normal radiographic anatomy of the equine head dr. pack/woodland april 7, 2011
TRANSCRIPT
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Normal Radiographic Anatomy of the
Equine Head
Dr. Pack/Woodland
April 7, 2011.
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Indications
• Nasal Discharge– Sinusitis– Dental Disease
• Head Trauma– Fractures
• Facial / Neck Swelling– Guttural Pouch Tympany
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Technical Considerations
• Head is mobile and high off the ground
• Sedation– Lowers head
• Can use portable equipment
• 14x17 cassettes
• Film holding device
• Rope halter – no buckles
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Lateral and Oblique Views
• Standing or recumbent
• Can visualize sinuses, teeth and skull fractures (frontal bone)– Obliques are needed to carefully assess tooth
roots
• Must label correctly
• Can use barium as marker on skin if needed
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Morgan
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Morgan
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Morgan
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DV/VD
• Used for comparison between sides
• Difficult to keep head still and straight– Can throw off symmetry
• Easier to do VD when patient is under general anesthesia
• Maxilla is wider than the mandible
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Morgan
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Mass on Right side
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Cranium
• Foals: dome-shaped– Face lengthens with growth; accommodates teeth
and expanding sinuses
• Adult lateral view– Petrous temporal bones (tympanic bullae not
visible)– Nuchal crest– Occipital condyles– Ethmoid turbinates
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Dyce et. al
A - Nuchal crest D - Occipital condyleB - Coronoid process E - Ramus of mandibleC - Condylar process F - Body of mandible
A
B
CD
E
F
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Equine Skull
• A = Petrous temporal bone
• B = Cranium• C = Condyloid process• D = Coronoid process• E = Basioccipital• F = Epiglottis• G = Ethmoid turbinates
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A
B C
DE
F
G
H
A – Choncofrontal sinus
B – Maxillary sinus
C – Condylar process of mandible
D – Guttoral pouch
E – Stylohyoid bone
F – Epiglottis
G – Maxillary 3rd Molar
H – Mandibular 2nd Premolar
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Equine Sinuses• Frontal
– Dorsal part of the skull, medial to orbit– Combines with dorsal conchal = conchofrontal
• Dorsal, ventral and middle conchal• Maxillary
– Rostal and caudal– Important relationship with the molar cheek teeth
• Sphenopalatine
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Dyce et. al
Frontal Sinus
Caudal Maxillary Sinus
Rostral Maxillary Sinus
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Equine Sinuses
• Normally air-filled on radiographs• Fluid or a soft tissue mass can be seen
– Air-fluid lines
• Hard to tell if one or both sides are affected• Maxillary sinus
– PM4, M1, M2, M3 tooth roots in sinus– Tooth root infections can easily cause sinusitis
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Sinuses
• A = frontal• B = dorsal conchal• C = stylohyoid bone• D = maxillary sinus
D
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Sinuses
• A - Nasal bone• B - Frontal sinus• C - Dorsal conchal
sinus• D - Maxillary sinus• E - Mandible
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Post-op Tooth Repulsion
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Guttural Pouches• Ventral diverticulum of the auditory tube• Paired; lateral and medial compartments• Superimposed and air-filled on radiographs• Dorsal pharyngeal wall separates the ventral wall
of the GP from the pharynx• Stylohyoid bones can be seen through the air
filled GP’s• Retropharyngeal lymph nodes
– Caudal to the GP– Infection can spread from LN to GP
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Guttural Pouches
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AB
CA = Petrous Temporal Bone
B = Basioccipital bone
C = Coronoid Process of the Mandible
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Basisphenoid / Basiocciptal Fractures
• Occur primarily in young horses that flip over backward– Poll strikes against ground
• Clinical signs depend upon amount of displacement– Minimal = usually recover but may have residual
head tilt– Severe = cerebral hemorrhage and death
• If horse can stand, death is not likely
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Pharynx / Larynx
• Pharynx– Where nasopharynx and oropharynx join
• Epiglottis– Dorsal to the soft palate
• Larynx– Made up of many cartilages which are rarely seen
and their location is approximated anatomically on the radiograph
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Equine Teeth
• Herbivores = hypsodont teeth– Continuously erupt to compensate for attrition
(wearing)– Grinding surface
• Dental enamel is more dense than bone– Sinuses will be very overexposed
• Lateral, obliques +/- VD
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Equine Dental Formula
Temporary teeth:• 3-0-3 Maxillary• 3-0-3 Mandibular
– “Baby” teeth are shorter and smaller
Permanent teeth:• 3-1-3(4)-3 Maxillary• 3-1-3-3 Mandibular
– Maxillary premolar 1 is wolf tooth
– Canine teeth• Rudimentary and
commonly fail to erupt in mares
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Dyce et. al
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Numbering Teeth
• Can not definitively tell which side without obliques
• Make sure to call them maxillary or mandibular
• Always look for wolf teeth
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Teeth cont.
Mandibular 4th premolar
= Canine Tooth
Incisors
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P2P4P3 M1 M2 M3
M3M2M1P4P3
P2
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Tooth root fractures (maxillary molars)
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RuminantsHorns:
- Grow from frontal bones
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Dental Formula
Temporary Teeth:• 0-0-3 Maxillary• 3-1-3 Mandibular
Permanent Teeth:• 0-0-3-3 Maxillary• 3-1-3-3 Mandibular
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Lumpy Jaw(Actinomyces bovis)
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Test yourself
• What structures can you correctly identify?