Skull, face and sinus X-rays
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Skull, face and sinus X-rays

Skull, face and sinus X-rays in Tunis, Tunisia · Centre Urbain Nord

Skull, sinus, nasal bone, orbit, ear and TMJ X-rays in Tunis, and lateral nasopharynx X-ray for children (adenoids).

What is it?

This page covers X-rays of the head: skull, sinuses, nasal bones (looking for a fracture after an injury), orbits, ears and temporal bones (Schüller view), sella turcica (the bony area that houses the pituitary gland) and temporomandibular joints (TMJ, between the jaw and the skull), imaged with the mouth open then closed. In children, a lateral view of the nasopharynx shows the back of the nose and helps assess the size of the adenoids when a child snores, breathes through the mouth or has repeated ear infections. These examinations may include one or more views (front, side, additional views). For many questions, CT scans have now replaced these X-rays because they are more accurate: your doctor chooses the most useful examination.

When is it indicated?

Injury to the nose or face

Images of the nasal bones or face look for a fracture.

Lingering sinusitis

It may show a filled sinus; a CT scan is often preferred if surgery is being considered.

Jaw pain or locking

TMJ images compare the position of the joint with the mouth open and closed.

Snoring, mouth breathing or ear infections in children

The lateral nasopharynx view assesses the size of the adenoids before the ENT specialist decides.

Preparation

1Tell us before the examination if you are pregnant or think you might be
2Remove glasses, earrings, hair clips, hearing aid, removable dentures and facial piercings
3This is a quick examination: no fasting or special preparation is usually needed
4For a child, plan for a parent to accompany and reassure them
5Bring your referral and any previous X-rays or reports of the same area

Procedure

1

You sit or stand with your head resting against the plate; small supports help keep it in the right position

2

Several images may be taken from different angles, called "views": from the front, from the side (lateral), sometimes at an oblique angle

3

For the TMJ, one image is taken with the mouth open and another with the mouth closed

4

During each image you need to keep still for a few seconds; you may be asked to hold your breath

5

The radiographer checks that the images are sharp before you get dressed

6

After the examination, you can return to your usual activities straight away

Duration

About 5 to 15 minutes

Results

The images are analysed by a radiologist, who writes a report. It is given to you with the images and sent to your doctor, who will explain the results and the next steps. You will be told on the day of the examination when the results will be ready.

Precautions and contraindications

Low X-ray dose; an X-ray is painless and leaves nothing behind in the body
During pregnancy, X-rays are avoided, or carried out with precautions if they are really necessary
An X-ray may not show some fine lesions: a CT scan or MRI may be suggested
In children, the examination is only done if it is useful, with settings adapted to their age

Your doctor and the radiology team will inform you in detail before the examination. Feel free to ask them your questions.

This information is general and does not replace the advice of your doctor, who chooses the examination suited to your situation.

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