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September 1965

X-Ray Diagnosis of Posterior Displacement of Zygoma: Value of Submentovertical Base View

Author Affiliations

From the Section of Otolaryngology, Department of Surgery, Yale-New Haven Medical Center, resident in otolaryngology (Dr. Merrell) and assistant resident in otolaryngology (Dr. Myerson), and the Section of Otolaryngology, Department of Surgery, Hospital of St. Raphael. Dr. Yanagisawa is clinical instructor in otolaryngology, Yale University School of Medicine.

Arch Otolaryngol. 1965;82(3):275-280. doi:10.1001/archotol.1965.00760010277011

SINCE the description of a modified occipitofrontal projection by Waters and Waldron in 1915,1 the projection, now widely known as "Waters' view" or "occipitomental view," has become one of the standard views for the evaluation of facial bone injuries. It affords an excellent opportunity to study fractures of the maxilla, maxillary sinuses, orbits, zygomatic bones and arches, and nasal bones.2 Since these structures are frequently involved in fracture dislocation of the zygoma, and the zygomatic bone is best outlined in this view, the Waters' view is generally considered the best single view for the study of fracture dislocation of the zygoma.2-7 Knight classifies fractures of the zygoma on the basis of the anatomy of the fracture as shown in this view.8 Many excellent texts on radiology and maxillofacial injuries demonstrate fracture dislocation of the zygoma in the Waters' view.2,4,5,9-13

However, we have recently experienced several