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What is a sinus? ,[object Object],[object Object],[object Object],[object Object]
  57  different kinds  sinuses  in human body! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Paranasal Sinuses Each sinus is name after the bone it resides in!
Lateral Aspects of Sinuses
Development ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Functions   of Paranasal Sinuses? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Paranasal sinuses  are joined to  nasal cavity   via small orifices called   Ostia  (harbour city of ancient Rome) ,[object Object],[object Object]
What is Sinusitis? ,[object Object],[object Object],[object Object],[object Object]
Symptoms  of  Sinusitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sinusitis Video (Click on icon)
Conditions aggravating Sinusitis ,[object Object],[object Object],[object Object],[object Object]
What is Ex-u-date?   ( Something that exudes!) ,[object Object],[object Object],[object Object]
There are  4  sets of  Paranasal Sinuses ,[object Object],[object Object],[object Object],[object Object]
Frontal Sinuses ,[object Object],[object Object],[object Object]
Frontal Sinuses
Maxillary Sinuses ,[object Object],[object Object],[object Object],[object Object]
Ethmoid Sinuses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sphenoid Sinuses ,[object Object],[object Object],[object Object],[object Object]
Sinuses   should always be   performed   upright   with   horizontal  beam
Horizontal Beam Beam angles up 45 degrees
Beam projected straight downward
If patient can not  sit or stand upright, what is an alternative method for getting equally useful views? CrossTable Lateral  or Dorsal   Decubitus
To see an anterior posterior projection-- A Lateral Decubitus!-- As long as beam is  horizontal , a fluid level can be demonstrated!
All sinuses views are performed- ,[object Object],[object Object],[object Object],[object Object]
4 Basics Projections of Sinus Series ,[object Object],[object Object],[object Object],[object Object]
PA axial   (Caldwell method) Incorrect!   Beam should not be angled- must be horizontal! X
For proper PA axial of  sinuses, either   tilt IR 15 degrees forward Or keep IR vertical, but   extend pt.’s head back 15 degrees
PA axial  (Caldwell)   ,[object Object],[object Object],[object Object],[object Object],[object Object],Best projection for Frontal sinuses!
How to Judge if you have a good Caldwell projection? ,[object Object],[object Object],[object Object]
Parietoacanthial Projection     Waters  Method
Parietoacanthial  projection   (Waters) ,[object Object],[object Object],[object Object],[object Object],Best projection for Maxillary sinuses!
Proper Waters Position OML is 37 degrees to  IR  (cassette) Not OML 37 deg. to  CR !
Improper   Parietoacanthial Position ,[object Object],[object Object]
An   Under - extended   Waters projection ,[object Object],[object Object],[object Object]
Open-mouthed Waters for Sphenoid Sinus (Board Question)
Lateral Projection Shows all 4 sets of sinuses at once!
[object Object],[object Object],[object Object],[object Object],Lateral   Sinus projection
Evaluation Criteria - Lateral Sinus ,[object Object],[object Object],[object Object]
SMV  (basal) projection Demonstrates Ethmoid & Sphenoid sinuses best!
SMV   -  Sinuses ,[object Object],[object Object],[object Object]
If patient can’t extend head back enough--
Alternate  SMV Position? ,[object Object],[object Object]
Evaluation Criteria  -   SMV  Sinuses ,[object Object],[object Object],[object Object]
Is this an acceptable Waters projection ? ,[object Object],[object Object],[object Object]
How about  this  Waters? ,[object Object],[object Object],[object Object],[object Object]
Technical Factors very important with sinuses! ,[object Object],[object Object],[object Object],[object Object]
Overpenetrated Waters ,[object Object],[object Object],[object Object]
Underpenetrated Is there fluid in apices or not?
Should you shield? ,[object Object],[object Object]
Best way to reduce Pt. expose to Radiation? ,[object Object],[object Object],[object Object]

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Paransasal Sinuses Home Edition