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DEEPAK NEGI
MRIT
TPS2016004
SKULL
SKULL
Bones of Skull
Frontal view
Frontal view
A-Frontal bone B-Parietal and Temporal bone C-Occipital bone
TEMPORAL
BONE
PARIETAL BONE
Occipital bone
Ethmoid bone
Sphenoid bone
Sella turcica
Foramen Magnum
SUTURE
FACE
Maxilla
Zygomatic bone
Lacrimal bone
Nasal bone
Mandible bone
Tempomandibular joint
Nasal conchae
Palantine bone
Ear Ossicles
Sinus
 The sinuses are small air pockets.
 The sinuses produce mucus, which is a thin and flowing liquid that
protects the body by trapping and moving germs away.
 Sinuses becomes filled with fluid due to pathologies like blood in case of
trauma or chronic infection , resulting in increased radio-opacity and
decrease in radiography.
 4 sinuses in skull
PARA NASAL SINUS
 1. Maxillary (2)
 2. Frontal (2)
 3. Ethmoid
 4. Sphenoid (1 or 2)
Image of face bones and sinus
Landmarks of Skull
Positioning terminology
Lateral view
Radiography Anatomy
Patient Preparation
 Inform the patient about the examination and ask the patient to restrict
all the movements.
 Remove all the metallic objects from the skull region .
 Ask female patients to remove hair clips , bands and other stuff from skull
before examination.
 Take details of dental filling so that it is not misunderstood as artifact or
any pathology.
 Use foam pads in case of children or trauma cases.
Clinical Indication of Cranium
 Factures
 Neoplasm
 Paget’s Disease
 Pituitary Adenomas
 Mastoidits
 Sinusitis
 Multiple Myeloma
 Sclerosis
 Acoustic neuroma
 polyps
Facial bone facture
X-ray Image
The zygomatic arch fracture is easily
seen on the OM30 (Occipito-Mental
30°) image
•1 - Orbital floor fracture
•2 - Fracture of the lateral wall of the maxillary antrum
•3 - Zygomatic arch fracture
•4 - Widening of the zygomatico-frontal suture
Tripod Facture
Blowout Facture
Blowout fractures are caused by increased pressure in
the orbit - the orbit gives way at its weakest point,
which is the orbital floor
The air/fluid level in the maxillary antrum is due to the
presence of blood
Mandible Facture
Skull Radiography Parameters
 Position :- Erect , Supine , Lateral .
 Factors:- Kvp – 70-80 ,mAs- 20-30.
 Use of Grids , to enhance the images quality.
 Use of foam pads to support the patient.
 Collimation as per the requirement .
 SID = 40inch
Skull Radiography
 Skull AP View:-
Skull Lateral View
Caldwell method
PA view
SMV
SMV (Submentovertical Projection)
Face Radiography
Lateral view
Water’s view
PA Axial Caldwell method
Lateral View for Nasal bones
Mastoid view
Reference
 Ken hub .com for anatomy.
 Bontrager’s Textbook of Radiographic Positioning and Related Anatomy
by Joh.
 Clark s Positioning in Radiography, 13e (2016).
 Pinterest for images .

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Radiography Anatomy of Skull