Top of the page
A facial X-ray is a series of pictures of the bones in the face. One type of facial X-ray (called a paranasal sinus X-ray series) looks at the air-filled cavities (sinuses) around the nose and eyes.
A facial X-ray helps find bone fractures, tumours, foreign objects, infections, and abnormal growths or changes in bone structure or size. An X-ray of the eye (orbital cavity) may be taken if the eye has been injured. A computed tomography (CT) scan may be needed to check any problems seen on X-ray.
A facial or sinus X-ray may be done to:
In general, there's nothing you have to do before this test, unless your doctor tells you to.
You will need to remove any jewellery that may be in the way of the X-ray picture. You will also need to remove glasses or dentures. You may be asked to lie on an X-ray table or sit in a chair. Several views (a series) of X-ray pictures are needed for clear pictures of the face. Your head may need to be repositioned for each view. Hold your head completely still while the pictures are being taken. A padded brace, foam pads, a headband, or sandbags may be used to hold your head in place while the pictures are taken.
If pictures of the orbital cavities or sinuses are needed, you will probably sit up while they are taken. A padded brace may be used to hold your head still while the pictures are taken.
Facial X-rays usually take about 10 to 20 minutes. In clinics and hospitals, X-ray pictures can be shown right away on a computer screen (digitally).
You won't feel any pain from the X-ray itself. You may find that the positions you need to hold are uncomfortable or painful. This is more likely if you have an injury.
There is always a slight chance of damage to cells or tissue from radiation, including the low levels of radiation used for this test. But the chance of damage from the X-rays is extremely low. It is not a reason to avoid the test.
If you need an X-ray during pregnancy, the chance of harm is usually very low compared with the benefits of the test. Talk to your doctor before the test if you have any concerns.
In an emergency, the doctor can see the initial results of a facial X-ray in a few minutes. Otherwise, a radiologist usually has the official X-ray report ready the next day.
The bones of the face and orbital cavity are normal in size and shape.
No foreign objects or abnormal growths are present.
No broken bones are present.
The sinuses are clear. No inflammation or infection is present.
Foreign objects, such as fragments of metal or glass, may be present.
Broken bones, such as the nasal bones or bones around the eye (orbital cavity), may be present.
Signs of a disease that affects the bones of the face or orbital cavity may be present.
Abnormal growths (tumours) are present.
Signs of sinusitis, such as fluid in the sinuses or a thick tissues lining the sinuses, may be present.
Adaptation Date: 2/15/2023
Adapted By: Alberta Health Services
Adaptation Reviewed By: Alberta Health Services
To learn more about Healthwise, visit Healthwise.org.
© 1995-2023 Healthwise, Incorporated. All rights reserved. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.