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Nasal Bones, Paranasal Sinuses, Orbits, and Zygoma
48
Health Care
Not Applicable
11/15/2012

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Cards

Term
Paranasal sinus development begins when?
Definition
begins in fetal life
Term
_________ sinuses are usually the only ones developed enough to be demonstrated radiographically at birth.
Definition
Maxillary
Term
By 6 to 7 years of age, the ______ and ______ sinuses are distinguishable from the _______.
Definition
frontal and sphenoid are distinguishable from the ethmoid
Term
The _______ sinuses do not fully develop until 17 to 18 years of age.
Definition
ethmoid
Term
Which paranasal sinus view is not a necessary view for children because the ethmoid sinus is not fully developed?
Definition
SMV
Term
What are the possible functions of the paranasal sinuses?
Definition
- serves as a resonating chamber for the voice - decreases weight of the skull - aids in warming and moisturizing inhaled air - acts as shock absorbers in trauma - POSSIBLY controls the immune system
Term
Are any of the paranasal sinuses symmetrical?
Definition
No
Term
Which is the largest sinus?
Definition
maxillary
Term
Which is the most symmetric sinus?
Definition
maxillary
Term
Which sinuses are roughly pyramidal in shape?
Definition
maxillary
Term
What are the second largest sinuses?
Definition
Frontal
Term
The frontal sinuses are located between the _______ plates of the frontal bone.
Definition
vertical
Term
The frontal sinuses vary greatly in ____ and ____.
Definition
size and shape
Term
Frontal sinuses are occasionally ______.
Definition
absent
Term
Where are the ethmoid sinuses located?
Definition
within the lateral masses of the labyrinths of the ethmoid bone
Term
The ethmoid sinuses are comprised of a varying number of air cells, which are divided into three main groups:
Definition
1. anterior
2. middle
3. posterior
Term
Where are the sphenoid sinuses located?
Definition
they are located below the sella turcica and extend between the posterior ethmoid and the dorsum sellae.
Term
What are the essential projection of the paranasal sinuses?
Definition
- Lateral
- PA axial (Caldwell)
- Parietoacanthial (Waters)
- Parietoacanthial (Waters) open-mouth modification
- Submentovertical (SMV, Schuller)
Term
Where is the CR located for a lateral sinuses projection?
Definition
1/2 inch posterior to the outer canthus (perpendicular)
Term
Which sinus group is of primary importance to be shown in a lateral sinuses projection?
Definition
sphenoid
Term
(Sinuses) What does the PA axial projection (Caldwell Method) demonstrate?
Definition
- frontal sinuses above the frontonasal suture
- anterior ethmoid air cells
- sphenoid sinuses seen through nasal fossa below or between the ethmoids
- Petrous pyramids in lower third of orbits
Term
What view is the most commonly ordered for sinuses?
Definition
Parietoacanthial Projection (Waters Method)
Term
The Parietoacanthial Projection (Open-Mouth Waters Method) is taken to demonstrate which pair of sinuses?
Definition
sphenoid
Term
(Paranasal Sinuses) What does the SMV (Schuller Method) demonstrate?
Definition
- ethmoid sinuses - sphenoid sinuses - mandible - bony nasal septum
Term
Film critique for SMV (Schuller Method)?
Definition
- anterior frontal bone superimposed by mental protuberance (indicates IOML is parallel - full extension)
- Mandibular condyles anterior to petrous pyramids
Term
What is the only essential projection/s of the nasal bones?
Definition
- one lateral (only one is essential, but sometimes is ordered bilateral)
Term
Which views are sometimes additionally ordered for the nasal bones, but are not essential views?
Definition
- Waters
- Caldwell
Term
The CR for a lateral nasal bones view:
Definition
- Perpendicular to the bridge of the nose - Enters a point 1/2 " distal to the nasion
Term
(True or False) Radiographically - the lacrimal bones are the two smallest bones in the skull.
Definition
True
Term
The temporal process of the ______ extends posteriorly to join the zygomatic process of the ______ bone.
Definition
temporal process - zygoma
zygomatic process - temporal bone
Term
What are the essential projections of the zygomatic arches?
Definition
- Submetovertical (SMV, Schuller)
- Tangential
- AP Axial (Modified Towne)
Term
What is the CR for the SMV Zygomatic Arches?
Definition
- Perpendicular to IOML
- Enters MSP of throat at level 1" posterior to the outer canthi
Term
What is the part position for a tangential view of the zygomatic arches?
Definition
- Hyperextend the neck and rest head on vertex
- IOML as parallel w/ IR plane as possible
- Rotate MSP of head 15 degrees toward the side being examined
- Tilt top of head 15 degrees away from side being examined
- Center zygomatic arch to IR
Term
The CR for a tangential view of the zygomatic arch:
Definition
- Perpendicular to IOML
- Centered to zygomatic arch at a point 1" posterior to outer canthus
Term
What is the part position for an AP Axial (Modified Towne Method) for the zygomatic arches?
Definition
- MSP perpendicular to midline of grid
- OML perpendicular to IR plane
Term
The CR for an AP Axial (Modified Towne Method) of the zygomatic arches:
Definition
- CR angled 30 degrees caudad to enter the glabella (about 1" superior to the nasion)
- If IOML is used, angle 37 degrees caudad
Term
The long axis of each orbit is directed obliquely, posteriorly, and medially at an average angle of __ degrees to the MSP of the head and superiorly at an angle of about __ degrees from the OML.
Definition
- 37
- 30
Term
What anatomical structure is of primary concern when regarding the Rhese view?
Definition
Optic canal (foramen)
Term
What structures pass through the optic canal (foramen)?
Definition
optic nerve and blood vessels
Term
What is the most common reason for x-rays of the orbit?
Definition
trauma
Term
What is the only essential view of the orbit/s?
Definition
Rhese view
Term
What are optional recommended views of the orbit/s?
Definition
- Waters
- Lateral
Term
What is the part positioning for a Parietoorbital Oblique (Rhese Method)?
Definition
- Center affected orbit to the center of the IR
- AML perpendicular to IR
- MSP of head makes 53 degree angle w/ IR
Term
What is the 3-point-landing?
Definition
- It is helpful in positioning for the Rhese method - The zygoma, nose, and chin touch the table or bucky
Term
The CR for a Rhese method:
Definition
- CR to enter approximately 1" superior and posterior to the TEA (perpendicular)
Term
What are the RECOMMENDED views for the orbits?
Definition
- Waters
- Lateral

(Rhese is ESSENTIAL)
Term
What are some OPTIONAL views for the orbits?
Definition
- Waters
- Lateral
- Orbitoparietal Oblique Hough Method
- PA Axial Projection
- PA Axial Projection Bertel Method
Term
Mnemonic to remember the bones of the orbit?
Definition
My Son Eats Lemons From Zoo Pals:
Maxilla Sphenoid Ethmoid Lacrimal Frontal Zygoma Palatine
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