Skull

Basic Osteology, Planes & landmarks


Basic Anatomy:
The skull encloses and protects the brain and its related structures. It is a solid bony box with a ‘back’ consisting of the occipital and parietal bones; a ‘top’ consisting of the frontal bone and two parietal bones joined by the saggital suture; right and left sides consisting of the parietal and squamous temporal bones, a ‘front’ consisting of the frontal bone and facial structures and a floor consisting of the occipital bone, petrous temporal and sphenoid bones. The cranium is made up of 8 bones and the facial skeleton of 14 bones, with the exception of the mandible all are immovable and joined by sutures. The most complex part is the base which contains numerous foramina for the passage of arteries veins and cranial nerves.

Lateral Skull Anatomy

Key.
1 Frontal Bone
2. Mandible
3. Maxilla
4. Zygoma
5. Greater wing of sphenoid
6. Parietal bone
7. Squamous temporal bone
8. Zygomatic arch
9. Mastoid process of temporal bone
10. Occiput.

Frontal Aspect of Skull,

Key.
1.   Frontal bone
2.   Mandible
3.   Maxilla
4.   Zygoma
5.   Greater wing of sphenoid
6.   Inferior orbital fissure
7.   Superior orbital fissure
8.   Nasal bone

Major Landmarks used for skull radiography:

1. Vertex
2. External Occipital Protuberance (E.O.P.)
3. External Auditory Meatus
4. Outer Canthus Of Eye.
5. Infra-orbital point
6. Nasion
7. Glabella

Baselines, Body Planes and Major Landmarks
Accurate location of these lines, planes and points is essential to ensure accurate and reproducible positioning necessary for high quality imaging of the skull and facial bones. Traditionally the planes and points have frequently used peoples names E.g. Reid’s Baseline but convention is now regarded as being as follows.

Major body planes used in Skull radiography

Median Saggital            Coronal    Anthropological

The Median Saggital plane.
A vertical plane dividing the skull into 2 symmetrical right and left halves when viewed from the anterior aspect.

The Anthropological plane,
This plane splits the skull into  upper and lower halves passing along the anthropological baseline lines.

The Auricular plane.
This plane divides the skull into anterior and posterior compartments along the Auricular lines.

 Major Baselines used in Skull Radiography

Anthropological  Orbitalmeatal      Interpupillary

The Anthropological line
The Isometric “Baseline” which runs from the inferior orbital margin to the upper border of the  external auditory meatus (EAM)

The Orbital-Meatal Line
The original “Baseline” which runs from the Nasion through the  outer canthus of the eye to the center of the external auditory meatus.

The Interpupillary line
The line connects  the centers of the orbits and is at 90 degree to the median saggital plane.

The Auricular Line (No Diagram)
This line passes at 90 degrees to the anthropological line through the center of the external auditory meatus.

Note: there is a difference of 10 to 15 degrees between the Orbital-Meatal line and the anthropological line.