Head and Neck Radiology: Radiological Anatomy of Nose & Para-Nasal Sinuses Presented By: Dr. Muhammad Imran PGR Radiology

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Radiological Anatomy of

Head and Neck


Nose & Radiology
Para-nasal Sinuses
Head and Neck
Presented By:
Radiology

Dr. Muhammad Imran


PGR Radiology
• Facial pain with “air/fluid level”on x-ray
• Bruit heard in neck
• Trauma with questionable “blowout fracture”
• Difficulty swallowing with mass in lower
neck
• Hoarseness
• Blurred vision
• Epistaxsis
Caldwell View of Sinus
1.Nasal Septum
2
2. Frontal Sinus
3. Maxillary Sinus
4. Ethmoid Sinus
1 4
5. Inferior Turbinate
3
6.Odontoid process

6
Sinus-
1
10 Waters
1. Frontal sinus
2. Ethmoid Sinus
3. Nasal Septum
2 (bony)
5 4. Zygomatical-
4
Frontal
Suture
5. Maxillary Sinus
6 6. Zygoma
7. Zygomatic Arch
9 8. Mandible
9. Inferior orbital
margin
3 10. Left orbit

8
Lateral Sinus
11
& Skull
1. Frontal Sinus

2. Maxillary Sinus
3. Ethmoid Sinus
1 4. Spenoid Sinus
5. Sella Turcica
3 4 6. Occipital Bone
5 7. Mastoid Air Cells
8. Floor of posterior
2 fossa
9. Anterior arch of C-
6 1
10. Mandible
7 11.Coronal Suture
8

10
AP Townes
(Skull)
1. Parietal bone
1 1
2. Lambdoid suture
3. Foramen magnum
4. Petrous temporal
bone
5. Mandible
2 2
6. Mastoid air cells
3

4
65
6
Base of the
6 Skull
1. Lat. ptyergoid plate
2
2. Ethmoid Sinus
3. Odontoid Process
4. Sphenoid Sinus
5. Foramen ovale
6. Maxillary Sinus
1 7. Mastoid air cells
4
8. Ant arch of C-1
9. Margin of foramen
5
magnum
7
10 10. Ext auditory canal
8

9
Airway
1. Calcified tracheal
cartilage rings
3
2. Hyoid bone
3. Epiglottis
2 4. Thyroid cartilage
5. Cricoid cartilage
5

1
1

Lateral Neck
1
1. Stylo-hyoid
2 ligament
2. Hyoid bone
Arteriogram
1. Internal
Carotid artery
2
2. Carotid
Syphon
3. Maxillary
artery
3
4. Occipital
artery
4
5. External
carotid artery
1
6. Common
carotid artery
5
6
Color Doppler Ultrasound of Carotid
1
SINUS-CT
Axial view
1. Frontal Sinus
CT of Sinus
Axial view
1. Ethmoid
Sinus
2. Sphenoid
Sinus
1 3. Carotid
canal

2 3
Axial scan of
facial bones
1. Ossicular
chain
(malleous/
incus)
2. Internal
1
auditory
meatus

2
CT of Sinus
1 Axial view
4
1. Maxillary
Sinus
2. Pterygoid plate
3. Nasopharynx
4. Nasal septum
5
5. Inferior
2
turbinate

3
CT of Sinus-
Axial View
1. Maxillary
Sinus
2. Hard Palate
4
3. Oropharynx
4. Masseter
muscle
1 1 Axial scan of facial
bones
1. Zygomatic arch
2. Mastoid air cells

2
Axial Scan of
facial bones
1 1. Mandible
Coronal view of sinus
1. Fronto-nasal suture

1
Coronal view of
1 sinus
1.Ethmoid sinus
2. Inferior turbinate

2
Coronal view of
sinus
1. Maxillary sinus
1 1
Coronal View of
1 sinus
1. Sphenoid sinus
2 Coronal
Scan of
sinus

3
4

2. Zygomatic frontal suture 3. Middle turbinate


4. Inferior turbinate 5. Maxillary ostea
Axial scan of
orbit
1. Retrorbital
fat
2. Medial
rectus
2 3 3. Lens
1
4. Lateral
4 rectus
5. Optic nerve

5
Axial scan of neck
2
1 1. Medial pterygoid
muscle
2. Masseter muscle
3. Parotid gland

3
Axial scan of neck
2
1. Common
1 3 carotid artery
2. Thyroid
cartilage
3. Sternocleido-
mastoid muscle
4. Internal jugular
4 vein
1 1
Axial scan of
neck
1. Thyroid gland
Thyroid Scan
Nuclear Medicine
Thyroid
Ultrasound
• CASE HISTORIES:

• Facial pain
• Bruit heard in neck
• Trauma to orbit
• Difficulty swallowing
• Neck mass in lower neck
• Blurred vision
• Epistaxsis
• Facial pain and nasal congestion
• Trauma to orbit
• Asymtomatic Bruit on physical exam
Arteriogram
1. Internal
Carotid artery
2
2. Carotid
Syphon
3. Maxillary
artery
3
4. Occipital
artery
4
5. External
carotid artery
1
6. Common
carotid artery
5
6
Lateral carotid arteriogram
• Palpable neck mass inferiorly
Case 2a
Case 2b
• Hoarseness
• Visual field defect –Blurred vision
• Epistaxis

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