Escolar Documentos
Profissional Documentos
Cultura Documentos
Fall 2009
FINAL
Function of Orbits
1. Serve as bony sockets for the eyeballs
2. Openings for nerves and blood vessels
C
D
E
I
G
H
Primarily composed
of orbital plate of
frontal bone
2. ________________
Zygoma (small
amount)
Maxilla
Palatine
3. _______________
Medial
Lacrimal
Lateral
Zygoma (large
amount)
2. ______________
3. ______________
ANGLE OF ORBITS
1. Each orbit projects
30 degrees superiorly
37 degrees toward MSP
Mechanisms producing
Orbital Fractures
1. Auto accidents
2. Assault
3. Falls, sports, and industrial accidents
Blowout Fracture
Blowout Fracture
1. Blow to the eye
2. Orbital floor is fractured
3. Soft tissue herniates
into maxillary sinuses
4. Often have ocular injury
Ponsell,
_____________________
Blowout Fracture
______________________
Tripod Fracture
1. Direct blow to
zygoma
2. Visual concave
abnormalities
3. Usually orbits are
involved
LeFort
Fractures
Richardson, 2000
LeFort Fractures
1. Type II
1. Separation through:
frontal processes
lacrimal bones
orbit floors,
zygomaticomaxillary
suture line
lateral wall of
maxillary sinuses
pterygoid
1. Complications
1. ____________
system obstruction
2. Infraorbital nerve
anesthesia
3. ____________
4. Malocclusion
Lefort 2
LeFort Fractures
1. Type III
1. Complications
1. _________________
2. Mal-union
3. _________________
4. Lenthening of mid face
5. _________________
system obstruction
LEFORT 3
LEFORT 3
1. Eyes
1. Basic
1. Basic
_________________
_________________
1. Special
_________________
_______________
_______________
_______________
Parietoacanthial Projection
Waters Method
1. Positioning
1. ____________
2. ____________
3. CR:
1. ___________
Parietoacanthial Projection
Waters Method Radiograph
1. Distance from lateral
border of skull and
orbit equal on each
side
2. Petrous ridges
projected
immediately below
maxillary sinuses
Parietoacanthial Projection
Modified Waters
1. Positioning:
1. _____________
3. CR
1. ____________
Modified Parietoacanthial
Modified Waters method
Modified Waters
Radiograph & Diagram
Acanthioparietal Projection
Reverse Waters Method
1. Positioning
_______________
3. CR
_______________
2. Petrous ridges
projected
immediately below
maxillary sinuses
3. PA- CR:
1.
4. PA- CR:
1.
2.
3.
4.
Rhese Method
(AP) Optic Canal and Foramen
1. Positioning:
1. _______________
2. _______________
3. AP- CR:
1.
_______________
Rhese Method
(AP) Optic Canal and Foramen
Radiograph
1.
2.
3.
4.
3. CR:
1. ___________________
1. Positioning
1. Forehead & nose on
IR.
2. Center IR distal
to nasion
3. ________________
3. CR:
1. Through center of
orbits, 30 degrees
caudal
PA Axial (EYE)
1. Positioning:
1. IR at level of orbits
2. Rest pts chin on IR
3. Instruct pt to close eyes
and hold eyes still
3. CR:
1. Perp through mid-orbits
Modified Waters
(EYE)
LETS REVIEW
References
Ballinger, P.W. & Frank, E.D. (1999).
Merrills atlas of radiographic positions and radiologic
procedures. V2. New York: Mosby
Ponsell, M.R. (2003). Assessing facial fractures in the
emergency room. New Jersey
Richardson, M.L. (2000). Facial and mandibular fractures.
Retrieved May 5, 2007 from:
http//www.rad.washington.edu/mskbook/facialfx.html