facial bones study guide Flashcards
Know what facial bones there are two of
◾️nasal ◾️lacrimal ◾️zygomatic ◾️palatine ◾️inferior nasal conchae ◾️maxillary
How many facial bones are there
14
Which bones make the bridge of the nose
Nasal bones
Which facial bones are the smallest in the skull
Lacrimal
What is the purpose of the lacrimal foramen
Where the tear duct passes
Which facial bones are the largest immovable bones
Maxillary
The body of the maxilla contains the
Maxillary sinus
Where is the infraorbital foramen located? What bone is it on? What structure is it located under?
➡️located on the maxillary bone under each orbit
What is the alveolar process?
Inferior borders of spongy bone that support roots of teeth
The anterior nasal spine is part of what bone
Maxillary
The anterior nasal spine correlates with what landmark
Midline junction of maxillary
Acanthion
The prominence of the cheeks is formed by the
Zygomatic
Which process is part of the zygomatic bone
Temporal process
The zygomatic arch is formed by which two processes
Temporal and zygomatic
The L shaped facial bones are
Palatine
Which facial bone is scroll shaped
Inferior nasal conchae
The vomer forms what part of the nasal septum
Inferior nasal septum
What is the largest bone and densest bone of the face
Mandible
What portion is the body of the mandible
Horizontal
What portion is the rami of the mandible
Vertical
The angle of the mandible is also known as the
Gonion
The bump on the lower front of the mandible is called
Mental protuberance
The area where the right and left halves of the mandible have fused is called
Symphysis
Where the mental foramina located
Halfway between superior/inferior borders below 2nd premolar teeth
The mandibular notch is located between what two structures
Coronoid and condylar process
In the mandible which process is anterior and which is posterior?
➡️anterior-coronoid
➡️posterior- condylar
The condyle of the mandible articulates with what to form the TMJ?
Mandibular fossa of temporal bone
What shape is the hyoid bone?
U shaped
Where is the hyoid bone located?
Base of tongue
Does the hyoid bone attach to any other bone?
No
Can you do lateral facial bones upright or lying on the table?
Semi prone or seated upright
If you do the lateral facial bones on the table what position will the patients body be in?
Semiprone
On the lateral facial bone the MSP is _____ to the IR when doing a lateral skull
Parallel
The interpupillary line is _______ to the IR when doing a lateral skull
Perpendicular
The IOML is _____ to the IR when doing a lateral skull
Parallel
How do you place the film for lateral facial bones
Lengthwise
A right lateral demonstrates _____ side and the left lateral demonstrates the ____ side
◾️right
◾️left
What bone should be in the center of the lateral facial bone image
Zygomatic bone
What is superimposed on the lateral facial bones image
Mandibular rami and orbital roofs
What is touching the IR on the lateral facial image
Side of head
What is the CR for lateral facial bones
Perpendicular; enters pt on lateral surface of zygomatic bone halfway between the outer canthus and EAM
What structures do you see on the lateral facial bones
⚫️all facial bones entirely ⚫️zygomatic bone in center ⚫️SI mandibular rami ⚫️SI orbital roofs ⚫️no rotation of sella turcia
In the parietocanthial (waters) projection what will touch the IR
Chin
In the parietocanthial (waters) projection Where will the CR enter/exit?
Perpendicular; exit acanthion
In the parietocanthial (waters) projection the MML should be ____ to IR
Perpendicular
In the parietocanthial (waters) projection the OML should be ____ to the IR
37 angle
In the parietocanthial (waters) projection the MSP should be ____ to the IR
Perpendicular
In the parietocanthial (waters) projection where should the petrous ridges be seen
Below maxillary sinuses
In the parietocanthial (waters) projection you should collimator to the
Facial bones
In the acanthioparietal (reverse waters) projection what will touch the IR
Back of head
In the acanthioparietal (reverse waters) projection where will the CR enter/exit?
Enters acanthion
In the acanthioparietal (reverse waters) projection the MML should be ____ to the IR
Perpendicular
In the acanthioparietal (reverse waters) projection the OML should be ___ to the IR
37 angle
In the acanthioparietal (reverse waters) projection the MSP should be ____ to the IR
Perpendicular
In the acanthioparietal (reverse waters) projection where should the petrous ridges be seen
Immediately below maxillary sinus
In the acanthioparietal (reverse waters) projection you should collimator to the
Facial bones
In the acanthioparietal (reverse waters) projection for trauma what do you do differently
Adjusting the CR so that it enters the acanthion while remaining parallel with the MML
What’s the difference in the waters and reverse waters images?
In the reverse waters the facial bones will be more magnified due to increased OID
How do you know this a Pa axial skull
Petrous ridges in the lower third of orbits
In the PA axial skull (Caldwell) the OML is ____ to IR
Perpendicular
In the PA axial skull (Caldwell) the MSP is _____ to the IR
Perpendicular
In the PA axial skull (Caldwell) what is touching the IR
Forehead and nose
In the PA axial skull (Caldwell) where does the CR exit
Nasion
In the PA axial skull (Caldwell) do you angle the cr if so hoe much and what direction?
15 caudal
In the PA axial skull (Caldwell) what structures do you see on this image?
Petrous ridges in the lower third
In the lateral nasal bones what patient position is used for this
Semi prone can be done upright
In the lateral nasal bones what lines do you use
◾️MSP parallel to tabletop
◾️IPL perpendicular to tabletop
◾️IOML parallel to IR
In the lateral nasal bones MSP ____ to tabletop
Parallel
In the lateral nasal bones IPL ___ to tabletop
Perpendicular
In the lateral nasal bones IOML ___ to IR
Parallel
In the lateral nasal bones what’s the CR
Perpendicular to bridge of nose
Enters 1/2 distal to nasion
In the lateral nasal bones what needs to be included on the image
◾️anterior nasal spine
◾️nasal bones
◾️nasal septum
In the lateral nasal bones what type of technique will you use
Finger
In the lateral nasal bones is it done tabletop or Bucky?
Tabletop
In the SMV(Submentovertical) the IOML ___ with IR
Parallel
In the SMV(Submentovertical) MSP is ____ to IR
Perpendicular
In the SMV(Submentovertical) what is touching the IR
Top of head
In the SMV(Submentovertical) where does the CR enter or exit? You need to know both
Enters MSP of throat at a level 1 inch posterior to outer canthus/midway between condyles if mandible
Exit vertex
In the SMV(Submentovertical) the CR should pass at a level approximately ____ to the outer canthus
1 inch posterior
In the SMV(Submentovertical) preferably do this with the patient seated upright or supine?
Upright
In the SMV(Submentovertical) what structures do you see
◾️zygomatic arches free from overlying structures
◾️zygomatic arches symmetric and without foreshadowing
In the SMV(Submentovertical) do you decrease or increase exposure factors
Decrease
In the tangential zygomatic arch the IOML ___ to the IR
Parallel
In the tangential zygomatic arch MSP ___ to IR
15 toward side being examined
In the tangential zygomatic arch what is touching the IR
Top of head
In the tangential zygomatic arch the CR should pass at a level approximately to ____ the outer canthus
1 inch posterior
In the tangential zygomatic arch the cr is centered over the
Zygomatic arch
In the tangential zygomatic arch preferably do this with the patient upright or supine
Upright
In the tangential zygomatic arch what structures do you see on this image?
◾️zygomatic arches free of overlying structures
◾️zygomatic arch not over exposed
In the tangential zygomatic arch rotate the MSP ____ degrees ___ the side being examined. Then tilt the top of the head _____ degrees _____ from the side being examined. Why do we do this?
In the tangential zygomatic arch rotate the MSP 15 degrees toward the side being examined. Then tilt the top of the head 15 degrees away from the side being examined.
To ensure the CR is tangent to the lateral surface of the skull
In the AP axial (Townes method) for zygomatic arches OML is ____ or the IOML is _____ to IR
Perpendicular
In the AP axial (Townes method) for zygomatic arches MSP is _____ to IR
Perpendicular
In the AP axial (Townes method) for zygomatic arches what is touching the IR
Back of the head
In the AP axial (Townes method) for zygomatic arches where does the CR enter
Enter glabella
In the AP axial (Townes method) for zygomatic arches if using OML then the cr angle will be ___
30
In the AP axial (Townes method) for zygomatic arches if using the IOML thence angle will be
37
In the AP axial (Townes method) for zygomatic arches what structures do you see on this image
⚫️no overlap of zygomatic arches by mandible
⚫️no rotation evident because arches are symmetric
⚫️zygomatic arches projected lateral to mandibular rami
In the AP axial (Townes method) for zygomatic arches for trauma what will the angle be?
40-60 caudal