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Head and Neck Radiology: Radiological Anatomy of Nose & Para-Nasal Sinuses Presented By: Dr. Muhammad Imran PGR Radiology

1. The document discusses the radiological anatomy of the head and neck through various imaging modalities like CT scans, MRIs, ultrasounds and angiograms. Key anatomical structures of the nose, paranasal sinuses, orbits, facial bones and neck are labeled on various views. 2. Several case histories are presented involving symptoms like facial pain, neck masses, hoarseness and visual changes that could be evaluated through radiological imaging of the head and neck region. Radiological tests like Doppler ultrasounds, arteriograms and nuclear medicine scans are mentioned for diagnostic evaluation of certain conditions. 3. Detailed images from different modalities like CT, MRI, ultrasound and angiography help demonstrate the

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drqazi777
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97 views69 pages

Head and Neck Radiology: Radiological Anatomy of Nose & Para-Nasal Sinuses Presented By: Dr. Muhammad Imran PGR Radiology

1. The document discusses the radiological anatomy of the head and neck through various imaging modalities like CT scans, MRIs, ultrasounds and angiograms. Key anatomical structures of the nose, paranasal sinuses, orbits, facial bones and neck are labeled on various views. 2. Several case histories are presented involving symptoms like facial pain, neck masses, hoarseness and visual changes that could be evaluated through radiological imaging of the head and neck region. Radiological tests like Doppler ultrasounds, arteriograms and nuclear medicine scans are mentioned for diagnostic evaluation of certain conditions. 3. Detailed images from different modalities like CT, MRI, ultrasound and angiography help demonstrate the

Uploaded by

drqazi777
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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Radiological Anatomy of

Head and Neck


Nose & Radiology
Para-nasal Sinuses
Head and Neck
Presented By:
Radiology

Dr. Muhammad Imran


PGR Radiology
• Facial pain with “air/fluid level”on x-ray
• Bruit heard in neck
• Trauma with questionable “blowout fracture”
• Difficulty swallowing with mass in lower
neck
• Hoarseness
• Blurred vision
• Epistaxsis
Caldwell View of Sinus
1.Nasal Septum
2
2. Frontal Sinus
3. Maxillary Sinus
4. Ethmoid Sinus
1 4
5. Inferior Turbinate
3
6.Odontoid process

6
Sinus-
1
10 Waters
1. Frontal sinus
2. Ethmoid Sinus
3. Nasal Septum
2 (bony)
5 4. Zygomatical-
4
Frontal
Suture
5. Maxillary Sinus
6 6. Zygoma
7. Zygomatic Arch
9 8. Mandible
9. Inferior orbital
margin
3 10. Left orbit

8
Lateral Sinus
11
& Skull
1. Frontal Sinus

2. Maxillary Sinus
3. Ethmoid Sinus
1 4. Spenoid Sinus
5. Sella Turcica
3 4 6. Occipital Bone
5 7. Mastoid Air Cells
8. Floor of posterior
2 fossa
9. Anterior arch of C-
6 1
10. Mandible
7 11.Coronal Suture
8

10
AP Townes
(Skull)
1. Parietal bone
1 1
2. Lambdoid suture
3. Foramen magnum
4. Petrous temporal
bone
5. Mandible
2 2
6. Mastoid air cells
3

4
65
6
Base of the
6 Skull
1. Lat. ptyergoid plate
2
2. Ethmoid Sinus
3. Odontoid Process
4. Sphenoid Sinus
5. Foramen ovale
6. Maxillary Sinus
1 7. Mastoid air cells
4
8. Ant arch of C-1
9. Margin of foramen
5
magnum
7
10 10. Ext auditory canal
8

9
Airway
1. Calcified tracheal
cartilage rings
3
2. Hyoid bone
3. Epiglottis
2 4. Thyroid cartilage
5. Cricoid cartilage
5

1
1

Lateral Neck
1
1. Stylo-hyoid
2 ligament
2. Hyoid bone
Arteriogram
1. Internal
Carotid artery
2
2. Carotid
Syphon
3. Maxillary
artery
3
4. Occipital
artery
4
5. External
carotid artery
1
6. Common
carotid artery
5
6
Color Doppler Ultrasound of Carotid
1
SINUS-CT
Axial view
1. Frontal Sinus
CT of Sinus
Axial view
1. Ethmoid
Sinus
2. Sphenoid
Sinus
1 3. Carotid
canal

2 3
Axial scan of
facial bones
1. Ossicular
chain
(malleous/
incus)
2. Internal
1
auditory
meatus

2
CT of Sinus
1 Axial view
4
1. Maxillary
Sinus
2. Pterygoid plate
3. Nasopharynx
4. Nasal septum
5
5. Inferior
2
turbinate

3
CT of Sinus-
Axial View
1. Maxillary
Sinus
2. Hard Palate
4
3. Oropharynx
4. Masseter
muscle
1 1 Axial scan of facial
bones
1. Zygomatic arch
2. Mastoid air cells

2
Axial Scan of
facial bones
1 1. Mandible
Coronal view of sinus
1. Fronto-nasal suture

1
Coronal view of
1 sinus
1.Ethmoid sinus
2. Inferior turbinate

2
Coronal view of
sinus
1. Maxillary sinus
1 1
Coronal View of
1 sinus
1. Sphenoid sinus
2 Coronal
Scan of
sinus

3
4

2. Zygomatic frontal suture 3. Middle turbinate


4. Inferior turbinate 5. Maxillary ostea
Axial scan of
orbit
1. Retrorbital
fat
2. Medial
rectus
2 3 3. Lens
1
4. Lateral
4 rectus
5. Optic nerve

5
Axial scan of neck
2
1 1. Medial pterygoid
muscle
2. Masseter muscle
3. Parotid gland

3
Axial scan of neck
2
1. Common
1 3 carotid artery
2. Thyroid
cartilage
3. Sternocleido-
mastoid muscle
4. Internal jugular
4 vein
1 1
Axial scan of
neck
1. Thyroid gland
Thyroid Scan
Nuclear Medicine
Thyroid
Ultrasound
• CASE HISTORIES:

• Facial pain
• Bruit heard in neck
• Trauma to orbit
• Difficulty swallowing
• Neck mass in lower neck
• Blurred vision
• Epistaxsis
• Facial pain and nasal congestion
• Trauma to orbit
• Asymtomatic Bruit on physical exam
Arteriogram
1. Internal
Carotid artery
2
2. Carotid
Syphon
3. Maxillary
artery
3
4. Occipital
artery
4
5. External
carotid artery
1
6. Common
carotid artery
5
6
Lateral carotid arteriogram
• Palpable neck mass inferiorly
Case 2a
Case 2b
• Hoarseness
• Visual field defect –Blurred vision
• Epistaxis

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