Scribd Logo
Upload

Welcome to Scribd!

  • 10 views

    ENT X-Rays

    Uploaded by

    rishikarastogi001
    This document discusses various x-ray views used to image different anatomical structures like the temporal bone, paranasal sinuses, neck, and larynx. It provides details on commonly used views like the Waters, Caldwell, and lateral neck views and what structures each view allows visualization of. Application of these views for identification of abnormalities like fractures, masses, foreign bodies, and inflammatory changes are also mentioned.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    ENT X-Rays

    Uploaded by

    rishikarastogi001
    10 views28 pages
    This document discusses various x-ray views used to image different anatomical structures like the temporal bone, paranasal sinuses, neck, and larynx. It provides details on commonly used views like the Waters, Caldwell, and lateral neck views and what structures each view allows visualization of. Application of these views for identification of abnormalities like fractures, masses, foreign bodies, and inflammatory changes are also mentioned.

    Original Title

    ENT X-rays

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document discusses various x-ray views used to image different anatomical structures like the temporal bone, paranasal sinuses, neck, and larynx. It provides details on commonly used views like the Waters, Caldwell, and lateral neck views and what structures each view allows visualization of. Application of these views for identification of abnormalities like fractures, masses, foreign bodies, and inflammatory changes are also mentioned.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    10 views28 pages

    ENT X-Rays

    Uploaded by

    rishikarastogi001
    This document discusses various x-ray views used to image different anatomical structures like the temporal bone, paranasal sinuses, neck, and larynx. It provides details on commonly used views like the Waters, Caldwell, and lateral neck views and what structures each view allows visualization of. Application of these views for identification of abnormalities like fractures, masses, foreign bodies, and inflammatory changes are also mentioned.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 28

    Clinical teaching class

    Introduction
    • X rays: absorbed differently by the soft tissue, bone, gas
    and fat

    1. Temporal bone
    2. Nose and paranasal sinuses
    3. Neck, larynx, pharynx
    Law’s view –lateral view of
    mastoid
    • Sagittal plane of skull is parallel to the film; X-ray beam is
    projected 15degree cephalocaudal
    • Structures : superimposed on IAC, mastoid air cells,
    tegmen, lateral sinus plate and TMJ
    Schullar’s view-commonly used
    • x-ray beam is projected 30 degree cephalocaudal and
    prevents superimposition of two sides of mastoid bones
    • EAC superimposed on IAC, mastoid air cells, tegmen,
    lateral sinus plate, condyle of mandible , sinodural angle,
    atticoantral region
    • Extent of pneumatization, sclerotic mastoid, destruction of
    intercellular septa (mastoiditis), location of sinus plate and
    tegmen, cholesteatoma, longitudinal fracture of petrous
    pyramid
    Schullers view
    Other views
    • Stenvers view
    • Towne’s view
    • Transorbital view
    • Submentovertical view
    Nose and paranasal sinuses-
    water’s view and Caldwell view
    • Common findings
    1. Mucosal thickening
    2. Presence of cyst (missing tooth in dentigerous cyst)
    3. Air fluid levels
    4. Opacity in maxillary sinus- sinusitis/ AC polyp, opacity
    beyond the limits of sinus s/o malignancy
    5. Dense opacity with regular outline (osteoma)
    6. Multiocular swelling expanding the bone
    (osteoclastoma)
    Water’s view
    • Nose and chin touch the film , xray beam is projected from
    the occipital side.
    • Open mouth view shows the sphenoid sinus
    • Petrous bones are projected below the maxillary sinuses
    • Fractures of right and left nasal bones and their lateral
    displacement can be seen
    ethmoid sinces t
    occipitomental view-Maxillary, geontal,
    septum nasal

    pier's view-occipitomental with mouth


    open
    Complete
    opacification
    of left
    maxillary
    sinus
    Opacification in
    left maxillary sinus
    with indistinct
    layeral wall of
    maxillary sinus
    Convex mass
    in b/l
    maxillary
    sinus

    Osphenoid
    Convex
    mass in right
    maxillary
    sinus
    Caldwell view (occipitofrontal
    view)
    • Nose and forehead touch the film and X-ray beam is
    projected 15-20 degree caudally.
    • Frontal and ethmoid sinuses r seen well.
    • Structures: frontal, ethmoid, and maxillary sinuses, frontal
    process of zygoma, zygomatic process of frontal bone,
    superior margins of orbits, lamia papyrcea, superior orbital
    fissures and foramen rotundum
    occipitofrontal
    sinus
    Better
    frontal
    Lateral view
    Lateral views of nasal bones:
    • Fracture line,
    depression or
    elevation of the
    fractures segment.
    • Lower part of nasal
    bones, which is thin,
    fracture more
    frequently.
    Neck, larynx, pharynx
    • Views
    1. Lateral view of neck
    2. Posterioranterior view
    3. Soft tissue lateral view nasopharynx
    4. Submandibular salivary gland
    Lateral view of neck
    • Outline of base of tongue,
    • vallecula,
    • hyoid bone,
    • epiglottis and
    • aryepiglottis folds,
    • arytenoids,
    • false and true vocal cords with ventricle,
    • thyroid and cricoid cartilages,
    • subglottic space and trachea,
    • prevertebral soft tissues,
    • cervical spines
    • pretracheal soft tissues and thyroid
    Clinical applications
    • Radio opaque FB
    • Acute epiglottitis
    • Retropharyngeal abscess
    • Position of tracheostomy tube
    • Laryngeal stenosis
    • Fractures of larynx and hyoid bone
    • Compression of trachea by thyroidor retropharyngeal
    masses
    • Osteophytes in cervical vertebrae/ injuries to spine
    Soft tissue lateral view of
    Nasopharynx
    • Adenoids
    • Angiofibroma
    • Antrochoanal polyp
    • Foreign body
    nose/tumor
    • Choanal atresia
    (interruption of air
    column from nose to
    nasopharynx)
    AC Polyp

    You might also like