Skull Topography

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RADIOGRAPHIC POSITIONING

 Major Sutures of the skull


1. Sagittal – located on top of the head between the two
parietal bones
2. Coronal – found between frontal and parietal bones
3. Lamdoidal – separates the parietal and occipital
4. Squamosal – separates the temporal and parietal
5. Metopic Suture – usually found in infant
6. Accessory parietal - partially divides the parietal bone,
usually extending anteriorly from the lambdoid suture
7. Mendosal Suture
RADIOGRAPHIC POSITIONING
Metopic Suture
RADIOGRAPHIC POSITIONING
Accessory Parietal Suture
RADIOGRAPHIC POSITIONING
Mendosal Suture
SKULL TOPOGRAPHY
Midsagittal Plane or Medial Plane (MSP)
Symmetrically divides the body into left
and right halves.
Interpupillary line or Interorbital line (IPL)
Connecting the pupils or outer canthi of the
eyes
Supraorbital groove (SOG)
Slight depression above each eyebrow.
Supraorbital Margin (SOM)
Superior rim of each orbit.
Superciliary Arch
Ridge of bone on each eyebrow
GLABELLA
Smooth prominence between the eyebrow
and above the bridge of the nose.
NASION
Depression at the nose bridge, junction of
the 2 nasal bones and frontal bone.
ACANTHION or LITTLE HORN
Junction of the upper lip and the nasal
septum.
The point where the nose and lip meet.
PINNA or AURICLE
Large flap of cartilage at the external
portion of the ear
TRAGUS
Small flap cartilaginous flap covering the
ear.
TOP OF EAR ATTACHMENT (TEA)
Superior attachment of the auricle
Same level of petrous ridge
CANTHI/CANTHUS
Junction of the upper and lower eyelids
GONION or
ANGLE OF THE MANDIBLE
The lower posterior angle on each side of
the jaw or mandible
MENTAL POINT
The midpoint of this triangular area of the
chin as it appears from the front.
GLABELLOMEATAL LINE (GML)
It is a line between the glabella and EAM
ORBITOMEATAL LINE (OML)
Frequently used positioning line located
between outer canthus and the EAM.
Also called the RADIOGRAPHIC BASE
LINE.
INFRAORBITOMEATAL LINE (IOML)
Reids base line Base line of the
Line of Frankfurt cranium
Anthropological It is a line which
base line connects the infra-
orbital point to the
EAM
OML and GML
There is an approximate 8° average angle
difference between the OML and GML
OML and IOML
There is an average difference of 7° exists
between the angles of the OML and IOML
IOML and AML
There is an average difference of 15° exists between the
angles of the IOML and AML
ACANTHIOMEATAL LINE (AML)
It is a line between the acanthion and EAM
MENTOMEATAL LINE (MML)
It is a line between the mental point
(mandible) and EAM.
LIPSMEATAL LINE (LML)
It is a line between the junctions of the lips
to the EAM.
GLABELLOAVEOLAR LINE (GAL)
Connects the glabella to a point at the
anterior aspect of the alveolar process of the
maxilla.
SKULL MORPHOLOGY
MESOCEPHALIC
Average head 23 cm from vertex to chin.
15 cm between parietal Temporal base or petrous
eminences pyramid forms an angle of
19 cm from the frontal 45° to 47° to the MSP.
eminence to inion
BRACHYCEPHALIC
Short from front to back Petrous pyramid forms an
Broad from side to side angle greater than 47°
Shallow from vertex to base (approximately 54°) to
the MSP.
The width is 80% or
greater than the length
DOLICOCEPHALIC
Head is long from front Petrous pyramid form an
to back angle less than 47°
Narrow from side to side (approximately 40°) to
Deep from vertex to base. the MSP
The width is less than
75% of the length.
47°
(width is between 75% to
80% of length)

>47° <47°
(width is 80% or (width is less than
more of length) 75% of length)
RADIOGRAPHIC POSITIONING
 FONTANELS

1. Anterior Fontanel
- soft spots
- largest fontanel that closes until 18 mos. of age
2. Posterior Fontanel
3. Sphenoid Fontanel
- Right sphenoid
- Left sphenoid
4. Mastoid Fontanel
- Right mastoid
- Left mastoid

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