Plain Films - Facial Bones, Sinuses

Facial Views

• If patient is co-operative, facial views should be done erect and PA

• AP erect is a viable alternative, or supine if other options not possible

• Supine Brow up shoot through lateral will show fluid levels

Standard views are:

• Occipito - mental

• OM 30 deg (for? FB pre MRI , erase Image plate first)

• Lateral 

Ensure Zygomatic arches are visible on OM 30. If there is concern about Zygomatic arches, do slit cone Townes view. This needs to be underpenetrated exposure - 3 density, central chamber on AEC.

• Occipito-Frontal if there is concern about superior margins of orbits

• SMV not done routinely - only at radiologist request.

Sinuses

• Occipito-frontal view (baseline at 30 deg)

• Occipito mental view (baseline at 55 deg)

• Lateral 

• Must be erect (for fluid levels)

Nasal Bone

• Lateral (using finger exposure)

• OM on older patients -erect using Bucky