facial bone technique Flashcards
reasons for requesting a lateral skull x-ray
skeletal surveys for NAI or myeloma
shunt series for hydrocephalus
FB demonstration
reasons for requesting a facial bones x-ray
zygomatic arch fracture
tripod fracture
orbital bow-out fracture
radiation protection to consider
ID
avoid repeats
gonad protection
LMP
what does RBL stand for
radiographic baseline
runs from the EAM to the outer canthus of the eye
what does IPL stand for
inter-pupillary lines - runs between the pupils
what does EAM stand for
external auditory meatus
what does OM stand for
occipito-mental
what does SMV stand for
sub-mento vertical
what does TMJ stand for
tempero-mandibular joint
positioning for a lateral skull
- lateral aspect of head in contact with receptor
frontal, parietal and occipital bones seen - EAM superimposed
- IPL at 90 degrees to receptor
- centering point = midway between the external occipital protuberance and the glabella - 5cm superior to the EAM
- SID is 100cm
correct positioning for a lateral skull
floor of anterior cranial fossa, anterior and posterior clinoid processes and sella turcica should be superimposed
radiographic technique for the OM
- face detector
- anterior nasal spine coincident with the midline of the detector
- outer canthus of eye and EAM should be equidistant to ensure no rotation
- IPL should be parallel to receptor
- raise patients chin to bring RBL 45 degrees to image receptor
- infra-orbital margin should be aligned to central lines
- SID = 100cm
area of interest for OM
include superior orbital margins superiorly, distal aspect of maxillae inferiorly and parietal and temporal bones laterally
correct positioning for OM
- distance between lateral orbital borders and lateral skull should be equidistant to indicate no rotation
- petrous ridge to be projected inferior to the maxillary sinus
- nasal septum should be coincident with the midline of the image
- inferior orbital margins should be on the same horizontal place and coincident with midline of the image
technique for OM 30 degrees
first steps same as OM
- centring point = upper portion of the symphysis menti due to caudal angle
- SID = 100cm