What type of projection is typically used to assess the maxillary sinuses?

The Waters projection, also known as the occipitomental view, is specifically designed to visualize the maxillary sinuses in detail. This projection allows for an unobstructed view of the sinuses by positioning the patient's orbitomeatal plane at a specific angle (typically 37 degrees) relative to the film. In the Waters projection, the patient's chin is elevated so that the X-ray beam enters at a downward angle, which helps to project the maxillary sinuses clearly and minimize the superimposition of other facial structures.

This projection is especially effective because it highlights the antrum of the maxillary sinus, providing important information about any potential abnormalities, such as fluid levels, tumors, or polyps. Other projection types listed may focus on different anatomical structures or angles, so while they may provide valuable information about cranial or facial anatomy, they are not optimized for detailed assessment of the maxillary sinuses.