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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Introduction
Introduction to Emergency Head, Neck & Spine Imaging
1 topic, 1 min.
Clinical Scenario 1
Orbital Trauma/Inflammation
19 topics, 1 hr. 35 min.
Clinical Scenario 1: Orbital Trauma/Inflammation Introduction
2 m.Case: Anterior Segment Ocular Injury
9 m.Ocular Injury & Globe Anatomy
6 m.Case: Choroidal Detachment, Retinal Detachment, Vitreous Hemorrhage, Orbital Floor Fracture
9 m.Orbit: Foreign Body
8 m.Orbit: Non-Accidental Trauma with Retinal Hemorrhage
3 m.Early Ocular Intervention
6 m.Non-Ocular Orbital Trauma
3 m.Case: Orbital Wall Fracture
8 m.Case: Medial Orbital Wall Fracture
8 m.Case: Orbital Apex and Roof Fracture
5 m.Orbital Blow-Out Fractures
6 m.Orbital Trauma
5 m.Indications for Surgery
4 m.Case: Orbital Cellulitis with Subperiosteal Abscess
6 m.Orbital Inflammation
5 m.Pediatric Subperiosteal Abscess
4 m.Orbital Pseudotumor and Carotid Cavernous Fistula
7 m.Orbital Trauma/Inflammation Lesson Reinforcement Quiz
Clinical Scenario 2
Facial/Neck Trauma
29 topics, 1 hr. 34 min.
Clinical Scenario 2: Facial/Neck Trauma Introduction
6 m.Case: Comminuted Nasal Bone Fracture
2 m.Case: Multiple Fractures in Nasal Bones
3 m.Nasal Bone Fracture Summary
3 m.Mandibular Fractures
6 m.Case 9 - Displaced Mandibular Fracture at the Angle
3 m.Midface Buttresses
3 m.Naso-Orbito-Ethmoid (NOE) Fractures
5 m.Case: NOE Fracture
3 m.Case: Midface NOE Fracture
3 m.Le Fort Fractures
7 m.Case: Bilateral Le Fort 1 & 2 Fractures
4 m.Case: Bilateral Le Fort 1, Unilateral Le Fort 2 & 3
4 m.Le Fort Summary
1 m.Zygomaticomaxillary Complex (ZMC) Fractures
5 m.Case: Zygomaticomaxillary Complex Fracture
3 m.ZMC Summary
2 m.Capo de Tutti Fractures
5 m.Case: Bilateral Temporal Bone Fractures
9 m.Temporal Bone Fractures
2 m.Complications of Temporal Bone Injury
3 m.Temporal Bone Fracture Summary
3 m.Case: Calvarial Fracture with Transverse Sinus Injury
3 m.Case: Carotid Dissection with Pseudoaneurysm
5 m.Case: Bilateral Carotid Dissections
4 m.Case: Horner's Syndrome, MS, Dissection
5 m.Case: Horner's Syndrome
5 m.Airway Injury & Carotid Dissection
4 m.Facial/Neck Trauma Lesson Reinforcement Quiz
Clinical Scenario 3
Sore Throat Pain and Fever
12 topics, 46 min.
Clinical Scenario 3: Sore Throat Pain and Fever Introduction
1 m.Tonsillitis, Tonsillar Abscess & Peritonsillar Abscess
6 m.Case: Peritonsillar Abscess
5 m.Case: Peritonsillar Phlegmon
6 m.Case: Epiglottitis, Supraglottitis, Airway Compromise
7 m.Periodontal Disease
9 m.Case: Ludwig's Angina
3 m.Ludwig's Angina - Summary
3 m.Case: Ludwig's Angina, Sialadenitis
4 m.Lemierre's Syndrome
2 m.Malignant Otitis Externa & Otomastoiditis
6 m.Sore Throat Pain and Fever Lesson Reinforcement Quiz
Clinical Scenario 4
Mass in the Neck
12 topics, 42 min.
Clinical Scenario 4: Mass in the Neck Introduction
4 m.Case: T-Cell Lymphoma, Lymphadenopathy
4 m.Retropharyngeal Space
3 m.Case: Retropharyngeal Abscess
4 m.Case: Retropharyngeal Phlegmon
3 m.Retropharyngeal Space Collections
4 m.Neck Mass in Afebrile Patient
7 m.Case: Second Branchial Cleft Cyst
4 m.Case: Thyroglossal Duct Cyst
5 m.Case: Sarcoma of the Levator Scapulae
2 m.Thyroid Nodules
9 m.Mass in the Neck Lesson Reinforcement Quiz
Clinical Scenario 5
Cervical Spine Trauma
27 topics, 1 hr. 35 min.
Clinical Scenario 5: Cervical Spine Trauma Introduction
7 m.Case: Occipital Condyle Fracture
2 m.Case: Anterior Arch C1 Fracture
6 m.Case: Odontoid Fracture
4 m.Atlanto-Odontoid Distraction
5 m.Odontoid Fractures: Summary
5 m.Atlanto-Odontoid Versus Atlanto-Axial Distractions
4 m.Case 34: Jefferson Fracture on CT, MRI
7 m.Jefferson (Burst) Fracture: Summary
4 m.Fixed Rotatory Subluxation
4 m.Case: Bilateral Jumped Facets
9 m.Unilateral Facet Dislocation with Carotid Dissection
4 m.Hyperextension Injury
4 m.Cervical Spine Flexion Injury
6 m.Case: Transverse Process Fracture
3 m.Case: Unstable Fracture, Two-Column Injury
6 m.Case 30 - Epidural Hematoma Summary
Case: Facet Fracture with Vertebral Artery Occlusion
4 m.Spinal Cord Injury Without Radiographic Abnormalities
4 m.Thoracolumbar AO Spine Injury Score
2 m.Case: Chance Fracture
2 m.Axial Loading Fractures
5 m.Case: Lumbar Transverse Process Fracture
2 m.Lumbar Transverse Process Fractures and Visceral Injury
3 m.Case: Compression Fracture
4 m.Case: Compression Fracture & Stress Injury
3 m.Cervical Spine Trauma Lesson Reinforcement Quiz
Clinical Scenario 6
Fever, Back Pain
9 topics, 28 min.
Clinical Scenario 6: Fever, Back Pain Introduction
2 m.Case: Diskitis-Osteomyelitis
5 m.Diskitis-Osteomyelitis Summary
6 m.Case: Tuberculous Spondylitis with Psoas Abscess
4 m.Case: Spinal Cord Infarct
5 m.Case: Spinal Cord Astrocytoma
2 m.Case: Guillain-Barré Syndrome
2 m.Grisel Syndrome and Calcific Tendinitis of the Longus Colli
6 m.Fever, Back Pain Lesson Reinforcement Quiz
Clinical Scenario 7
Head & Neck Emergencies
13 topics, 37 min.
Head and Neck Emergencies Introduction
8 m.Case: Fungus Ball
2 m.Fungal Sinusitis Summary
2 m.Allergic Fungal Rhinosinusitis
7 m.Case: Invasive Fungal Sinusitis
4 m.Invasive Fungal Sinusitis Imaging Signs
4 m.Case: Necrotizing Fasciitis
4 m.Necrotizing Fasciitis Summary
2 m.Case: Allergic Fungal Sinusitis with Mucocele
2 m.Epidural Abscess from Sinusitis
3 m.Case: Otomastoiditis with Bezold Abscess
2 m.Case: Sinusitis with Frontal Lobe Abscess
3 m.Head and Neck Emergencies Lesson Reinforcement Quiz
0:01
As you've seen by some of my examples,
0:03
nasal bone fractures don't often occur in isolation.
0:07
They often have associated fractures.
0:10
Here's an example of a patient who has multiple,
0:15
"nasal bone fractures", as well as other
0:18
fractures. So if we look in the first image,
0:20
we see that the anterior nasal or maxillary
0:23
spine here has been fractured.
0:25
This is a fracture that is very easily demonstrated on sagittal
0:29
reconstructions as long as you do them with thin enough
0:32
sections. If it's too wide a section, unfortunately,
0:36
you may get partial volume averaging
0:38
and you may not see the fracture.
0:39
But this little spine here is referred to as the anterior
0:43
nasal spine or the anterior maxillary
0:45
spine or the maxillary spine.
0:46
And this is, again, part of that complex
0:49
of a nasal bone fracture,
0:50
even though it really doesn't involve
0:52
the nasal bones themselves.
0:54
Here you have a fracture that do involve the nasal bones,
0:57
not only of the nasal bones, but also
1:00
of that suture that I mentioned previously.
1:03
This little asterisk here,
1:05
which is demonstrating the nasomaxillary suture,
1:09
which is this structure, which is coming down right along here.
1:13
That's to be separated from the frontomaxillary suture, which we
1:19
will see in just a moment as part of the naso-orbito-ethmoidal
1:24
complex. So, fractures of the nasal bone as well
1:28
as the nasomaxillary suture. And here's,
1:32
the nasal bone fracture on the sagittal.
1:34
In addition,
1:34
you notice that this patient's anterior portion
1:38
of the maxillary antrum has been fractured.
1:41
But this anterior portion of the maxillary antrum is the common
1:45
wall with the orbital rim, as well as more posteriorly,
1:49
the orbital floor affecting the infraorbital nerve.
1:53
This fracture extends to involve the nasolacrimal duct.
1:58
So, what you're seeing
2:00
are these little areas right here and right here.
2:04
So let me remove the... and you can see the wall of the normal
2:11
nasolacrimal duct has been fractured
2:14
with a free fragment right here.
2:18
So that's the nasolacrimal duct fracture. A portion, again,
2:23
that we will talk to in just a moment about the naso-orbito
2:27
ethmoidal complex. And in addition,
2:30
the medial maxillary wall has been violated.
2:32
So multiple fractures, not just including the nasal bones.
Nasal Bone Fracture Summary
HIDEInteractive Transcript
0:01
As you've seen by some of my examples,
0:03
nasal bone fractures don't often occur in isolation.
0:07
They often have associated fractures.
0:10
Here's an example of a patient who has multiple,
0:15
"nasal bone fractures", as well as other
0:18
fractures. So if we look in the first image,
0:20
we see that the anterior nasal or maxillary
0:23
spine here has been fractured.
0:25
This is a fracture that is very easily demonstrated on sagittal
0:29
reconstructions as long as you do them with thin enough
0:32
sections. If it's too wide a section, unfortunately,
0:36
you may get partial volume averaging
0:38
and you may not see the fracture.
0:39
But this little spine here is referred to as the anterior
0:43
nasal spine or the anterior maxillary
0:45
spine or the maxillary spine.
0:46
And this is, again, part of that complex
0:49
of a nasal bone fracture,
0:50
even though it really doesn't involve
0:52
the nasal bones themselves.
0:54
Here you have a fracture that do involve the nasal bones,
0:57
not only of the nasal bones, but also
1:00
of that suture that I mentioned previously.
1:03
This little asterisk here,
1:05
which is demonstrating the nasomaxillary suture,
1:09
which is this structure, which is coming down right along here.
1:13
That's to be separated from the frontomaxillary suture, which we
1:19
will see in just a moment as part of the naso-orbito-ethmoidal
1:24
complex. So, fractures of the nasal bone as well
1:28
as the nasomaxillary suture. And here's,
1:32
the nasal bone fracture on the sagittal.
1:34
In addition,
1:34
you notice that this patient's anterior portion
1:38
of the maxillary antrum has been fractured.
1:41
But this anterior portion of the maxillary antrum is the common
1:45
wall with the orbital rim, as well as more posteriorly,
1:49
the orbital floor affecting the infraorbital nerve.
1:53
This fracture extends to involve the nasolacrimal duct.
1:58
So, what you're seeing
2:00
are these little areas right here and right here.
2:04
So let me remove the... and you can see the wall of the normal
2:11
nasolacrimal duct has been fractured
2:14
with a free fragment right here.
2:18
So that's the nasolacrimal duct fracture. A portion, again,
2:23
that we will talk to in just a moment about the naso-orbito
2:27
ethmoidal complex. And in addition,
2:30
the medial maxillary wall has been violated.
2:32
So multiple fractures, not just including the nasal bones.
Report
Summary
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Tags
Trauma
Neuroradiology
Maxillofacial
Head and Neck
Emergency
CT
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