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Radiographic Positioning: Radiographic Positioning of a Sialogram


SIALOGRAM (not sailogram)

*Need consent form signed.

SUPPLIES:
Overhead light
Rabinov catheter
Reno-M-60
Lemon juice packet
20 cc syringe
16 G needle
Extension set
Surgical gloves
tape
Tongue blades
4x4's

ROUTINE VIEW:
AP
Oblique of affected side
Lateral of affected side
Submentovertex

AP
1. Patient supine or upright
2. Center to include entire mandible
3. 40" SID
4. Bucky
5. Central Ray: perpendicular to film

Oblique
1. Patient supine
2. Rotate head with affected side down about 30o
3. Central Ray: perpendicular to film
4. 40" SID
5. Bucky
6. Center to include entire mandible

Lateral Survey (with patient's finger inside mouth depressing side of involvement to display calculi)
1. Patient supine
2. Turn head to put patient as lateral as possible with affected side down.
3. 40" SID
4. Bucky

Submentovertex
1. Patient supine or upright
2. Adjust head so that the vertex of the skull rests on the table
3. Position head so that the medial plane of the skull is perpendicular to middle of table.
4. Extend chin parallel with the plane of the film.
5. Direct central ray at right angles to IOML & center midway between E.A.M.
6. Bucky
7. 40" SID

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X-ray Positioning Guide