Cranium and Facial Bones Marilyn Rose .
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Transcript of Cranium and Facial Bones Marilyn Rose .
Cranium and Facial Cranium and Facial BonesBonesMarilyn RoseMarilyn Rose
http://www.gomediazine.com/wp-content/images/2008/09/free-skull-photos-preview.jpg
Ground RulesGround Rules
This room is all we have. We need to find a way to make it work, so we can do what we're here to do.
1. Absolutely no food or drink consumption in the classroom.
2. No open liquid containers in the classroom. They must be kept outside.
3. No conversing during lecture.
4. If you can't hear the instructor or another student during lecture or question and answer, please politely say so.
5. If you're sitting in the back and having difficulty hearing, move to the front of the classroom next time.
6. Dial down your drama. If you're anxious about this class, find something constructive to do about it.
CraniumCranium 8 bones8 bones
OccipitalOccipital Temporal-Temporal- SphenoidSphenoid EthmoidEthmoid Parietal- Parietal-
vertexvertex FrontalFrontal
http://www.voxel-man.de/3d-navigator/brain_and_skull/images/bs_ct-browser-englisch.jpg
http://www.exploringnature.org/graphics/anatomy/skulls_w_text.jpg
Occipital ProtuberanceOccipital Protuberance
http://img.medscape.com/pi/emed/ckb/radiology/336139-389714-1939.jpg
http://www.theodora.com/anatomy/images/image194.gif
internal
external
Temporal BoneTemporal BonePetrous portionPetrous portion
• EAM
Sphenoid BoneSphenoid Bone
http://img.tfd.com/MosbyMD/thumb/sphenoid_bone.jpg http://www.eurorad.org/mediafiles/eurorad/0000001070/000002_text.jpg
Level of dorsum sellae=
http://www.mans.eun.eg/FacMed/arabic/DAW/CourseImages/sag_mri_2za.jpg
http://m.blog.hu/ke/kepalkotas/image/sella.jpg
A square portion of bone on the body of the sphenoid posterior to the sella turcica or hypophysial fossa
Ethmoid BoneEthmoid Bone
http://img.tfd.com/MosbyMD/thumb/ethmoid_bone.jpg
Blunt Trauma-most common cause of A deviated septum Any impact can potentially detach perpendicular plate of ethmoid bone from nasal septum wall, allowing septum to deviate from one side to other.
Parietal BoneParietal Bone
http://www.cyberounds.com/assets/07/90/790/figure1.jpg
http://www.neurographics.org/3/1/2/images/Fig2.jpg
Frontal BoneFrontal Bone
http://www.face-and-emotion.com/dataface/anatomy/media/frontalbone.jpg
http://2.bp.blogspot.com/_fBQVVpFhTQs/Sjk7DY4pljI/AAAAAAAAAvE/IYrpGnSa4rU/s320/frontal-sinus-fx-1.jpg
The patient was admitted to the emergency room for polytrauma with severe cranioencephalic trauma with fracture and a depressed fronto-orbital fracture with external communication
14 Facial Bones14 Facial Bones Nasal 2xNasal 2x Lacrimal 2xLacrimal 2x Maxilla 2xMaxilla 2x PalatinePalatine Zygoma 2xZygoma 2x Inferior nasal Inferior nasal
conchae 2xconchae 2x Vomer- Vomer-
Where is it??Where is it?? mandiblemandible
http://www.asnr2.org/neurographics/8/2/60/sinusanatomy/axial/apSkull.jpg
Paranasal SinusesParanasal Sinuses EthmoidEthmoid MaxillaryMaxillary SphenoidSphenoid FrontalFrontal
http://www.billcasselman.com/paranasal_sinuses_ethmoid_eye_sockets_sphenoid_maxillary.jpg
http://www.szote.u-szeged.hu/radio/szem/fog2a1.gifhttp://scannermurcia.es/imagenes/estudios/escaner/gallery3.jpg
Temporomandibular Temporomandibular JointJoint
Hinge of masticactionHinge of masticaction
http://www.urmc.rochester.edu/smd/Rad/neuroimages/TMJ15.jpg
TMJTMJ
ClosedClosed
http://radiopaedia.org/uploads/radio/0000/3817/TMJ_0002_gallery.jpg
Open
TMJ-@ LPCHTMJ-@ LPCH
CT-guided imaging CT-guided imaging at LPCH for at LPCH for treatment of treatment of juvenile idiopathic juvenile idiopathic arthritis: The arthritis: The aarrowrrow shows the trajectory shows the trajectory of the needle for of the needle for placement of steroid placement of steroid medication into the medication into the temporomandibular temporomandibular
jointjoint. .
OrbitOrbit
1. Frontal bone 2. Ethmoid bone 3. Palatine bone 4. Zygomatic bone 5. Lacrimal bone 6. Maxillary bone
http://anatomy.uams.edu/anatomyhtml/graphics/rsa2p4.gif
http://media.photobucket.com/image/anatomy%20of%20eye%20and%20muscles/trimurtulu/Eye.jpg
OrbitOrbit
What seven bones make up the orbit?What seven bones make up the orbit? frontal, sphenoid, ethmoid (cranium)frontal, sphenoid, ethmoid (cranium) Lacrimal, maxillary, palatine and zygomatic Lacrimal, maxillary, palatine and zygomatic
(facial)(facial) The posterior obit has a what canal?The posterior obit has a what canal?
Optic- optic nerveOptic- optic nerve A blow-out fracture can cause diplopia, A blow-out fracture can cause diplopia,
what does that mean?what does that mean? Floor of orbit, herniation of orbital contents= Floor of orbit, herniation of orbital contents=
doublevisiondoublevisiondoublevisiondoublevisionhttp://e-radiography.net/ibase8/Skull/thumbs/Skull_frx_orbit_ct.jpg
Name 5 anatomic structures you Name 5 anatomic structures you can see.can see.
http://farm4.static.flickr.com/3122/2280819592_7a60701210.jpg
Ethmoid sinus
orbitvertex
EAM
TMJ
What is What is wrongwrong??
Rt Frontal bone- axial- orbital contents in maxillary sinus
What level is this?What level is this?
Petrous Ridge
What are the points at the What are the points at the posterior aspect?posterior aspect?
Internal/External Occipital Protuberance
What is the foreign object? What What is the foreign object? What is now communicating with the is now communicating with the
external environment?external environment?
http://www.firearmsid.com/Feature%20Articles/042002/SkullCT.jpg
Bullet
Frontal Sinus open
to external environment.
What is this What is this bone?bone?
Parietal Bone Sphenoid
Where is the fracture?
Describe these two views.Describe these two views.
http://www.powerpak.com/courses/10132/Figure3.jpg
http://www.ispub.com/ispub/ijorl/volume_4_number_1_37/pencil_in_the_nose/pencil-fig3.jpg
Axial- Air/ Fluid levels in the sinus
Pencil- Nasal cavity, ethmoid, sphenoid sinus with air/fluid (no CSF leak)
What is wrong What is wrong here?here?
CSF is in this space= Normal
http://www.atlaschiro.com/case_studies.htm
Medulla and Cerebellar tonsils in foramen magnum= Chiari 1 malformation- Spina Bifida causing herniation of medulla inferior.
Frontal Sinus
Sphenoidal Sinus
Pons
Optic Nerve
Mastoid Air Cells
1 Frontal Sinus1 Frontal Sinus 2 Ethmoid 2 Ethmoid
SinusSinus 3 Sphenoid 3 Sphenoid
SinusSinus 4 Maxillary 4 Maxillary
SinusSinus
1
23
4
1 Sphenoid Sinus1 Sphenoid Sinus 2 Cribiform Plate2 Cribiform Plate
1 1
2
Name the structures
1 Maxillary sinus1 Maxillary sinus 2 Frontal sinus2 Frontal sinus 3 Ethmoid sinus3 Ethmoid sinus
1 1
2
3
2
Before Multiplanar reconstruction the 2 planes used to ACQUIRE Sinus images were AXIAL and CORONAL planes