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Skull Positioning
Mastoids
Question | Answer |
---|---|
What are the views for Mastoids? | Townes, Laws (R/L), Stenvers (Posterior Profile R/L), Arcelin (Anterior Profile R/L) |
In the Townes mastoids, what lines are used for positiong? | OML or IOML, MSP |
Whatis the patients position in the Townes Mastoids? | patient is supine or upright |
The OML/IOML is _______ to the IR in the Townes mastoids. | perpendicular 30 degrees for OML, perpendicular 37 degrees for IOML |
The central ray is angle ______ degrees _____ if using the OML in the Townes mastoids. | 30, caudad |
How much do you angle using the IOML line in the Townes mastoids? Which direction? | 37, caudad |
Enters at the hairline (approx. 2 1/2" sup. to nasion)passing through the EAM's is the description of the central ray entrance for what view of the Mastoids? | Townes |
What is demonstrated in he Townes mastoids? | Petrosa above the base of the skull, Dorsum sella (posterior clinoid process) seen witin the shadow of the foramen magnum |
What is another name for the Laws view for the mastoids? | axial lateral oblique |
Describe the patients position in the Laws mastoids view. | Patient is prone or uprigt.Patient is placed in a lateral position and skull is rotated 15 degrees towards the table (toward nose) |
In the Laws view of the mastoids, what is the CR entrance? | Angled 15 degrees caudal entering appprox. 2" superior and 2" posteriorto EAM (toward toes) |
Where does the CR exit in the Laws mastoids? | exits 1" inferior to the mastoid tip |
What is mainly demonstrated in the Laws view of the mastoids? | mastoid air cells |
What is demonstrated in the Laws view of the mastoids? | mastoid air cells (side down), opposite mastoid not superimposing byt lying inferior and slightly anterior to mastoid of interest, auricle of ear not superimposing mastoid, superimposition of internal and externl auditory meati, TMJ visible |
Which side do we image in the Laws mastoids view? | both |
In the Stenver's view the patient is placed supine with their head rotated 45 degrees away from side being examined. T or F | False - the patient is prone with their forehead,nose and zygoma restng on the table (3 point landing) |
I the Stenvers view of the mastoids the MSP forms a ____ degree angle to the plane of the film. The IOML is _____ to the film. | 45, parallel |
Describe the CR entrance and exit in the Stenver's view of mastoids. | CR is angled 12 degrees cephalad and enters approx. 3-4" posterior and 1/2" inferior to the EAM of side up; CR exits anteior to the EAM to side down |
Mastoid rocess (tip) in profile below the margin of the cranium (side down), petroa of interest parallel with the plane of the film, profile of petromastoid portion closest to the IR, collimation to petrosa/mastoid region. Demon. in what view of mastoids? | Stenvers |
Describe the patients position in the Arcelin view of mastiods? | Patient is supine, Head is rotated 45 degrees away from side being examined |
IOML is parallel to plane of the IR in the Arcelin view. T or F | True |
CR is angled 10 degrees cauded enterng approx. 1" anterior and 3/4" superior to EAM. Which view of mastoids? | Arcelin (anterior profile) |
What views are done to see the tip of the mastoids best? | Stenvers (posterior profile) and Arcelin (anterior profile) |
What is demostrated in the Acelin view of mastoids? | petromastid portion of side arthest from IR; mastoid process in profile below margin of cranium, collimation of petrosa and mastoid region |
The affected side is imaged in the arcelin view of mastoids? | false - we do both sides right and left |