1. بسم الله الرحمن الرحيم

2. ORL IMAGING

3. Plain X-Rays Nasal Bones

4. Normal Bony Nasal skeleton

5. Plain x-rays nasal bones
Normal
# Nasal bones

6. CT nasal bones

7. Important Note
Radiology is NOT NECESSARY for the management of fractured nasal bone
The main factor that determine the treatment is the CLINICAL APPEARANCE of the nose

9. PARANASAL SINUSES

10. IMAGING OF THE PARANASAL SINUSES
Plain X-Rays
CT scan
MRI

11. PLAIN X-RAYS OF THE PARANASAL SINUSES
Occipitomental
Occipitofrontal

12. OCCIPITOMENTAL VIEW (WATER’S VIEW)

13. OCCIPITO-FRONTAL VIEW (CALDWELL VIEW)

14. LATERAL VIEW

15. Occipito mental
Occipito frontal
Lateral

16. Indication X Ray Paranasal Sinuses
Management of sinusitis if CT is not available

17. Acute & Chronic Sinusitis

18. Mucosal thickening

19. Fluid Level

22. Complete opacity

23. CT SINUSES
Axial (Transverse)
Coronal

24. Normal Axial

25. Normal coronal

27. SINUSITIS

29. SINUSITIS

30. Radiology of Fungal sinusitis
Heterogeneous opacity
Bone destruction

31. FUNGAL SINUSITIS

33. FUNGAL SINUSITIS

34. COMPLICATIONS OF BACTERIAL SINUSITIS
Pharyngeal, laryngeal and ear infections
Mucocele
Osteomyelitis
Orbital complications
Intracranial complications

35. MUCOCELE

37. Osteomyelitis

38. Plain X rays

39. CT

40. CT

41. ORBITAL COMPLICATIONS OF BACTERIAL SINUSITIS
Periorbital inflammatory edema
Orbital cellulitis
Subperiosteal abscess
Orbital abscess
Cavernous sinus thrombosis

43. ORBITAL COMPLICATIONS OF SINUSITIS

45. ORBITAL COMPLICATIONS OF SINUSITIS
Periorbital edema

46. ORBITAL COMPLICATIONS OF SINUSITIS
Orbital cellulitis
Subperiosteal abscess

48. Superior Subperiosteal abscess

49. ORBITAL COMPLICATIONS OF SINUSITIS
Orbital abscess

50. ORBITAL COMPLICATIONS OF SINUSITIS
Cavernous sinus thrombosis

51. INTRACRANIAL COMPLICATIONS

52. INTRACRANIAL COMPLICATIONS

53. INTRACRANIAL COMPLICATIONS
Subdural abscess
Frontal lobe abscess

54. BENIGN SWELLINGS
Simple nasal polypi

57. Antro-choanal polyp

59. Inverted papilloma

61. Osteoma

63. MALIGNANT TUMORS

64. SINUSES’ TRAUMA

65. Blow-out fracture

66. BLOW-OUT FRACTURE
Tear-drop sign

68. MRI PARANASAL SINUSES
Cavernous sinus thrombosis

69. IMAGING OF THE NECK AND PHARYNX

70. Anatomy

71. Normal Lateral Plain X-rays Neck

72. Lateral View nasopharynx
Normal Nasopharynx
Soft tissue swelling Nasopharynx

75. PLAIN X-RAYS NECK & PHARYNX
Pharyngeal or retropharyngeal swelling
Normal

76. FOREIGN BODIES PHARYNX

77. FOREIGN BODIES PHARYNX

78. Retropharyngeal abscess + FB

79. CT NASOPHARYNX Unilateral choanal atresia Bilateral choanal atresia
Normal

80. CT NASOPHARYNX
Angiofibroma

82. Carcinoma nasopharynx
CT NASOPHARYNX
Normal
Carcinoma nasopharynx

83. CT OROPHARYNX
Normal

85. Acute retropharyngeal abscess

88. Parapharyngeal abscess

90. Retropharyngeal
Combined
Parapharyngeal

91. THE ESOPHAGUS

92. PLAIN X-RAYS

94. BARIUM SWALLOW

95. Zenker’s (pharyngeal) pouch

96. BARIUM SWALLOW
Leiomyoma
Achalasia

97. Web

98. Carcinoma esophagus

99. PLAIN X-RAYS OF THE LARYNX

100. Acute epiglottitis
Thumb sign
Normal

102. ACUTE EPIGLOTTITIS

103. ACUTE LARYNGO-TRACHEO-BRONCHITIS “CROUP”
Normal PA plain X ray neck
Steeple sign

104. RADIOLOGY OF TRACHEOBRONCHIAL F.B’S
Normal
Radio-opaque FB

107. 5. Bronchopneumonia
Collapse
Emphysema

108. RADIOLOGY OF SALIVARY GLANDS

109. Plain X-Rays

110. SIALOGRAM
Sialectasia
Stone

112. CT SALIVARY GLANDS
Pleomorphic adenoma
Malignant parotid

114. IMAGING OF TEMPORAL BONE

115. PLAIN X-RAYS MASTOIDS

116. TYPES OF MASTOID AEREATIONS
Cellular
Diploic
Acellular (Sclerotic)

117. CT TEMPORAL BONE

118. CT TEMPORAL BONE
Trauma
Infection
Tumor

119. FRACTURE TEMPORAL BONE
Longitudinal #
Transverse #

120. Infection
Chronic suppurative otitis media

121. CT in CSOM
Preoperative to display the normal anatomy

122. Normal
i = internal auditory canal c = cochlea v = vestibule f = facial nerve m = malleus in = incus me = middle ear a = aditus

124. Normal
e = external auditory canal i = internal auditory canal v = vestibule in = incus f = facial nerve c = cochlea black arrow = oval window white arrow = stapes

127. CT in CSOM Preoperative to display the normal anatomy
Shows the extent of the disease

129. Cholesteatoma

131. CT in CSOM Preoperative to display the normal anatomy
Shows the extent of the disease
Shows the possible complications

132. COMPLICATIONS OF SUPPURATIVE OTITIS MEDIA
Extracranial complications
Cranial (intra-temporal) complications
Intracranial complications

133. EXTRACRANIAL COMPLICATIONS
Otitis externa
Retropharyngeal abscess
Septicemia

134. CRANIAL (INTRATEMPORAL) COMPLICATIONS
Acute mastoiditis
Petrositis
Facial nerve paralysis
Labyrinthine fistula and labyrinthitis

135. INTRACRANIAL COMPLICATIONS
Extradural abscess
Lateral sinus thrombophlebitis
Subdural empyema
Meningitis
Brain abscess
Otitic hydrocephalus

136. Fistula lateral SCC

137. Mastoid abscess

139. Apical petrositis

140. Mastoid abscess + Cerebellar abscess

141. Extradural abscess

142. Lateral sinus thrombophlibitis

145. Temporal lobe abscess
Cerebellar abscess

147. Otitic hydrocephalus

148. ACOUSTIC NEUROMA

149. CT INTERNAL AUDITORY MEATI
Normal IAM
Wide IAM

153. Yousry El-Sayed http://faculty.ksu.edu.sa/yousryelsayed
THANK YOU
Yousry El-Sayed