Mastoid Series

To remember which views arepart of...

The Mastoid Series:
T-Townes, M-Mayers, S-Schullers
Or, MaSToid.

1. Townes View


35 angle (toward the feet) of the ray patient is nakatungo in this view, thus, Down-Towne
The ray enters near the hairline, and exits at the external occipital protuberance

IMAGE CRITERIA
1. Internal auditory canals just below petrous ridges
2. Entire mastoid portion visualized
3. Dorsum sellae seen within foramen magnum
4. Equal distance from lateral margin of foramen magnum to lateral margin of skull assures absence of rotation

2. Schullers Projection


Lateral view, but beam is angulated to prevent superimposition of the mastoid area

IMAGE CRITERIA
1. Mastoid air cells and antrum should be well demonstrated in center of film
2. TMJ seen anterior to EAM
3. Mastoid portion of opposite temporal bone projected inferior and not overlapping mastoid of interest
4. Auricle not to superimpose mastoid air cells

3. Mayers Projection

Taken with patient in supine position, head angled at 45 degrees, and beam also angled at 45 degrees
Side of interest should be closest to the plate

For examination of the petrous ridge and mastoids
Useful in separation of the anatomic structures of the middle ear as a prerequisite for fenestration operations
Difficult to duplicate from patient to patient