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Week 4…are we having fun yet?

Week 4…are we having fun yet?. Haas, SMV projections. REVIEW. SKULL cranial bones, facial bones cranial bones skull cap ( calvarium ) cranial base (cranial floor) 8 cranial bones name the bones name landmarks on each bone name articulation's with each bone

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Week 4…are we having fun yet?

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  1. Week 4…are we having fun yet? Haas, SMV projections

  2. REVIEW SKULL cranial bones, facial bones cranial bones skull cap (calvarium) cranial base (cranial floor) 8 cranial bones name the bones name landmarks on each bone name articulation's with each bone Special Attention to Temporal Bone organs of hearing and balance sections of ear external middle inner membranous osseous

  3. REVIEW SKULL MORPHOLOGY skull types mesocephalic-medium brachycephalic-broad dolichocephalic-narrow Know Degrees of petrous ridge and sagittal plane

  4. REVIEW SKULL TOPOGRAPHY Know all palpable landmarks inion gonion glabella nasion outer canthus inner canthus acanthion supercilliary arches mental point TEA EAM aveolar process widest part of skull SOM are there more?

  5. REVIEW Know all positioning planes: MSP OML-radiographic baseline IMOL GAL GML AML MML IPL MCP

  6. REVIEW TEMPORAL BONE anatomy organs of hearing and balance external ear auricle, tragus, EAM middle ear tympanic membrane, attic, cavity, auditory tube (Eustachian), passage to nasopharynx, auditory ossicles, communication pathways inner ear membranous labyrinth osseous labyrinth cochlea, vestibule, semi-circular canals pathology otosclerosis acoustic neuroma choleasteaoma

  7. REVIEW

  8. AP Axial Townes vs. PA Axial Haas

  9. Positioning PA Axial (Haas) • CR 25 degrees cephalad entering 1 1/2 “ below occipital protuberance. • CR exits 1 ½” superior to nasion

  10. Haas PA Axial

  11. Positioning SMV (Schüller) • CR enters the MSP of the throat between angles of mandible • Passes through a point ¾”anterior to EAMS.

  12. SMV (Schüller) Radiograph • Adequate penetration of cranial base • Equal distance from lateral border of skull to condyles • SI of mental protuberance over anterior frontal bone • Condyles anterior to petrous ridges • Symmetric petrosa

  13. SMV

  14. SMV

  15. MORE SMV

  16. YET another SMV

  17. OOOH, AAAH SMV

  18. UH-OH, what happened?

  19. VSM (Schüller) Radiograph • Adequate penetration of cranial base • Equal distance from lateral border of skull to condyles • SI of mental protuberance over anterior frontal bone • Condlyes anterior to petrous ridges • Symmetric petrosae

  20. Skull fractures Linear Depressed Basal skull Gunshot wounds Pituitary Adenomas Subdural hematoma Neoplasms Metastases Osteolytic Osteoblastic Combo of both Multiple myeloma Paget’s Disease Acoustic neuroma Indications for Cranial Radiography

  21. Fracture Types • Skull fractures • Basal Skull Fx: suggested by air fluid level in sphenoid sinus, bleeding from ear or presence of CSF • Linear-Sharp translucent line, may be straight or angled, may cross vascular grooves and cause sutural widening. • Depressed- may have curvilinear dense edges, serious, may require tangential projections • ping pong fx-usually found in children, similar to greenstick

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