Facial Bone Anatomy & Positioning RTEC 233 Week 6 FINAL.
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Facial Bone Facial Bone Anatomy & Anatomy & PositioningPositioning
RTEC 233RTEC 233
Week 6Week 6
FINALFINAL
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Anterior Aspect Anterior Aspect of Facial Bonesof Facial Bones 6 paired facial 6 paired facial
bonesbones1) 1)
2) 2)
3) 3)
4) 4)
5) 5)
6) 6)
2 single bones2 single bones7) 7)
8) 8)
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Palatine BonesPalatine Bones
1.1. L-shaped bonesL-shaped bones
2.2. _________ portion forms _________ portion forms posterior hard palateposterior hard palate
3.3. _______ portion extends _______ portion extends between 1maxillae and between 1maxillae and 1 pterygoid plate of 1 pterygoid plate of sphenoid bonesphenoid bone
4.4. Articulates with 2 Articulates with 2 cranial bones and 4 cranial bones and 4 facial bonesfacial bones
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Zygomatic BonesZygomatic Bones
1.1. Forms ________Forms ________2.2. Forms lower Forms lower
outer margin of outer margin of ______________
3.3. Articulates with 3 Articulates with 3 cranial bonescranial bones
1)1)2)2)3)3)
4.4. Articulates with Articulates with maxillaemaxillae
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Inferior Nasal CochaeInferior Nasal Cochae
1.1. The only pair of The only pair of conchae that are conchae that are _______ facial bones_______ facial bones
2.2. Articulates with Articulates with 1)1)2)2)3) 3) 4)4)
3.3. Covered with Covered with mucous membranes mucous membranes to: to: ____________________________________________________________________________________________
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Lacrimal BonesLacrimal Bones About the size & About the size &
shape of a fingernailshape of a fingernail
Lacrimal foramen for Lacrimal foramen for tear ducttear duct
Lie anteriorly on the Lie anteriorly on the medial side of orbitmedial side of orbit
Can be seen on PA Can be seen on PA and lateral projectionsand lateral projections
Articulates with 2 Articulates with 2 cranial bones and 2 cranial bones and 2 facial bonesfacial bones
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Nasal BonesNasal Bones
Fused and form Fused and form bridge of nosebridge of nose
Vary in size Vary in size considerablyconsiderably
The point of junction The point of junction with the frontal bone with the frontal bone is the nasion is the nasion
Articulates with 2 Articulates with 2 cranial and 2 facial cranial and 2 facial bonesbones
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VomerVomer
Forms inferosuperior Forms inferosuperior part of nasal septumpart of nasal septum
Deviated nasal Deviated nasal septumseptum
Depressions for blood Depressions for blood vesselsvessels
Articulates with 2 Articulates with 2 cranial bones & 4 cranial bones & 4 facial bonesfacial bones
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MandibleMandible
1.1. Only _______ bone Only _______ bone in the skullin the skull
2.2. ________& largest ________& largest facial bonefacial bone
3.3. ___bones at birth___bones at birth
4.4. Contains Contains ______foramina______foramina
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Pathologic Indications for Pathologic Indications for Facial RadiographyFacial Radiography
FracturesFractures BlowoutBlowout TripodTripod LeFortLeFort CoutrecoupCoutrecoup
Foreign Body Foreign Body
OsteomyelitisOsteomyelitis
NeoplasmsNeoplasms
Secondary Secondary OsteomyelitisOsteomyelitis
TMJ SyndromeTMJ Syndrome
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Sample FracturesSample Fractures
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Tripod FracturesTripod Fractures
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TripodTripodFractureFracture
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LeFort FracturesLeFort Fractures
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Lefort 2Lefort 2
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Foreign BodyForeign Body
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OsteomyelitisOsteomyelitis
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TMJ TMJ syndromesyndrome
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TMJ SyndromeTMJ Syndrome
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Positioning: Lateral Positioning: Lateral Facial bonesFacial bones
CR is CR is perpendicularperpendicular enters lateral enters lateral
zygomatic bone ½ zygomatic bone ½ way between outer way between outer canthus and EAM.canthus and EAM.
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Lateral Facial Lateral Facial RadiographRadiograph
All facial bones in All facial bones in with zygomatic bone with zygomatic bone in centerin center
Almost SI mandibular Almost SI mandibular
ramirami
SI orbital roofs (no SI orbital roofs (no tilt)tilt)
No rotation of sella No rotation of sella turcicaturcica
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Positioning: Waters Positioning: Waters
CR perpendicular CR perpendicular to exit acanthionto exit acanthion
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Waters RadiographWaters Radiograph
Distance from Distance from lateral border of lateral border of skull and orbit skull and orbit equal on each sideequal on each side
Petrous ridges Petrous ridges projected projected immediately below immediately below maxillary sinusesmaxillary sinuses
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Reverse WatersReverse Waters
CR perpendicular CR perpendicular and enters and enters acanthionacanthion
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Reverse Waters Reverse Waters RadiographRadiograph
Distance from Distance from lateral border of lateral border of skull and orbit skull and orbit equal on each sideequal on each side
Petrous ridges Petrous ridges projected projected immediately below immediately below maxillary sinusesmaxillary sinuses
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Modified WatersModified Waters
CR perpendicular CR perpendicular and exits and exits acanthionacanthion
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Modified Waters Modified Waters RadiographRadiograph
Petrous ridges Petrous ridges projected projected immediately below immediately below the inferior border the inferior border of the orbitsof the orbits
Equal distance Equal distance from lateral orbit from lateral orbit to lateral skull on to lateral skull on both sidesboth sides
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PA Axial - CaldwellPA Axial - Caldwell
CR 15 caudal to CR 15 caudal to exit nasionexit nasion
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PA Axial- Caldwell PA Axial- Caldwell RadiographRadiograph
Equal distance from Equal distance from lat skull to lat orbitlat skull to lat orbit
Symmetric petrous Symmetric petrous ridges in lower 1/3 ridges in lower 1/3 orbitorbit
Penetration of frontal Penetration of frontal bone without bone without excessive density at excessive density at lateral borders of lateral borders of skull.skull.
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Lateral Nasal BonesLateral Nasal Bones
CR perpendicular CR perpendicular to the bridge of to the bridge of nose at a point 1” nose at a point 1” distal to the nasiondistal to the nasion
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Lateral Nasal bones Lateral Nasal bones RadiographRadiograph
No rotation of No rotation of nasal bone and soft nasal bone and soft tissuetissue
Anterior nasal Anterior nasal spine and spine and frontonasal suture frontonasal suture evidentevident
Close collimationClose collimation
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