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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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Chapter Five The Skull 615<br />

A<br />

B<br />

Fig. 5-9 A, Normal frontal view of the canine skull. B, Normal frontal view of the feline skull.<br />

sinuses. Alignment of the frontal sinuses relative to the x-ray beam should not result in<br />

their superimposition over the other structures (Fig. 5-9). This may not be possible in some<br />

breeds (e.g., Chihuahua, Yorkshire Terrier) with very small frontal sinuses. This view is particularly<br />

useful in evaluating the frontal sinuses <strong>and</strong> foramen magnum. If properly positioned,<br />

this view permits comparison of the right <strong>and</strong> left sides.<br />

O P E N -MOUTH F R O N TA L V I E W<br />

The open-mouth frontal view is obtained in a manner similar to the st<strong>and</strong>ard frontal<br />

view. The difference is that the mouth is held open as widely as possible <strong>and</strong> aligned so<br />

that the central ray of the x-ray beam bisects the angle between the m<strong>and</strong>ible <strong>and</strong><br />

maxilla (Fig. 5-10). The tongue <strong>and</strong> endotracheal tube should be secured on the midline<br />

between the m<strong>and</strong>ibles. This view is particularly useful in evaluating the osseous bullae<br />

<strong>and</strong> odontoid process (dens) of C2.<br />

M O D I F I E D O C C I P I TA L V I E W<br />

The modified occipital view is obtained by placing the animal in dorsal recumbency, tipping<br />

the patient’s nose 10 degrees down (toward the sternum) from the vertical, <strong>and</strong>

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