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Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

Small Animal Radiology and Ultrasound: A Diagnostic Atlas and Text

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610 <strong>Small</strong> <strong>Animal</strong> Radiolo g y <strong>and</strong> Ultrasono graphy<br />

A<br />

B<br />

Fig. 5-3 A, Normal dorsoventral canine skull radiograph. B, Normal dorsoventral feline skull<br />

radiograph.<br />

so that the uppermost m<strong>and</strong>ible is rotated toward the dorsal portion of the skull. This rotation<br />

causes the upside maxillary arcade (maxillary arcade farthest from the film) to be<br />

superimposed on the nasal passages <strong>and</strong> the downside maxillary arcade (maxillary arcade<br />

nearest to the film) to be free from superimposition. Care should be taken to ensure that<br />

the tongue does not lie over the region of interest. The second variation of the open-mouth<br />

lateral oblique view is obtained by rotating the maxilla in the opposite direction. This is<br />

used to assess the m<strong>and</strong>ible <strong>and</strong> m<strong>and</strong>ibular dental arcade (Fig. 5-6, C <strong>and</strong> D). This view<br />

also requires that the mouth be open, the nose slightly elevated so that the m<strong>and</strong>ible is parallel<br />

to the film for its entire length, <strong>and</strong> the skull rotated along its linear axis so that the<br />

downside m<strong>and</strong>ible is not superimposed by the other m<strong>and</strong>ible or the maxilla. The degree<br />

of rotation varies with individuals <strong>and</strong> is best determined at the time of positioning. When<br />

making opposite oblique views, the patient should be turned over rather than rotating the<br />

head dorsally for one view <strong>and</strong> ventrally for the other.<br />

I N T R AO R A L V E N T R O D O R S A L A N D D O R S O V E N T R A L V I E W S<br />

The intraoral ventrodorsal view, used to evaluate the rostral teeth, is obtained by placing<br />

the patient in dorsal recumbency <strong>and</strong> then inserting either a cardboard or plastic film cassette<br />

or a nonscreen film into the mouth. When possible, the tongue should be positioned<br />

below the x-ray film or cassette. The tube should be angled slightly toward the caudal part<br />

of the animal. The degree of angulation should be estimated for each individual; the goal<br />

is to have the x-ray beam strike the roots of the m<strong>and</strong>ibular incisors at a 90-degree angle.<br />

This view is helpful in evaluating the m<strong>and</strong>ibular symphysis, lower incisors, <strong>and</strong> m<strong>and</strong>ibular<br />

canine teeth. The intraoral dorsoventral view is obtained in a similar manner, except the

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