Facial - PA (Caldwell) 15°

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Radiographic Positioning


Adult
Other related pages of interest

Name of projection Facial - PA (Caldwell) 15°
Area Covered Orbital Rim, maxillae, nasal septum, zygomatic bones and anterior nasal spine
Pathology shown Fractures, neoplasms and inflammatory processes of the facial bones
Radiographic Anatomy Facial Bones Radiographic Anatomy
IR Size & Orientation 24 x 30 cm
Portrait
Film / Screen Combination Regular
(CR and DR as recommended by manufacturer)
Bucky / Grid Moving or Stationary Grid
Filter No
Exposure 75 kVp
20 mAs
FFD / SID 100cm
Central Ray CR angled caudad 15° and centre to exit at the nasion
Collimation Outer skin margins of facial bones
Markers Inferior and Lateral
Marker orientation PA
Shielding Gonadal (check your department's policy guidelines)
Respiration Suspended
Positioning Erect
  • Patient is standing or sitting facing the upright bucky
  • Forehead and nose touch the bucky
  • The radiographic baseline (OrbitoMeatal Line) is perpendicular to the bucky
  • The midsaggital plane is also perpendicular to the bucky
  • The interpupillary line is parallel to the floor
  • Ensure no rotation of the head by checking that the EAMs are the same distance from bucky
  • CR angled caudal 15°
  • CR directed to exit at the level of the nasion
Prone
  • Rest patients nose and forehead against table/bucky
  • Flex neck to align OML perpendicular to IR
  • Align midsagittal plane perpendicular to midline of table/bucky
  • Centre IR to CR
  • CR angled caudad 15° and centre to exit at the nasion
Critique

Positioning
Area Covered
Collimation
Exposure
Special Notes