wk 5 (Facial bones, paranasal sinuses, orbital & nasal bones) Flashcards

1
Q

Facial Bone - OF 20

SID? 
kVp?
AEC?
Focal?
CR?
Positioning?
A
SID: 100-115cm 
kVp: 70-75kVp
Centre AEC 
Fine Focal
CR ⊥ to IR @ nasion
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2
Q

collimation of Facial OF 20?

A

superior: vertex
inferior: symphysis menti
lateral: lateral skin margins

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3
Q

Facial - OM projection

SID? 
kVp?
AEC?
Focal?
CR?
Positioning?
A
SID: 100-115cm 
kVp: 75-85kVp
Centre AEC 
Fine Focal
CR ⊥ to IR @ acanthion 

patient tilt head upwards such that MML is ⊥ to IR

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4
Q

collimation Facial OM

A

superior: vertex
inferior: symphysis menti
lateral: lateral skin margins

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5
Q

Facial - Lateral

SID? 
kVp?
AEC?
Focal?
CR?
Positioning?
A
SID: 100-115cm 
kVp: 65-70kVp
Centre AEC 
Fine Focal
CR ⊥ to IR @ lvl of zygoma between outer canthus and EAM
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6
Q

collimation Facial - Lateral

A

superior: 5-7cam above gabella
inferior: symphysis menti
anterior: nose
posterior: EAM

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7
Q

list down all paranasal sinuses

A
  1. Frontal sinuses
  2. maxillary sinuses
  3. Ethmoidal sinuses
  4. Sphenoidal sinuses
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8
Q

Views for paranasal sinuses?

A
  1. OF 15
  2. OM
  3. Lateral
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9
Q

Paranasal sinuses - OF 15

SID? 
kVp?
AEC?
Focal?
CR?
Positioning?
A
SID: 100-115cm 
kVp: 70-75kVp
Centre AEC 
Fine Focal
CR ⊥ to IR @ nasion

patient to tilt head up such that OML forms 15degrees to IR

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10
Q

Paranasal sinuses - OM

SID? 
kVp?
AEC?
Focal?
CR?
Positioning?
A
SID: 100-115cm 
kVp: 75-85kVp
Centre AEC 
Fine Focal
CR ⊥ to IR @ Acanthion
  • patient to tilt head up such that OML forms 37degrees to IR
  • Patient’s MML is perpendicular to IR
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11
Q

collimation - Paranasal sinuses - OF 15

A

superiorly: 5-7cm above gabella
inferiorly: lower lips
lateral: lateral orbits margin

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12
Q

collimation - Paranasal sinuses - OM

A

superiorly: 3cm above gabella (include forehead)
inferiorly: Angle of mandible
lateral: lateral orbital rims

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13
Q

Paranasal sinuses - Lateral

SID? 
kVp?
AEC?
Focal?
CR?
Positioning?
A
SID: 100-115cm 
kVp: 65-70kVp
Centre AEC 
Fine Focal
CR ⊥ to IR @ 2.5cm posterior to outer canthus
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14
Q

collimation - Paranasal sinuses - Lateral

A

superiorly: 4cm above gabella (include forehead)
inferiorly: Lower Lips
anterior: nose
posterior: EAM

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15
Q

Views for Orbits

A
  1. OF20
  2. OM
  3. OM55
  4. Lateral
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16
Q

orbits - OM

SID? 
kVp?
AEC?
Focal?
CR?
Positioning?
A
SID: 100-115cm 
kVp: 70-75kVp
Centre AEC 
Fine Focal
CR ⊥ to IR @ acanthion
  • patient to tilt head up such that OML forms 37degrees to IR
  • Patient’s MML is ⊥ to IR
17
Q

orbits - OF 20

SID? 
kVp?
AEC?
Focal?
CR?
Positioning?
A
SID: 100-115cm 
kVp: 70-75kVp
Centre AEC 
Fine Focal
CR ⊥ to IR @ nasion
  • patient to tilt head up such that OML forms 20 degrees to IR
  • 2 projections, look up view & look down view
18
Q

collimation for orbits - OF 20

A

superiorly: 4cm above gabella
inferiorly: acanthion
lateral: lateral skin margins

19
Q

collimation for orbits - OM

A

superiorly: 3cm above gabella (include forehead)
inferiorly: upper lips
lateral: lateral skin margins

20
Q

orbits - Lateral

SID? 
kVp?
AEC?
Focal?
CR?
Positioning?
A
SID: 100-115cm 
kVp: 65-70kVp
Centre AEC 
Fine Focal
CR ⊥ to IR @ outer canthus
21
Q

collimation for orbits - Lateral

A

superiorly: 3cm above gabella
inferiorly: upper lips
anterior: tip of nose
posterior: EAM

22
Q

Nasal bone - Lateral

SID? 
kVp?
AEC?
Focal?
CR?
Positioning?
A
SID: 100-115cm 
kVp: 42-50kVp
Non Grid 
1.2-3mAS
Fine Focal
CR ⊥ to IR @ 1cm inferior and posterior to nasion
23
Q

collimation for nasal bone - Lateral

A

superiorly: gabella
inferiorly: upper lips
anterior: tip of nose
posterior: outer canthus of eyes

24
Q

Nasal bone - OM

SID? 
kVp?
AEC?
Focal?
CR?
Positioning?
A
SID: 100-115cm 
kVp: 75-85kVp
Center AEC
Fine Focal
CR ⊥ to IR @ acanthion
  • Patient to tilt head upwards such that MML is ⊥ to IR
  • patient’s OML forms 37 degrees
25
Q

collimation for nasal bone - OM

A

superiorly: gabella (include forehead)
inferiorly: lower lips
lateral: lateral neck skin margins

26
Q

what is Le fort 1?

A
  • fracture through floor of antra and nasal septum

- may show tooth in base of maxillary antrum

27
Q

what is le fort 2?

A
  • transverse fracture through bridge of nose and ethmoid

- oblique fracture from inferolateral margin of antra to floor of orbits

28
Q

what is le fort 3?

A
  • fracture through medial and lateral walls

- zygomatic arches, cribriform plat and base of pterygoid producing free maxilla

29
Q

functions of paranasal sinuses

A
  1. humidifying and warming inspired air
  2. regulation of intranasal pressure
  3. increasing surface area of olfaction
  4. lightening the skull
  5. resonance
  6. absorbing shock
  7. contribute to facial growth