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- Title
Standing Surgical Removal of Inspissated Guttural Pouch Exudate (Chondroids) in Ten Horses.
- Authors
Perkins, Justin D.; Schumacher, Jim; Kelly, Ger; Gomez, Jorge H.; Schumacher, John
- Abstract
Objective To report use of a modified Whitehouse approach in standing horses for management of inspissated guttural pouch empyema. Study Design Retrospective study. Animals Adult horses (n=10) with guttural pouch empyema. Methods Inspissated exudate in 1 or both guttural pouches was removed surgically through a modified Whitehouse approach, with the horses standing and sedated. Medical records of affected horses were reviewed to determine history; physical, endoscopic, and radiological examination findings; surgical technique; complications, and outcome. Results All horses had purulent nasal discharge; 3 horses had dysphagia, 2 had recurrent laryngeal neuropathy on the side affected by guttural pouch empyema, and 1 had persistent soft palate displacement. Inspissated exudate was removed safely without causing apparent discomfort. Eight horses returned to their previous level of athletic activity after surgery; 1 horse dysphagic before surgery, was euthanatized because of persistent dysphagia after surgery, and 1 horse died 1 week after surgery for unknown reasons. Streptococcus equi subsp equi was isolated from the affected guttural pouch of 3 horses. Conclusions Inspissated exudate can be removed surgically from the guttural pouch in standing horses through a modified Whitehouse approach. Clinical Relevance To eliminate risks associated with general anesthesia and avoid surgical suite contamination, removal of chondroids can be performed in standing sedated horses through a modified Whitehouse approach.
- Subjects
HORSES; CHONDROITIN; OPERATIVE surgery; EXUDATES &; transudates; EMPYEMA; THERAPEUTICS
- Publication
Veterinary Surgery, 2006, Vol 35, Issue 7, p658
- ISSN
0161-3499
- Publication type
Article
- DOI
10.1111/j.1532-950X.2006.00204.x