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Occipito-frontal View of Skull

This projection allows the orbits to be checked for their equality of size, which is important in patients with proptosis. The floor of the hypophyseal fossa can be seen through the nasal cavity and this should be looked at closely if a pituitary tumour is suspected. Check the supraorbital fissure and the greater and lesser wings of sphenoid for any abnormality. Watch for vault fractures in the frontal region and for blowout fractures through the floor of the orbit. The nasal cavity, the medial wall of the maxillary antrum and the ethmoid air cells are well seen in this projection.

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