Facial Bones
Lateral
IR Size: 8x10 LW
SID: 40""
Page #'s: 2:325,292

Positioning:
  • True Lateral with affected side to IR
  • Upright if possible to demonstrate air / fluid levels

CR Entrance & Angle:
  • _|_ to zygoma 1/2 way between outer canthus & EAM
  •

Collimation:
  •

Best to Determine:
  • Entire facial bones in lateral position
  • Zygomatic bone in the center

Eval Criteria:
  • SI orbital roofs & mandibular rami
  • NR by sella turcica in profile

Parietoacanthial (Waters)
IR Size: 8x10 LW
SID: 40""
Page #'s: 2:328,294

Positioning:
  • Upright or prone facing bucky
  • Nose should be ~3/4"" from grid
  • Upright if possible to demonstrate air / fluid levels

CR Entrance & Angle:
  • _|_ to exit acanthion
  •

Collimation:
  •

Best to Determine:
  • Orbits, Maxillae & Zygomatic arches

Eval Criteria:
  • NR by Equidistant lat borders of skull & orbits
  • ***Must be met or need to repeat if Petrous ridges aren't immediately below the maxillary sinuses

PA axial (Caldwell)
IR Size: 8x10 LW
SID: 40""
Page #'s:

Positioning:
  • Same as Cranium-Caldwell + added angle
  • Pt prone or seated/upright in PA position:
  • Pt forehead & nose: rest on bucky
  • AP/AP axial may also be performed-Cephalad angles entering nasion (Orbits will be magnified ^ OID):

CR Entrance & Angle:
  • CR exits Nasion.
  • General study 15° caudad; if orbital floors of interest CR 30° caudad (Exaggerated Caldwell)

Collimation:
  •

Best to Determine:
  • Orbital rims, maxillae, nasal septum, zygomatic bones & anterior nasal spine

Anatomy to IR:
  • MSP centered to IR & OML _|_ to IR, Nasion to crosshairs

Eval Criteria:
  • Entire cranial perimeter
  • NR by Equidistant lat borders of skull & orbits
  • Symmetric petrous ridges in lower 1/3 of the orbits