Mandible, Facial, Sinus and Orbits Test-out

Facial Bone Test Out Views

Waters, Lateral, PA Axial (Caldwell)

Orbits Test Out Views

Modified Waters, Lateral, Rhese

Mandible Test Out Views

PA, AP Axial (Townes), SMV, Axiolateral

Sinus Test Out Views

Lateral, Caldwell, Open Mouth Waters, SMV

Mandible PA SID

40 inch

Mandible PA Technique

75-80 @ 8-16

Mandible PA Breathing instructions

Suspend respirations

Mandible PA Positioning Lines

OML perpendicular to IR

MSP to midline of IR

Mandible PA CR

horizontal beam, exits at junction of lips

Mandible PA Taglines/Evaluation Criteria

Mandibular rami and lateral body visualized

midbody and mentum superimposed by c-spine

looking for symmetry

Mandible PA Lightfield

10×12 lengthwise

Mandible AP Axial Townes SID

40

Mandible AP Axial Townes Technique

75-80 @ 8-16

Mandible AP Axial Townes Breathing Instructions

Suspend respirations

Mandible AP Axial Townes Positioning Lines

OML perpendicular to IR

MSP perpendicular to bucky surface

Mandible AP Axial Townes CR

35 caudal, 1 in superior to glabells

If IOML - 42 caudal

Mandible AP Axial Townes Tagline

Condyloid processes of mandible and TM fossae

Minimal superimposition of TM fossae and mastoid portions

Looking for symmetry

Mandible AP Axial Townes Lightfield

10×12 lengthwise

Mandible SMV SID

40 inch

Mandible SMV Technique

75-80 @ 12-25

Mandible SMV Breathing instructions

Suspend respiration

Mandible SMV Positioning Lines

IOML parallel to IR

Mandible SMV CR

midway between the angles of the mandible or 1.5 inch inferior to mandibular symphysis

Mandible SMV Tagline

mandibular symphysis superimposing frontal bone

Mandibular condyles projected anterior to petrous ridges

Mandible SMV Lightfield

10×12 lengthwise

Mandible Axiolateral (Oblique) SID

40 inch

Mandible Axiolateral (Oblique) Technique

75-80 @ 8-16

Mandible Axiolateral (Oblique) Breathing Instructions

Suspend Respiration

Mandible Axiolateral (Oblique) Positioning Lines

side of interest on IR

IOML perpendicular to IR

Drop shoulder

Mandible Axiolateral (Oblique) CR Angles of Interest

CR 25 cephalically, to area of interest

Ramus - true lateral

General - 10-15 toward

Body - 30 toward

Mentum - 45 toward

Mandible Axiolateral (Oblique) Lightfield

10×12 crosswise

Facial Waters (Parietoacanthial) SID

40 inch

Facial Waters (Parietoacanthial) Technique

75-80 @ 12-16

Facial Waters (Parietoacanthial) Breathing Instructions

Suspend Respiration

Facial Waters (Parietoacanthial) Positioning Lines

MML perpendicular to IR

MSP midline of IR

Facial Waters (Parietoacanthial) CR

horizontal beam directed to exit at acanthion

Facial Waters (Parietoacanthial) angle formed

OML and IR make 37 degree angle

Facial Waters (Parietoacanthial) Tagline

petrous ridges just inferior to maxillary sinuses

Facial Waters (Parietoacanthial) Light field

10×12 lengthwise

Facial Lateral SID

40 inch

Facial Lateral Technique

75-80 @ 10-16

Facial Lateral Breathing Instructions

Suspend Respiration

Facial Lateral Positioning Lines

side of interest on IR

MSP parallel to IR

IPL perpendicular to IR

IOML parallel to floor or perpendicular to IR

Facial Lateral CR

Zygoma - midway between outer canthus and EAM

Facial Lateral Tagline

Superimposed facial bones without tilt or rotation

Superimposed bilateral structures

Facial Lateral Light Field

8×10 or 10×12 lengthwise

Facial Caldwell SID

40 inch

Facial Caldwell Technique

75-80 @ 12-16

Facial Caldwell Breathing Instructions

Suspend Respiration

Facial Caldwell Positioning Lines

OML perpendicular to IR

no rotation or tilt

Facial Caldwell CR

15 caudad, exit at the nasion

Facial Caldwell Tagline

petrous ridges in lower 1/3 of orbits

Facial Caldwell Light field

10×12 lengthwise

Orbits Modified Waters (Mod Parietoacanthial) SID

40 inch

Orbits Modified Waters (Mod Parietoacanthial) Technique

75-80 @ 12-16

Orbits Modified Waters (Mod Parietoacanthial) Breathing Instructions

Suspend Respiration

Orbits Modified Waters (Mod Parietoacanthial) Positioning Lines

LML perpendicular to IR

MSP midline of IR

Orbits Modified Waters (Mod Parietoacanthial) CR

horizontal beam, exit at acanthion

Orbits Modified Waters (Mod Parietoacanthial) Tagline

petrous ridges in lower half of maxillary sinuses

Orbits Modified Waters (Mod Parietoacanthial) Lightfield

10×12 lengthwise

Orbits Modified Waters (Mod Parietoacanthial) angles

OML and IR make 55 angle

Orbits Lateral SID

40 inch

Orbits Lateral Technique

75-80 @ 10-16

Orbits Lateral Breathing

Suspend respiration

Orbits Lateral Positioning Lines

MSP parallel to IR

IPL perpendicular to IR

IOML parallel to floor or perpendicular to bucky

Orbits Lateral CR

zygoma

Orbits Lateral Tagline

superimposed orbital structures

Orbits Lateral Lightfield

8×10 or 10×12 lengthwise

Orbits Parieto-orbital Oblique (Rhese) SID

40 inch

Orbits Parieto-orbital Oblique (Rhese) Technique

75-80 @ 8-16

Orbits Parieto-orbital Oblique (Rhese) Breathing Instructions

Suspend Respiration

Orbits Parieto-orbital Oblique (Rhese) Positioning Lines

3 point landing - chin, cheek, and nose of side of interest

AML perpendicular to IR

Orbits Parieto-orbital Oblique (Rhese) CR

center to downside orbit

Orbits Parieto-orbital Oblique (Rhese) Tagline

Projecting the optic foramen into the lower outer quadrant of the orbit

Orbits Parieto-orbital Oblique (Rhese) Angles

AML perpendicular to IR plus 3 point landing, MSP forms 53 angle with IR

Orbits Parieto-orbital Oblique (Rhese) Lightfield

approx 3 inch square

Sinus Lateral SID

40 inch

Sinus Lateral Technique

75-80 @ 10-16

Sinus Lateral Breathing Instructions

Suspend Respiration

Sinus Lateral Positioning Lines

IPL perpendicular to IR

IOML parallel to floor

MSP perpendicular to IR

Sinus Lateral CR

zygoma, horizontal beam!

Sinus Lateral Tagline

Superimposed bilateral structures

Sinus Lateral Sinus fact

only sinus view to see al 4 sinuses in one image

Sinus Lateral Lightfield

8-10 lengthwise

Sinus Caldwell SID

40 inch

Sinus Caldwell Technique

75-80 @ 10-16

Sinus Caldwell Breathing Instructions

Suspend repiration

Sinus Caldwell Positioning Lines

15 degrees tilt towards patient on the bucky or OML

Sinus Caldwell CR

horizontal beam!!!!

exit at nasion

Sinus Caldwell Tagline

petrous ridges in lower 1/3 or orbits

visualizes frontal and ethmoid sinuses

Sinus Caldwell Light field

10×12 lengthwise

Sinus Open-Mouth Waters (Parietoacanthial Transoral) SID

40 inch

Sinus Open-Mouth Waters (Parietoacanthial Transoral) Technique

75-80 @ 12-16

Sinus Open-Mouth Waters (Parietoacanthial Transoral) Breathing Instructions

Suspend respiration

Sinus Open-Mouth Waters (Parietoacanthial Transoral) Positioning Lines

MML perpendicular to IR

MSP midline of IR

drop jaw without moving head (MML may change)

Sinus Open-Mouth Waters (Parietoacanthial Transoral) CR

Horizontal Beam!!!

exit at acanthion

Sinus Open-Mouth Waters (Parietoacanthial Transoral) Tagline

Petrous ridges below maxillary sinuses

Visualizes frontal, maxillary, and sphenoid sinuses

Sinus Open-Mouth Waters (Parietoacanthial Transoral) Lightfield

10-12 lengthwise

Sinus SMV SID

40 inch

Sinus SMV Technique

75-80 @ 20-32