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Question Bank

X-ray positioning Head

Master Guide: Head, Skull, PNS & Facial X-Ray Positions | Allied Health Care

Master Guide: All Head, Skull & Facial Radiographic Projections

Group 1: Routine & Basic Skull Projections

Primary views for general cranial vault and bony structure evaluation.

1. AP (Anteroposterior) View

Primary Focus: Frontal bone, cranial vault, and parietal structures.

Central Ray: Perpendicular to Glabella/Nasion.

Read Details

2. PA View (Caldwell 0° Baseline)

Primary Focus: Frontal bone, orbital rims, and petrous ridges.

Central Ray: 0° perpendicular exiting at Nasion.

Read Details

3. Lateral View (Right/Left)

Primary Focus: Sella Turcica, lateral cranial vault, and skull fractures.

Central Ray: 2 inches superior to EAM.

Read Details

4. Towne’s Projection (AP Axial)

Primary Focus: Occipital bone, Dorsum Sellae, and Foramen Magnum.

Central Ray: 30° Caudad to OML.

Read Details

Group 2: Facial Bones, Paranasal Sinuses (PNS) & Mandible

Projections targeting PNS cavities, facial structures, nasal profile, zygomatic arches, and mandible.

5. Waters View (Open/Closed Mouth)

Primary Focus: Maxillary Sinuses, Sphenoid Sinus (open mouth), and orbital floor.

Central Ray: Perpendicular exiting at Acanthion.

Read Details

6. Caldwell View (15° Caudad – PNS)

Primary Focus: Frontal & Ethmoid Sinuses, Superior Orbital Fissure.

Central Ray: 15° Caudad exiting at Nasion.

Read Details

7. Submentovertex (SMV) View

Primary Focus: Base of Skull, Sphenoid sinus, and Zygomatic arches.

Central Ray: Perpendicular to IOML through Submentum.

Read Details

8. Lateral View of Nasal Bones

Primary Focus: Nasal bone fractures and soft tissue profile.

Central Ray: Perpendicular to 0.5 inch inferior to Nasion.

Read Details

9. PA Axial Mandible (Caldwell Method)

Primary Focus: Mandibular rami and condylar processes.

Central Ray: 20°-25° Cephalad exiting at Acanthion.

Read Details

10. Axiolateral Oblique Mandible

Primary Focus: Mandibular body, ramus, and symphysis.

Central Ray: 25° Cephalad passing through region of interest.

Read Details

11. Inferosuperior Zygomatic Arch View

Primary Focus: Bilateral Zygomatic Arches (“Jug-Handle View”).

Central Ray: Perpendicular to IOML entering midway between zygomatic arches.

Read Details

12. Modified Towne’s (Zygomatic Arches)

Primary Focus: Fractures or medial displacement of zygomatic arches.

Central Ray: 30° Caudad to OML entering 1 inch above Glabella.

Read Details

13. Submentovertex (SMV) for Mandible

Primary Focus: Mandibular coronoid and condylar processes, base of mandible.

Central Ray: Perpendicular to IOML centered midway between angles of mandible.

Read Details

14. PA Mandible (0° Central Ray)

Primary Focus: Mandibular body and rami symmetry.

Central Ray: Perpendicular exiting at lips (junction of lips).

Read Details

Group 3: Special, Temporal Bone & Orbital Projections

Focused projections for mastoids, TMJ, optic canals, petrous bone, and dental arches.

15. Haas View (Reverse Towne’s)

Primary Focus: Occipital region and petrous pyramids.

Central Ray: 25° Cephalad to OML.

Read Details

16. Rhese View (Parieto-Orbital)

Primary Focus: Optic Canal and Optic Foramen assessment.

Central Ray: Perpendicular through downside orbit.

Read Details

17. Schuller View (TMJ / Mastoids)

Primary Focus: Mastoid air cells and Temporomandibular Joint (TMJ).

Central Ray: 25° Caudad, 5cm superior to EAM.

Read Details

18. Stenvers Projection

Primary Focus: Internal Auditory Canal (IAC) & Petrous Pyramid profile.

Central Ray: 12° Cephalad with head rotated 45°.

Read Details

19. Mayer View (Axial Oblique)

Primary Focus: Petrous portion of temporal bone and EAC/IAC.

Central Ray: 45° Caudad through dependent EAM.

Read Details

20. Chausse III Projection

Primary Focus: Attic and ossicular chain (middle ear/temporal bone).

Central Ray: 10° Caudad angled towards the downside orbit.

Read Details

21. Modified Law View (TMJ Open/Closed)

Primary Focus: TMJ condyle excursion in open and closed mouth states.

Central Ray: 15° Caudad centered 1.5 inches superior to EAM.

Read Details

22. Cephalometric View (Lateral Ceph)

Primary Focus: Orthodontic analysis of facial bones and soft tissue profile.

Central Ray: Perpendicular to IR at EAM level (standardized distance).

Read Details

23. Panoramic View (OPG)

Primary Focus: Mandible, Maxilla, and full dental arch alignment.

Central Ray: 180° Rotating continuous beam.

Read Details
Master Head & Facial X-Ray Positions Summary Table | Allied Health Care

Master Guide: Complete 23 Head & Facial X-Ray Positions Table

GroupProjection / View NamePrimary Region EvaluatedKey Landmark & CR AngleAction
Group 1AP (Anteroposterior) ViewCranial Vault, Frontal Bone, Parietal BonesCR 0° to Glabella / NasionRead Details
Group 1PA View (Caldwell 0° Baseline)Frontal Bone, Orbital Rims, Petrous RidgesCR 0° exiting at NasionRead Details
Group 1Lateral View (Right/Left)Sella Turcica, Lateral Cranial Vault, Skull FracturesCR 0°, 2 inches superior to EAMRead Details
Group 1Towne’s Projection (AP Axial)Occipital Bone, Dorsum Sellae, Foramen Magnum30° Caudad to OMLRead Details
Group 2Waters View (Open/Closed Mouth)Maxillary Sinuses, Sphenoid Sinus, Orbital FloorPerpendicular exiting at Acanthion (MML ⊥ IR)Read Details
Group 2Caldwell View (15° Caudad – PNS)Frontal & Ethmoid Sinuses, Superior Orbital Fissure15° Caudad exiting at NasionRead Details
Group 2Submentovertex (SMV) ViewBase of Skull, Sphenoid Sinus, Zygomatic ArchesPerpendicular to IOML through SubmentumRead Details
Group 2Lateral View of Nasal BonesNasal Bone Fractures, Soft Tissue Nasal ProfileCR 0.5 inch inferior to NasionRead Details
Group 2PA Axial Mandible (Caldwell)Mandibular Rami, Condylar Processes20°-25° Cephalad exiting at AcanthionRead Details
Group 2Axiolateral Oblique MandibleMandibular Body, Ramus, Symphysis25° Cephalad through Region of InterestRead Details
Group 2Inferosuperior Zygomatic Arch ViewBilateral Zygomatic Arches (“Jug-Handle View”)Perpendicular to IOML entering midway between archesRead Details
Group 2Modified Towne’s ViewZygomatic Arches Fracture & Displacement30° Caudad to OML, 1 inch above GlabellaRead Details
Group 2SMV View for MandibleMandibular Coronoid/Condylar Processes, Mandibular BasePerpendicular to IOML centered between mandibular anglesRead Details
Group 2PA Mandible (0° CR)Mandibular Body and Rami SymmetryPerpendicular exiting at lips junctionRead Details
Group 3Haas ViewOccipital Region (Reverse Towne’s Projection)25° Cephalad to OMLRead Details
Group 3Rhese View (Parieto-Orbital)Optic Canal and Optic Foramen3-Point Touch, CR perpendicular to downside orbitRead Details
Group 3Schuller ViewMastoid Air Cells, TMJ (Temporomandibular Joint)25° Caudad, 5cm superior to EAMRead Details
Group 3Stenvers ProjectionInternal Auditory Canal (IAC) & Petrous Pyramid12° Cephalad with head rotated 45°Read Details
Group 3Mayer View (Axial Oblique)Petrous Temporal Bone, EAC / IAC45° Caudad through dependent EAMRead Details
Group 3Chausse III ProjectionAttic and Ossicular Chain (Middle Ear)10° Caudad angled towards downside orbitRead Details
Group 3Modified Law ViewTMJ Condyle Excursion (Open & Closed Mouth)15° Caudad, 1.5 inches superior to EAMRead Details
Group 3Lateral Cephalometric ViewOrthodontic Analysis of Facial Bones & Soft ProfilePerpendicular to IR at EAM levelRead Details
Group 3Panoramic View (OPG)Mandible, Maxilla, Full Dental Arch180° Rotating Continuous BeamRead Details

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