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skull · Axiolateral (Schuller)

Temporomandibular Joints (TMJ)

Patient semi-prone/erect, head lateral; open- and closed-mouth.

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AI Patient · KV Sir

How to perform this view

  1. 01

    Position head true lateral, affected side down.

  2. 02

    Angle CR 25-30 deg caudad.

  3. 03

    Enter 5 cm above upside EAM.

  4. 04

    Take closed-mouth, then open-mouth.

  5. 05

    Repeat on other side.

Anatomical & patient position

Patient: Patient semi-prone/erect, head lateral; open- and closed-mouth.

Part: MSP parallel; IOML parallel; side of interest to IR.

Central ray & centring point

25-30 deg caudad, 5 cm superior to upside EAM, exiting downside TMJ.

Exposure factors

kVp

70-80 kVp

mAs

10-15 mAs

SID

100 cm

IR size

18 x 24 cm

Grid

Yes

Respiration

Suspended

Clinical indications

  • TMJ dysfunction, dislocation
  • Condylar fracture

Contraindications & precautions

  • Fractured mandible or dislocation - no open-mouth view
  • Suspected unstable spinal injury - do NOT move neck/spine; use cross-table lateral first and keep collar

Structures shown & evaluation criteria

  • Condyle in fossa (closed)
  • Condyle on articular eminence (open)

Radiology By KV Sir — radiographic positioning for students & technologists.

Educational reference only. Always follow your department protocol & ALARA.