Facial Bones Anatomy Quiz

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31 Questions

Which bone forms the nasal septum?

Vomer

Which bones articulate with all other facial bones except the mandible?

Maxillary bones

What is the function of the lacrimal bones?

Smallest bones in the skull

From which bone do the inferior nasal conchae extend?

Nasal bones

Which bone articulates with the frontal bone superiorly and forms the prominence of the cheeks?

Zygomatic bones

Which bone is composed of vertical and horizontal plates and articulates with the maxillae?

Palatine bones

Which bone is the only bone of the body that does not articulate directly with any other bone?

Hyoid bone

In how many parts does the hyoid bone consist?

One body and two cornua

Which type of joint tissue is found at the temporomandibular joint (TMJ)?

Synovial joint

What is the term for a fracture located at the base of the skull?

Basal fracture

What is the term for a fracture causing a portion of the skull to be depressed into the cranial cavity?

Depressed fracture

Which condition is characterized by increased density of atypically soft bone?

Osteopetrosis

What is the term for new tissue growth where cell proliferation is uncontrolled?

Tumor

Which landmark is used in accurate positioning of the skull?

Midsagittal plane

What does OML to IOML represent?

An angle on the skull

What does GML to OML represent?

An angle on the skull

In the modified Caldwell method, how much is the CR angled for the PA axial projection?

15° cephalad

In the AP axial projection, how do the orbits appear compared to the PA axial projection?

They are more magnified

What is the patient position for the true/original Caldwell method?

Prone, forehead & nose against IR, OML ⊥ to IR, MSP ⊥ to IR

In the PA projection, which bone completely fills the orbits?

Petrous pyramid

What anatomical structures are visible in the modified Caldwell method?

Frontal sinuses & anterior ethmoid sinus

How does the position of the cranium differ in the PA and AP axial projections?

The cranium is more elevated in the AP axial projection

What is the recommended patient position for the HAAS METHOD (PA AXIAL PROJECTION)?

Prone

How many inches above the external auditory meatus (EAM) is the recommended point of entry for the SCHULLER/ PFEIFFER METHOD (SUBMENTOVERTICAL PROJECTION)?

1.5 inches

For what type of patients is the TOWNE/ ALTSCHUL/ GRASHEY/ CHAMBERLAINE METHOD (AP AXIAL PROJECTION) recommended?

Patients with pathologic conditions, trauma, or deformity

What is the entrance point for the SCHULLER METHOD (VERTICOSUBMENTAL PROJECTION)?

¾ inch anterior to EAM

What does the HAAS METHOD (PA AXIAL PROJECTION) aim to obtain images of?

Sellar structures

What does the TOWNE/ ALTSCHUL/ GRASHEY/ CHAMBERLAINE METHOD (AP AXIAL PROJECTION) aim to obtain images of?

Foramen ovale & spinosum

At what angle is the CR for the TOWNE/ ALTSCHUL/ GRASHEY/ CHAMBERLAINE METHOD (AP AXIAL PROJECTION) directed when OML is perpendicular to the IR?

$30°$ caudad

What should be within the shadow of the foramen magnum in the TOWNE/ ALTSCHUL/ GRASHEY/ CHAMBERLAINE METHOD (AP AXIAL PROJECTION)?

Occipital bone

In which projection is the patient's head rested on the vertex and neck hyperextended?

(SUBMENTOVERTICAL PROJECTION)

Study Notes

Facial Bones

  • The nasal septum is formed by the vomer bone.
  • The zygomatic bones articulate with all other facial bones except the mandible.

Lacrimal Bones

  • The function of the lacrimal bones is to produce tears and drain them into the nasal cavity.

Nasal Conchae

  • The inferior nasal conchae extend from the maxilla bone.

Cheek Prominence

  • The zygomatic bone articulates with the frontal bone superiorly and forms the prominence of the cheeks.

Palatine Bone

  • The palatine bone is composed of vertical and horizontal plates and articulates with the maxillae.

Hyoid Bone

  • The hyoid bone is the only bone of the body that does not articulate directly with any other bone.
  • The hyoid bone consists of three parts.

Temporomandibular Joint (TMJ)

  • The temporomandibular joint (TMJ) is a type of synovial joint.

skull Fractures

  • A fracture located at the base of the skull is called a basilar fracture.
  • A fracture causing a portion of the skull to be depressed into the cranial cavity is called a depressed fracture.

Bone Conditions

  • Osteopetrosis is a condition characterized by increased density of atypically soft bone.
  • Neoplasia is a term for new tissue growth where cell proliferation is uncontrolled.

Skull Landmarks

  • The lambda is a landmark used in accurate positioning of the skull.

Skull Projections

  • OML to IOML represents the orbitomeatal line to the infraorbitomeatal line.
  • GML to OML represents the glabellomeatal line to the orbitomeatal line.

Modified Caldwell Method

  • In the modified Caldwell method, the CR is angled 15-20 degrees for the PA axial projection.

AP Axial Projection

  • In the AP axial projection, the orbits appear more circular compared to the PA axial projection.
  • The patient position for the true/original Caldwell method is seated upright with the head positioned so that the OML is perpendicular to the IR.
  • In the PA projection, the sphenoid bone completely fills the orbits.

Modified Caldwell Method vs AP Axial Projection

  • In the PA axial projection, the anatomical structures visible are the sphenoid bone, frontal bone, and nasal conchae.
  • The position of the cranium differs in the PA and AP axial projections, with the PA projection showing the cranial structures in a more natural position.

HAAS Method (PA Axial Projection)

  • The recommended patient position for the HAAS method is seated upright with the head positioned so that the OML is perpendicular to the IR.
  • The HAAS method aims to obtain images of the cranial structures, including the sphenoid bone, frontal bone, and nasal conchae.

SCHULLER/PFEIFFER Method (Submentovertical Projection)

  • The recommended point of entry for the SCHULLER/PFEIFFER method is 2-3 inches above the external auditory meatus (EAM).

TOWNE/ALTSCHUL/GRASHEY/CHAMBERLAINE Method (AP Axial Projection)

  • The TOWNE/ALTSCHUL/GRASHEY/CHAMBERLAINE method is recommended for patients with cranial or facial trauma.
  • The entrance point for the SCHULLER method is the base of the skull, at the tip of the mastoid process.
  • The TOWNE/ALTSCHUL/GRASHEY/CHAMBERLAINE method aims to obtain images of the cranial structures, including the frontal bone, nasal conchae, and sphenoid bone.
  • For the TOWNE/ALTSCHUL/GRASHEY/CHAMBERLAINE method, the CR is directed at an angle of 30-40 degrees when OML is perpendicular to the IR.
  • The foramen magnum should be within the shadow of the foramen magnum in the TOWNE/ALTSCHUL/GRASHEY/CHAMBERLAINE method.
  • The patient's head is rested on the vertex and neck hyperextended in the TOWNE/ALTSCHUL/GRASHEY/CHAMBERLAINE method.

Test your knowledge of the anatomy of facial bones with this quiz. Identify and understand the features and articulations of nasal, lacrimal, maxillary, and zygomatic bones.

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