A surgical approach to the lateral compartment of the equine guttural pouch in the standing horse: Modification of the forgotten “Garm technique”

Muñoz, Juan A.; Stephen, Jennifer O.; Baptiste, Keith E.; Lepage, Olivier

doi:10.1016/j.tvjl.2007.03.028

Cited by 11 publications

(5 citation statements)

References 7 publications

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“…To conclude, we believe that this information may help with an accurate diagnosis with a complete lesional assessment in some cases. It can also potentially reduce iatrogenic trauma to important structures during surgeries, whether through transendoscopic techniques [ 6 , 7 , 10 , 12 , 13 ] or conventional open approaches [ 4 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…As equine veterinarians, we are actually very fortunate because the guttural pouch (GP) provides us with a unique window into numerous important and complex anatomic structures [ 2 ] that are impossible to visualize in other species. GP endoscopy allows for the visualization, diagnosis [ 3 , 4 , 5 ], and treatment [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 ] of many clinical problems in the equine retropharyngeal region.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Anatomy of the Equine Guttural Pouch: An Anatomic Observational Study

Piat,

Cadoré

2023

Veterinary Sciences

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Guttural pouch endoscopy allows for both the visualization and treatment of many clinical problems in the equine retropharyngeal region. This area is extremely complex, and its description remains a real challenge for veterinary anatomists and practitioners. Six clinically normal equine cadavers were employed. Conventional dissections of guttural pouches without penetrating the guttural pouch membrane were first performed, and each adjacent structure was identified. Then, a guttural pouch endoscopic exam of the dissected heads was performed in order to correctly map each visible underlying anatomic structure identified in the previous dissection. This allowed us to: 1—identify each structure visible on endoscopic examination of the guttural pouch; 2—create a representative map of all the structures accurately identified via endoscopy; and 3—describe a systematic guttural pouch endoscopic examination with practical keys to help identification of the underlying vital structures. Our investigation provides new practical information on guttural pouch endoscopic anatomy and has allowed us to identify structures that were not previously described. We believe that this information may help with an accurate diagnosis in some cases and also potentially reduce iatrogenic trauma to important structures.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Endoscopic Anatomy of the Equine Guttural Pouch: An Anatomic Observational Study

Piat,

Cadoré

2023

Veterinary Sciences

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“…A modified Whitehouse approach under general anaesthesia was performed aiming to achieve drainage and to apply a lavage system. For this purpose, it is known that the modified Garm's technique is less invasive and could be performed in standing horses (Muñoz et al 2008). However, this technique requires endoscopic examination during surgery and as previously reported the equipment was not available.…”

Section: Discussionmentioning

confidence: 99%

“…For this purpose, it is known that the modified Garm's technique is less invasive and could be performed in standing horses (Muñoz et al 2008). For this purpose, it is known that the modified Garm's technique is less invasive and could be performed in standing horses (Muñoz et al 2008).…”

Section: Fig 6: Plant Foreign Bodies Removed From the Left Ventral Pementioning

confidence: 99%

Guttural pouch empyema secondary to a periocular foreign body

Dias¹,

Macoris²,

Alessi³

2014

Equine Veterinary Education

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Summary This report describes a 3‐year‐old gelding presenting with signs of injury to its left eye following an accident in which the horse crashed into a hedge. The first treatment attempted to treat infections in the eye and respiratory tract due to secretions identified in the trachea. The horse did not improve and further clinical and radiographic evaluations detected a guttural pouch empyema. Surgical drainage was performed and antimicrobial treatment continued. However, the horse presented with severe epistaxis and euthanasia was elected due to suspected arterial rupture. At necropsy, a round and stiff branch plant was found creating a fistula from the left orbit to the left guttural pouch. Another branch was found inside the pouch, confirming the origin of the persistent infection and severity of the tissue lesion.

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“…Guttural pouches are air-filled pharyngo-timpanic or auditory tube diverticula that, in the adult horse, have a volume varying from 300 to 600 milliliters (Munoz et al, 2008). They are located in the caudal area of the head and extend ventro-dorsally from the pharynx to the base of the skull and oro-aborally from the dorsal pharyngeal recess to the atlanto-occipital joint.…”

mentioning

confidence: 99%

Endoscopic assisted electro-cauterization to treat an acquired pharyngeal ostium stenosis in a horse: a case report

Pietra¹,

Romagnoli²,

Valentini³

et al. 2011

Vet. Med. - Czech

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An 8-year-old Italian saddle-horse gelding with a history of left guttural pouch empyema was referred to the clinic. Endoscopic examination showed a stenosis of the left pharingeal ostium that was treated with an endoscopic assisted electro-cauterization. Endoscopic follow-ups were performed before discharge and at six months after stenosis removal. No recurrence was observed, confirming the patency of the pharyngeal orifice.

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A surgical approach to the lateral compartment of the equine guttural pouch in the standing horse: Modification of the forgotten “Garm technique”

Cited by 11 publications

References 7 publications

Endoscopic Anatomy of the Equine Guttural Pouch: An Anatomic Observational Study

Endoscopic Anatomy of the Equine Guttural Pouch: An Anatomic Observational Study

Guttural pouch empyema secondary to a periocular foreign body

Endoscopic assisted electro-cauterization to treat an acquired pharyngeal ostium stenosis in a horse: a case report

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