degree head tilt toward IR with a perp CR Direct CR to exit mandibular region of interest
Axiolateral Oblique Projection -True lateral head position demonstrates ___. -Angle CR ___ degrees ___ toward IR with no head tilt -Direct CR to exit ___ region of interest -ramus -25, cephalad -mandibular
Axiolateral Oblique Projection: (true lat) -structures shown: -ramus of mandible
Axiolateral Oblique Projection: (true lat) -Correct CR angulation: -Sufficient neck extension: -Correct head rotation: -ramus of interest with no superimposition from opposite mandible -ramus & C-spine not superimposed -ramus without foreshortening
Axiolateral Oblique Projection: -10-15 degree head rotation toward IR provides a ___ ___ of mandible -Angle CR __ degrees ___ toward IR with no head tilt -Direct CR to exit ____ region of interest -general survey -25 degrees, cephalad -mandibular
Axiolateral Oblique Projection: (General Survey) -Structures shown: -ramus, condylar & coronoid processes, body, and mentum of mandible nearest IR
Axiolateral Oblique Projection: (G.S.) Correctly Positioned criteria: -Correct CR angulation: -Sufficient neck extension: -Correct head rotation: -mandible closest to IR with no superimposition from opposite mandible -mandible and c-spine not superimposed -mandible without foreshortening
Axiolateral Oblique Projection -30 degree head rotation toward IR demonstrates ___. -Angle CR __ degrees ___ toward IR with no head tilt -Direct CR to exit ____ region of interest -
Axiolateral Oblique Projection: (30 degree) -structures shown: -correct CR angulation criteria: -correct head rotation criteria: -Body of mandible -body of interest with no superimposition from opposite mandible -body without foreshortening
Axiolateral Oblique Projection: -45 degree head rotation toward IR demonstrates ___. -Angle CR ___ degree ___ toward IR with no head tilt -Direct CR to exit ____ region of interest -mentum -25 degrees, cephalad -mandibular
Axiolateral Oblique Projection: (45) -structures shown: -correct position: -mentum of mandible -mentum in profile without foreshortening
Axiolateral Oblique Mandible: Trauma -IR parallel to ___ -depress shoulders or elevate chin -head in true lateral -CR ___ degrees ___ and 5-10 degrees posterior CR angle to clear shoulder -MSP -25 degrees, cephalad
SMV projection -raise chin, hyperextend neck until ___ parallel to IR -rest head on ___ of skull -MSP perp to board -IOML -Vertex
SMV -CR ___ to IOML & IR -CR midway between angles of mandible, at ___ in below ___ -perp -1 1/2, chin
SMV -structures shown: -correct neck positioning: -entire mandible, coronoid & condyloid processes -frontal bone and chin should be superimposed. Mandibular condyles anterior to petrous ridges
SMV -no rotation/tilt: -tilt = equal distance from mandible to skull borders -rotation = symmetric mandibular condyles
Panorex -___ parallel to floor -structures shown: -IOML -demonstrates entire mandible, teeth, TMJs, nasal fossa, maxillary sinus, zygomatic arches, and maxillae
TMJ AP Axial: Modified Towne -opened & closed mouth positions for comparison -tuck chin to bring OML or IOML ___ to IR -MSP ___ to board -perp -perp
TMJ AP axial: Modified Towne -Angle CR __ degree ___ to OML or ___ degree ___ to IOML -CR __ inches superior to ____ -35 degrees, caudad, 42 degrees, caudad -3 inches, nasion
TMJ AP axial: Modified Towne -structures shown: -correct position: -condyloid processes of mandible & temporomandibular fossa -condyloid processes symmetric, lateral to c-spine. Visualization of condyle & TM fossa relationship
TMJ Axiolateral Oblique: Modified Law -open & closed mouth positions for comparison -IPL perp to IR, and ___ perp to front edge of IR -From lateral, rotate head toward IR __ degrees -IOML -15 degrees
TMJ Axiolateral Oblique: Modified Law -CR angled ___ degrees ___ centered to ___ inch above upside ___ -15 degrees, caudad, 1 1/2, EAM
TMJ Axiolateral Oblique: Modified Law -structures shown: -TMJ closest to IR demonstrated -Condyle seen anterior to mandibular fossa
TMJ Axiolateral Oblique: Modified Law -correct positioning: -TMJ of interest without superimposition of opposite TMJ (15 degree rotation prevents superimposition) -TMJ of interest not superimposed by c-spine
TMJ Axiolateral Projection: Schuller -opened & closed moth images -IPL perp to IR & ___ perp to front edge of IR -___ parallel with board -CR angled ___ degrees caudad to __ inch anterior & __ inches superior to ___ -IOML -MSP -30, 1/2, 2, EAM
TMJ Axiolateral Projection: Schuller -structures shown: -closed mouth: condyle in fossa -open mouth: Condyle anterior to fossa
TMJ Axiolateral Projection: Schuller -correctly positioned: -TMJ are demonstrated without rotation by superimposed margins
Paranasal Sinuses -to demonstrate air-fluid levels: ___ position with ___ beam -erect, horizontal
Paranasal Sinuses: PA Caldwell -nose & forehead against bucky surface with neck extended to elevate ___ ___ degrees from horizontal -___ perp to bucky -OML, 15 -MSP
Paranasal Sinuses: PA Caldwell -CR horizontal, parallel with floor -CR exits at ___ -Collimate to area of ___ cavities -nasion -sinus
Paranasal Sinuses: PA Caldwell -structures shown: *** -frontal sinuses *** -ethmoid sinuses lateral to nasal bones
Paranasal Sinuses: PA Caldwell -no rotation/tilt: -correct OML/CR alignment: -equal distance from orbital margin to outer skull margin on each side. Superior orbital fissures symmetric within orbits -petrous ridges in lower 1/3 of orbits
Sinus: Parietoacanthial Projection: Waters -Extend neck, resting chin against bucky -adjust head until ___ is ___ to IR -___ forms a ___ degree angle with IR -___ perp to bucky -MML, perp -OML, 37 -MSP
Sinus: Parietoacanthial Projection: Waters -___ CR perp to IR centered to exit at ___ -structures shown: -Horizontal, Acanthion *-maxillary sinuses free from petrous ridges, oblique view of frontal sinuses, and inferior orbital rim
Sinus: Parietoacanthial Projection: Waters -no rotation: -correct neck extension: -equal distance from orbital margin to outer skull margin on each side -petrous ridges below maxillary sinuses
Sinuses: Lateral -MSP ____ to IR, IPL ___ to IR, IOML perp to front edge of IR -Horizontal CR perp to IR midway between ___ ___ and ___ -parallel, perp -outer canthus, EAM
Sinuses: Lateral -Structures shown: -frontal, sphenoid, ethmoid, and maxillary sinuses
Sinuses: Lateral -no rotation of vertical structures: -No tilt of horizontal structures: -superimposed mandibular rami, clinoid processes, EAM -superimposed orbital roofs
Sinuses: SMV -Raise chin, hyperextend neck so ___ parallel to IR -Rest head on ___ of skull -___ perp to bucky -IOML -Vertex -MSP
Sinuses: SMV -IOML parallel to ___ -CR perp to ___ & ___ -CR midway between ___ of mandibles, at a level ___ - ___ below ___ symphysis -IR -IOML, IR -angles, 1 1/2, 2, mandibular
Sinuses: SMV -Structures shown: -sphenoid, ethmoid, & maxillary sinuses and nasal fossa
Sinuses: SMV -correct IOML/CR relationship- -No rotation/tilt- -superimposition of mandibular symphysis on frontal bone. mandibular condyles anterior to petrous ridges -symmetric petrous ridges
Parietoacanthial Transoral: Open Mouth Waters Method -Extend neck, placing chin & nose against bucky -___ perp with mouth closed -OML forms a ___ degree angle with IR -MSP perp to bucky Then instruct patient to open mouth = MML no longer perp -MML -37
Parietoacanthial Transoral: Open Mouth Waters Method -horizontal CR perp to IR centered to exit at ____ acanthion
Parietoacanthial Transoral: Open Mouth Waters Method -structures shown: -inferior orbital rim, oblique view of frontal sinus -maxillary sinuses free from petrous ridges and sphenoid sinuses seen through open mouth
Parietoacanthial Transoral: Open Mouth Waters Method -no rotation: -correct neck extension: -equal distance from orbital margin to outer skull margin on each side -petrous ridges below maxillary sinuses

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