بسم الله الرحمن الرحيم. orl imaging plain x-rays nasal bones
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الرحيم الرحمن الله الرحيم بسم الرحمن الله بسم
ORL IMAGINGORL IMAGING
Plain X-Rays Nasal BonesPlain X-Rays Nasal Bones
Normal Bony Nasal skeletonNormal Bony Nasal skeleton
Plain x-rays nasal bonesPlain x-rays nasal bones
# Nasal bonesNormal
CT nasal bonesCT nasal bones
Important NoteImportant Note
Radiology is NOT NECESSARY for the Radiology is NOT NECESSARY for the
management of fractured nasal bone management of fractured nasal bone
The main factor that determine the The main factor that determine the
treatment is the CLINICAL treatment is the CLINICAL
APPEARANCE of the noseAPPEARANCE of the nose
PARANASAL SINUSESPARANASAL SINUSES
IMAGING OF THE PARANASAL IMAGING OF THE PARANASAL SINUSESSINUSES
Plain X-RaysPlain X-Rays
CT scanCT scan
MRIMRI
PLAIN X-RAYS OF THE PLAIN X-RAYS OF THE PARANASAL SINUSESPARANASAL SINUSES
OccipitomentalOccipitomental Occipitofrontal
OCCIPITOMENTAL VIEW OCCIPITOMENTAL VIEW (WATER(WATER’’S VIEW)S VIEW)
OCCIPITO-FRONTAL VIEW OCCIPITO-FRONTAL VIEW (CALDWELL VIEW)(CALDWELL VIEW)
LATERAL VIEWLATERAL VIEW
Occipito mental Occipito frontal
Lateral
Indication X Ray Paranasal Indication X Ray Paranasal SinusesSinuses
Management of sinusitis if CT is not Management of sinusitis if CT is not
availableavailable
Acute & Chronic SinusitisAcute & Chronic Sinusitis
Mucosal thickening
Fluid Level
Complete opacity
CT SINUSESCT SINUSES
Axial (Transverse) Coronal
Normal Axial
Normal coronal
SINUSITIS
SINUSITISSINUSITIS
Radiology of Fungal sinusitisRadiology of Fungal sinusitis
Heterogeneous opacityHeterogeneous opacity
Bone destructionBone destruction
FUNGAL SINUSITIS
FUNGAL SINUSITIS
COMPLICATIONS OF COMPLICATIONS OF BACTERIAL SINUSITISBACTERIAL SINUSITIS
Pharyngeal, laryngeal and ear infectionsPharyngeal, laryngeal and ear infections
MucoceleMucocele
OsteomyelitisOsteomyelitis
Orbital complicationsOrbital complications
Intracranial complicationsIntracranial complications
MUCOCELEMUCOCELE
OsteomyelitisOsteomyelitis
Plain X raysPlain X rays
CTCT
CTCT
ORBITAL COMPLICATIONS OF BACTERIAL SINUSITIS
Periorbital inflammatory edema
Orbital cellulitis Subperiosteal abscess Orbital abscess Cavernous sinus
thrombosis
ORBITAL COMPLICATIONS OF SINUSITIS
ORBITAL COMPLICATIONS OF SINUSITIS
Periorbital edema
ORBITAL COMPLICATIONS OF SINUSITIS
Subperiosteal abscessOrbital cellulitis
Superior Subperiosteal Superior Subperiosteal abscessabscess
ORBITAL COMPLICATIONS OF SINUSITIS
Orbital abscess
ORBITAL COMPLICATIONS OF SINUSITIS
Cavernous sinus thrombosis
INTRACRANIAL COMPLICATIONS
INTRACRANIAL COMPLICATIONS
INTRACRANIAL COMPLICATIONS
Subdural abscess Frontal lobe abscess
BENIGN SWELLINGSBENIGN SWELLINGS
Simple nasal polypi
Antro-choanal polypAntro-choanal polyp
Inverted papillomaInverted papilloma
OsteomaOsteoma
MALIGNANT TUMORSMALIGNANT TUMORS
SINUSESSINUSES’’ TRAUMA TRAUMA
Blow-out fractureBlow-out fracture
BLOW-OUT FRACTUREBLOW-OUT FRACTURE
Tear-drop sign
MRI PARANASAL SINUSESMRI PARANASAL SINUSES
Cavernous sinus thrombosis
IMAGING OF THE NECK IMAGING OF THE NECK AND PHARYNXAND PHARYNX
AnatomyAnatomy
Normal Lateral Plain X-rays Normal Lateral Plain X-rays NeckNeck
Lateral View nasopharynxLateral View nasopharynx
Normal Nasopharynx
Soft tissue swelling Nasopharynx
PLAIN X-RAYS NECK & PLAIN X-RAYS NECK & PHARYNXPHARYNX
NormalPharyngeal or
retropharyngeal swelling
FOREIGN BODIES PHARYNXFOREIGN BODIES PHARYNX
FOREIGN BODIES PHARYNXFOREIGN BODIES PHARYNX
Retropharyngeal abscess + FB
CT NASOPHARYNXCT NASOPHARYNX
NormalUnilateral
choanal atresiaBilateral
choanal atresia
CT NASOPHARYNXCT NASOPHARYNX
Angiofibroma
CT NASOPHARYNXCT NASOPHARYNX
Carcinoma nasopharynxNormal
CT OROPHARYNXCT OROPHARYNX
Normal
Acute retropharyngeal Acute retropharyngeal abscessabscess
Parapharyngeal abscessParapharyngeal abscess
Retropharyngeal Parapharyngeal Combined
THE ESOPHAGUSTHE ESOPHAGUS
PLAIN X-RAYSPLAIN X-RAYS
BARIUM SWALLOWBARIUM SWALLOW
Zenker’s (pharyngeal) pouch
BARIUM SWALLOWBARIUM SWALLOW
Achalasia Leiomyoma
WebWeb
Carcinoma esophagus
PLAIN X-RAYS OF THE PLAIN X-RAYS OF THE LARYNXLARYNX
Thumb sign
Normal
Acute epiglottitis
ACUTE EPIGLOTTITISACUTE EPIGLOTTITIS
ACUTE LARYNGO-TRACHEO-ACUTE LARYNGO-TRACHEO-BRONCHITIS BRONCHITIS ““CROUPCROUP””
Steeple signNormal PA plain X ray neck
RADIOLOGY OF RADIOLOGY OF TRACHEOBRONCHIAL F.BTRACHEOBRONCHIAL F.B’’SS
1. Normal
2. Radio-opaque FB
3. Emphysema 4. Collapse 5. Bronchopneumonia
RADIOLOGY OF SALIVARY RADIOLOGY OF SALIVARY GLANDSGLANDS
Plain X-RaysPlain X-Rays
SIALOGRAMSIALOGRAM
Stone Sialectasia
CT SALIVARY GLANDSCT SALIVARY GLANDS
Pleomorphic adenoma Malignant parotid
IMAGING OF TEMPORAL IMAGING OF TEMPORAL BONEBONE
PLAIN X-RAYS MASTOIDSPLAIN X-RAYS MASTOIDS
TYPES OF MASTOID TYPES OF MASTOID AEREATIONSAEREATIONS
Cellular Diploic Acellular (Sclerotic)
CT TEMPORAL BONECT TEMPORAL BONE
CT TEMPORAL BONECT TEMPORAL BONE
Trauma
Infection
Tumor
FRACTURE TEMPORAL BONEFRACTURE TEMPORAL BONE
Longitudinal # Transverse #
Infection
Chronic suppurative otitis media
CT in CSOMCT in CSOM
Preoperative to display the normal Preoperative to display the normal anatomyanatomy
NormalNormal
i = internal i = internal auditory canalauditory canalc = cochleac = cochleav = vestibulev = vestibulef = facial nervef = facial nervem = malleusm = malleusin = incusin = incusme = middle earme = middle eara = aditus a = aditus
NormalNormal
e = external e = external auditory auditory canalcanali = internal auditory i = internal auditory canalcanalv = vestibulev = vestibulein = incusin = incusf = facial nervef = facial nervec = cochleac = cochleablack arrow = oval black arrow = oval windowwindowwhite arrow = stapeswhite arrow = stapes
CT in CSOMCT in CSOM
Preoperative to display the normal Preoperative to display the normal
anatomyanatomy
Shows the extent of the diseaseShows the extent of the disease
CholesteatomaCholesteatoma
CT in CSOMCT in CSOM
Preoperative to display the normal Preoperative to display the normal
anatomyanatomy
Shows the extent of the diseaseShows the extent of the disease
Shows the possible complicationsShows the possible complications
COMPLICATIONS OF COMPLICATIONS OF SUPPURATIVE OTITIS MEDIASUPPURATIVE OTITIS MEDIA
Extracranial complicationsExtracranial complications
Cranial (intra-temporal) complicationsCranial (intra-temporal) complications
Intracranial complicationsIntracranial complications
EXTRACRANIAL EXTRACRANIAL COMPLICATIONSCOMPLICATIONS
Otitis externaOtitis externa
Retropharyngeal abscessRetropharyngeal abscess
SepticemiaSepticemia
CRANIAL (INTRATEMPORAL) CRANIAL (INTRATEMPORAL) COMPLICATIONSCOMPLICATIONS
Acute mastoiditisAcute mastoiditis
PetrositisPetrositis
Facial nerve paralysisFacial nerve paralysis
Labyrinthine fistula and labyrinthitisLabyrinthine fistula and labyrinthitis
INTRACRANIAL INTRACRANIAL COMPLICATIONSCOMPLICATIONS
Extradural abscessExtradural abscess Lateral sinus thrombophlebitisLateral sinus thrombophlebitis Subdural empyemaSubdural empyema MeningitisMeningitis Brain abscessBrain abscess Otitic hydrocephalusOtitic hydrocephalus
Fistula lateral SCC
Mastoid abscess
Apical petrositisApical petrositis
Mastoid abscess + Cerebellar Mastoid abscess + Cerebellar abscessabscess
Extradural abscess
Lateral sinus thrombophlibitis
Temporal lobe abscess Cerebellar abscess
Otitic hydrocephalus
ACOUSTIC NEUROMAACOUSTIC NEUROMA
CT INTERNAL AUDITORY CT INTERNAL AUDITORY MEATIMEATI
Normal IAM Wide IAM
THANK YOUTHANK YOU
Yousry El-SayedYousry El-Sayed
http://faculty.ksu.edu.sa/http://faculty.ksu.edu.sa/yousryelsayedyousryelsayed