Radioanatomy of The Skull and Mandible 2022

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RADIOLOGICAL

ANATOMY
OF THE SKULL
AND
MANDIBLE
OBJECTIVES

 Identify and recognize normal anatomical


structures
 Learn radiographic indications and
limitations
 Readily perceive gross pathology
ANATOMY OF SKULL AND MANDIBLE
SKULL X-RAY
Plain skull radiography
– has no diagnostic value
on patients suspected of
having neurologic disease
CT Scan / MRI – technique
of choice for the initial
diagnostic evaluation of
most patients with
neurologic disease
SKULL X-RAY
 Plain skull X-Ray – technique is
insensitive and nonspecific
 Abnormalities seen rarely
provide sufficient information for
patient’s management
 Shows bone density changes in
some metabolic and pathologic
conditions
 Fracture lines seen in skull bone
fractures
ROUTINE RADIOGRAPHIC
PROCEDURES OF SKULL
POSTEROANTERIOR VIEW
LATERAL VIEW
CALDWELL’S X-RAY PROJECTION

 PA view with 15 degree


tilt of the tube caudally
 Permits visualization of
orbital structures
superior orbital fissures
sphenoid wings
frontal sinuses
TOWNE’S VIEW

 AP view with a 30 degree


tilt of the tube caudally
 Visualizes:
occipital bone
mandibular condyles
mastoids
SUBMENTOVERTICAL VIEW
BASAL VIEW
ROUTINE STUDY OF SKULL
RADIOGRAPHS
 Note the shape of the skull as a whole,
especially the relationship of the vault to the
base in all views
 Study the outline of the skull as a whole, noting
the thickness of the inner and outer tables
 Study the character and density of the bones of
the calvarium
 Study the lines, impressions, channels and
sutures including the arachnoidal impression,
arterial grooves, venous plexuses and sinuses
 Calvarial impressions,
 May reflect increased
intracranial pressure
such as that seen in
hydrocephalus
VP SHUNT NOTED ON THE FRONTAL AND
LATERAL RADIOGRAPHS
WHAT WE LOOK FOR IN A
ROUTINE SKULL RADIOGRAPH

 Check all calcifications, such as may be found in


the dura, the falx cerebri, pineal gland, choroid
plexuses, petroclinoid ligament and the
habenular commissure
 Carefully define the sella turcica, its anterior and
posterior clinoid processes and tuberculum
sellae
 The petrous ridges, orbits, sphenoid ridges,
temporal bones and facial bones are carefully
studied bilaterally
WHAT TO STUDY ON LATERAL
SKULL VIEWS

Blood Vessel Markings


- pattern of the blood vessels
grooves should be observed
closely on lateral view
- Middle Meningeal
Artery (MMA)
- Diploic Veins
Sutures
SELLA TURCICA ON MAGNIFIED LATERAL VIEW

SELLA TURCICA
 Lateral view shows an
oval shaped central
depression in the
sphenoid bone
 It contains the pituitary
gland
 Normal measurement
of the sella turcica are
16 to 17 mm in the AP
diameter
PA VIEW OF THE FACE
MANDIBULAR BONE
MANDIBULAR IMAGING
PANORAMIC X-RAY VIEW
RIGHT OBLIQUE X-RAY VIEW OF MANDIBLE

 Right mandible
clearly showing
right ramus,
angle and
alveolar margins
of the mandible
MANDIBLE FRACTURE

 Left mandible fracture


seen on the lateral view.
DENTAL CT DONE ALONG THE AXIS OF EACH TOOTH
CT Scan of theTemporomandibular joint
READINGS:

 Cranial Synostoses

 Skull base foramina and contents

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