Overview

The Waters projection images the maxillary sinuses orbits and zygomatic arches with the chin elevated. This view is useful for detecting orbital floor fractures and maxillary sinus disease. Proper head extension optimizes visualization of the facial skeleton.

Technique

Position the patient with the chin extended so the orbitomeatal line forms a 37 degree angle to the detector. Center the detector to the mid face and use appropriate exposure. Immobilize the head to reduce motion artifact.

Clinical Indications

Waters view is indicated for facial trauma suspected orbital floor fracture and sinus pathology. It complements lateral and Caldwell views for comprehensive facial assessment. CT is preferred for complex fractures and surgical planning.

Image Assessment

Assess the orbital floor maxillary sinus and zygomatic arch for fractures and fluid levels. Evaluate for orbital emphysema and foreign bodies. Report findings and recommend CT when detailed anatomic delineation is required.