Radiographic detection of defects of the nasal boundaries

The sensitivity of conventional radiography for lesions of the cribriform plate, naso-orbital wall, lateral nasal wall and hard palate was investigated in 13 canine cadaver heads by creating measured defects in these structures. The location of the perforations were marked with a thin copper wire and the radiographic appearance of the defects was evaluated retrospectively by a single reviewer. Despite demarcation cribriform plate destruction of 2 mm could not be detected. Defects of 3 mm were detected in only 2 heads, 4 mm defects in 1 further head, an oblong 4 x 10 mm defect in 7 heads and in the remaining 3 heads only a 10 x 10 mm defect became visible as such. The naso-orbital wall had to be destroyed in its whole vertical length for detection of a defect in ventrodorsal or dorsoventral views. Therefore conventional radiography is of low diagnostic value for these lesions. Defects of 2 mm in the lateral nasal wall and the hard palate could be detected confidently in all heads indicating high sensitivity of conventional radiography. Soft tissue opacification did not alter the detectability of any nasal border structure lesion.