Positioning Challenges of the Cranium, Facial Bones, and Sinuses Anatomy


Positioning Challenges of theCranium, Facial Bones, and Sinuses Anatomy


This excerpt analyses theessential nature of comprehending positioning challenges during thesurgical operations. There is need for enough scrutiny to weigh up onthe merits of comfort for the patient amid the risks involved for thepreoperational surgical period. This is to deter any adversity inevents of complications for posterity. Therefore, positioning of thesurgical patient during these operational stages demands sufficientcare and attention.

Keywords: craniumbones, facial bones, sinuses anatomy

Cranium bones

These refer to the skullbiological part of the body. To be precise and exact it is the partthat encircles the human brain. In the event of a disease or aninjury of this part of the brain, the surgeons together with theanesthesiologist have a joint responsibility to position the patientin the right order. In this regard, there are requirements for theright positioning that include: proper oxygenation, hemodynamicsteadiness maintenance and sufficient anesthetic wisdom. To startwith, it is a challenge in the positioning of the cranium bones inthat, there should be an element of parallelness to the floor area ofthe exposed skull surface in addition to the imaginary boundary ofthe cranium (Siow, 2007). Secondly, the distance between the zone ofconcentration in the brain during surgical operations and theuppermost point in the skull is to be the shortest.

The recommendations for thecranium bones are to position the head on a horseshoe headrest.Moreover, the use of the fixation device of the skeletally three orfour pins is significant. The purpose is due to the fact that itgrants surgical comfort to the patient and provides inconceivableimmobility to the head.

Facial bones

A bone is considered facial ifit makes the collective real estate of the body on the fore of thehead. The examination of this part requires not only ordinary anatomybut also a study of the shared broken patterns in the face. Tocommence, it is a challenge in the determination of the orbitsborders in conjunction with the apex and the optic canal. Consequentupon this, there is a lack of knowhow of ordinary facial fractures.Thirdly, a challenge is posed of the resolution of the lines ofDolan, which are the anatomic delineations best perceived on thewaters view. In addition, there are problems with the patientinability to open the mouth and a form of flattens of in the cheek bya patient.

As a recompense, there is needto look out carefully and meticulously the orbits due to the factthat about 60-70% of breakages connected to the face involve it.Besides, a prudent bilateral symmetry will prove to be of more helpin rectifying the positioning challenges. Thirdly, the rule of Dolanis essential to cautiously make a trace along this lines by thesurgeon and practitioners alike (Siow, 2007).

Sinuses Anatomy

In reference to the bodyanatomy, this denotes a related arrangement of hollow craters in thehuman body part, the skull. In real sense, the largest cavities arean inch in broadness whereas others are small in size. These cavitiesare lined with the mucosa, an anatomic soft tissue and pink in color.The challenges here are the evaluation of the sinus pressure and postnatal drip in the placement of a patient during surgical times.Secondly, the oxygenation setback in times when the patient has anaccident poses a threat to the surgeon.

The resolve during injuries oraccidents of this state are: a great consideration of the level ofoxygenation by both the aesthetician and the surgery. Secondly, thereis need to administer the right fungicide for patients withinfections. Similarly, the lateral height needs to be greatly takencare of to prevent the sinusitis pressures (Siow, 2007).


Siow, J. (2007). Paranasalsinus anatomy radiologic, endoscopic and anatomical correlations.Tuttlingen: Endo-Press.