Radiographic Anatomy Skeletal System Skull Educational Objectives By the end of this lecture you should be able to: Identify the anatomical parts of skull on diagrams and radiographs. Identify the different sutures of the skull State the surface land marks of skull and explain its importance in radiographic positioning Explain how to hang skull radiographs on the view box References 1. Text book of radiographic positioning and related anatomy; by Kenneth L.Bontrager,6th edition. 2. Introduction to Human Anatomy and Physiology: by Eldra Pearl Solomon:W.B.Saunders Company 3. Handbook of Anatomy and physiology for Students of Medical Radiation Technology: Mallett.M:Jaspar Websites http://www6.district125.k12.il.us/science/anatomy/ http://www.innerbody.com/htm/body.html http://www.e-radiography.net/ http://www.getbodysmart.com/index.htm 4 Skull 8 Cranial bones (cranium) + 14 Facial bones 5 Cranial bones (8) Skull Cap (Calvarium): ● 1 Frontal ● 2 Parietal (R,L) ● 1 Occipital Skull Base (floor): ● 2 Temporal (R,L) ● 1 Sphenoid ● 1 Ethmoid 6 Facial bones (14) • 2 Maxillary • 2 Zygomatic • 2 Lacrimal • 2 Nasal • 2 Palatine • 2 Inferior nasal conche • 1 Vomer • 1 Mandible 7 Skull views Lateral Aspect Anterior Aspect Skull views Superior Aspect Inferior Aspect Frontal View The frontal bone forms part of the roof of the orbital cavities, it contains two hollow spaces (sinuses) which communicate with the nasal cavities. The frontal bones articulate with the parietal bones, sphenoid, zygomatic, lacrimal, nasal and ethmoid bones. At birth the frontal bone consists of two parts separated by the (frontal suture) but union is usually complete by the 8th year of life. Frontal Frontal View Parietal Two bones form the sides of the vault just behind the frontal bone on each side of the median plane. They articulate with each other at the sagital suture, with the frontal bone at the coronal suture, with the occipital bone at the lambdoid suture, and with the temporal bone at the squamous suture. Frontal View Temporal These two bones lie on each side of the head below the parietal bones; each one is divided into five parts: (1) Squamous part, (2) Mastoid process: can be felt behind the ear , contains large number of air sinuses which become areated only in adults.(3) Tympanic part : in front of the mastoid and below the squamous, form part of the osseous part of EAM. (4) Styloid process, (5) Petrous part of temporal bone: forms part of the base of the skull ,contains organs of hearing and equilibrium and IAM. Which transmits the facial nerve and vestibulocochlear nerve. It contains also the carotid canal which trasmits ICA. And the jugular foramen which transmits the IJV. Frontal View Two small bones placed side by side between the frontal process of the maxillae and form by their junction the bridge of the nose. Nasal Frontal View Vomer Form part of the nasal septum together with the perpendicular plate of the ethmoid bone and articulate with the nasal bones. The nasal septum is often deviated to one side in most of the people and has both bony and cartilagenous element. Frontal View Form the prominence of the cheek and part of the lateral walls of the orbit and articulate with the temporal bone to form the zygomatic arch. Zygoma Frontal View Maxilla Form the upper jaw, the two parts together, the lower part present the alveolar process (contains sockets for upper teeth) the maxillae contain the largest air sinus in the face : maxillary sinus on each side which communicates with the nasal cavity. Form the lower jaw, it is composed of two bodies united at the symphysis menti, two rami project upwards from the posterior part of the body, the point of junction is the angle of the jaw. The mandible is the strongest bone of the face and only movable bone of the skull. It articulates with the temporal bone to form TMJ Mandible Frontal View Frontal Parietal Temporal Zygoma Vomer Nasal Maxilla Mandible Frontal View Lateral View Lateral View Frontal Lateral View Parietal Lateral View Temporal Lateral View Nasal Lateral View Zygoma Lateral View Maxilla Lateral View Mandible Lateral View The sella turcica present a saddle – shaped depression lying on the superior surface of the middle part of the sphenoid bone. It supports the pituitary gland. The parts of the sella turcica are: (1) Anterior clinoid processes, (2) Dorsum sellae = posterior clinoid processes, (3) Lamina dura which cover the floor of sella, (4) Sphenoid air sinuses. Sphenoid Lateral View Occipital Lateral View Mastoid Process (part from temporal bone) Lateral View External Auditory Meatus Lateral View Frontal Parietal Nasal Sphenoid Zygoma Temporal Maxilla Occipital Mandible Mastoid Process Lateral View Superior View Frontal Superior View Parietal Superior View Temporal Superior View Vomer Superior View Sphenoid Superior View Forms the back of the head , its inner surface is concave and contains the occipital lobes of the brain and the cerebellum, it forms part of the base of the skull. Occipital Superior View Foramen Magnum Superior View Frontal Vomer Sphenoid Parietal Temporal Foramen Magnum The base of the skull is formed maily by 4 bones: (1) occipital bones, (2) Palatine bones, (3) Sphenoid bone, (4) Ethmoid bone. Occipital Sutures Sutures Sagittal Sutures Frontal (Coronal) Sutures Squamous Sutures Lambdoid Sutures Sagittal Frontal (Coronal) Squamous Lambdoid Sutures Frontal Sagittal Lambdoid Superior Aspect Skull Landmarks 1.Vertex 2. External Occipital Protuberance (E.O.P.) 3. External Auditory Meatus 4. Outer Canthus Of Eye. 5. Infra-orbital point 6. Nasion 7. Glabella 49 Skull positioning lines 1 The Anthropological line The Isometric “Baseline” which runs from the inferior orbital margin to the upper border of the external auditory Meatus (EAM) 1 2 The Orbital- Meatal Line The original “Baseline” which runs from the Nasion through the outer Canthus of the eye to the centre of the external auditory Meatus. ( Note: there is a difference of 10 to 15 degrees between the OrbitalMeatal line and the anthropological line.) 2 Skull Landmarks 3 4 The Interpupillary line The line connects the centers of the orbits and is at 90 degree to the median Sagittal plane. 3 The Auricular Line This line passes at 90 degrees to the anthropological line through the centre of the external auditory meatus. 4 Skull Landmarks Skull Landmarks Cranial Topography Glabella: raised triangular area bet. eyebrows. Nasion: depression at the bridge of the nose. Acanthion: nose and upper lip meet Tragus: cartilage. flap covering ear opening. Top of ear attachment (TEA): side frames of eyeglass rest (level of petrous ridge). Gonion: angle of mandible. Inion: prominent point of EOP. Skull Series: Basic Projections 1. PA 0º 2. PA axial 15º 3. AP axial 4. Lateral Skull Series: Basic Projections PA axial 15º Skull Series: Basic Projections AP axial Skull Series: Basic Projections Lateral THANK YOU