A Complementary Radiographic Projection of the Equine Maxillary Sinus

A complementary radiographic projection of the maxillary sinus, known as Wiener Schule, is not known outside of German-speaking countries as a potential complementary projection for a radiographic investigation. A cassette is held by a mechanical device parallel to the nose, with the upper margin above the eye and the head rotated 20° to the affected side. A radiographic angle for a ventral 30° lateral-dorsolateral oblique view, high kilovolt, and low milliampere techniques is recommended. The use of a grid is unnecessary. This oblique radiographic view is useful to image the orbit, the zygomatic bone, the maxillary sinus, the ventral conchal sinus, the conchofrontal sinus, the infraorbital canal, and the roots of the four caudal maxillary cheek teeth (Triadan 108-111 or 208-211). Well positioned, the nasolacrimal canal divides the maxillary sinus in two equal parts. Fluid lines and abnormalities within the named sinus can be detected, quantified, and related to the affected side. The Wiener Schule radiographic projection is a potential complementary tool for radiographic workup and control studies, especially to evaluate therapeutic progress in cases without access to computed tomography.