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RADIOGRAPHIC PROJECTIONS

 

ANATOMICAL SITE

CLINICAL FINDINGS

RADIOGRAPHIC VIEW

Nasoethmoid

Periorbital haematoma, epistaxis, displaced nasal bones, CSF rhinorrhoea

Occipitofrontal and lateral

Orbits

Diplopia, enophthalmos, proptosis, restricted eye movements

Occipitofrontal and lateral

Zygomatic Complex

Periorbital oedema, haematoma, infraorbital anaesthesia, step deformities, depressed cheek

Occipitomental 45

Zygomatic Arch

Depressed over arch, restriction of mandibular movements

Submentovertical

Le Fort I

Swelling of upper lip and cheek, mobile maxilla, gagging on posterior teeth

Occipitomental 45 and Lateral

Le Fort II and III

Facial oedema, periorbital haematoma, elongation of face, mobile maxilla, gagging on posterior teeth

Occipitomental 45 and Lateral

Mandible

Tenderness, bruising, bleeding, anaesthesia of lower lip, malocclusion

Orthopantomogram (OPG) and Posteroanterior

 

 

Radiological Investigation of non-traumatic maxillofacial emergencies

 

DIAGNOSIS

CLINICAL FINDINGS

RADIOGRAPHIC VIEW

Periapical abscess

Facial pain, swelling

OPG

Sinusitis

Facial pain, swelling, nasal discharge

Occipitomental 45 (maxilla)

Occipitofrontal (frontal/ethmoid)

Sialadenitis

Acute pain after eating, swelling of salivary gland

Posteroanterior

Lateral Oblique

 

Appropriate radiographic views for detecting trauma to the maxillofacial regions