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Caldwell’s View (Occipitofrontal)

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Caldwell’s View (also known as the Occipitofrontal View) is a specialized X-ray projection used primarily to examine the frontal and ethmoid sinuses, nasal septum, and orbital rims. In this technique, the patient is positioned with their forehead and nose resting against the X-ray cassette or detector, and the X-ray beam is angled caudally (usually 15° downward) to pass from the occiput (back of the head) to the frontal region. This angle allows clear visualization of the frontal sinus and the anterior ethmoid air cells, which may be difficult to assess in standard views. The Caldwell’s View is particularly valuable in diagnosing sinusitis, fractures of the orbital floor or nasal bones, and deviations of the nasal septum. It provides detailed imaging of the midface and upper sinus anatomy, making it a critical part of the radiologic evaluation for facial trauma and chronic sinus conditions.

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