Surgical repair of cleft soft palate in the horse

Mason, TA; Speirs, V. C.; Maclean, AA; Smyth, G. B.

doi:10.1136/vr.100.1.6

Cited by 21 publications

(26 citation statements)

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“… suggest that if >20% of the soft palate tissue is missing, repair should not be attempted. Three of the largest surgical case series all record a very high surgical failure rate (66–100% of cases had dehiscence of the palate and/or formation of oropharyngeal fistulae), including a 33–83% overall mortality rate , attributable to complications of surgery such as dehiscence of the surgical site, mandibular osteitis and osteomyelitis, continued dysphagia, aspiration pneumonia, and ill thrift. Bowman et al .…”

Section: Discussionmentioning

confidence: 99%

“…Euthanasia in post operative cases was performed due to surgical failure and/or development of severe post operative complications. No follow‐up was reported for 2 horses that received no treatment . The prognosis for mature horses diagnosed with palatal defects as reported by the current literature therefore would appear to be poor, both for survival and athletic performance.…”

Section: Introductionmentioning

confidence: 99%

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Congenital defects of the soft palate in 15 mature horses

Barakzai¹,

Fraser²,

Dixon

2013

Equine Veterinary Journal

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This case series shows that some foals may survive to maturity with substantial congenital defects of the soft palate without displaying severe clinical signs. Given the published high incidence of morbidity and mortality associated with surgical treatment, this case series suggests that a reasonable alternative is to manage such cases conservatively, provided that they are not suffering from severe pneumonia or ill thrift and that their welfare is not compromised.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Congenital defects of the soft palate in 15 mature horses

Barakzai¹,

Fraser²,

Dixon

2013

Equine Veterinary Journal

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“…futtrigen Nasenaus-142 fluß charakterisiert ist, und deren maximalinvasive chirurgische Therapie nur in Einzelfällen zu einem befriedigenden Resultat geführ1 hat (Jones et al, 1975;Mason et al;1977). Bei transendoskopischen Therapieversuchen oder aber auch bei Operationen unter endoskopischer Kontrolle konnte bisher keine dauerhafte Schließung der Gaumenspalte erzielt werden.…”

Section: Erkrankungen Des Gaumensegelsunclassified

Possibilities and limitations of minimal invasiv surgery in upper airway diseases of the horse

Ohnesorge¹,

Deegen²

1999

PHK

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ZusammenfassungDurch transendoskopische Operationsverfahren (minimal invasive Chirurgie: MIC) lassen sich die Risiken von chirurgischen Maßnahmen im Bereich der oberen Atemwege des Pferdes reduzieren. Allerdings sind nicht alle Erkrankungen mit dieser Technik befriedigend therapierbar. Zum Einsatz kommt eine kostenaufwendige Technik, die ein Endoskop mit Videosystem, diverse transendoskopische Instrumente, ein Hochfrequenzchrrurgiegerät und einen Chirurgielaser beinhaltet. In den oberen Atemwege können damit Erkrankungen der Nasengänge, der Nasenmuscheln und der Nasennebenhöhlen, der Luftsäcke, des Pharynx und des Larynx behandelt werden. Die transendoskopische Chirugie ist besonders geeignet bei der Behandlung von kleineren Nasengangs-und Siebbeintumoren, bei der Therapie von Luftsackerkrankungen (Abszess, Tympanie, Mykose) und bei der Entfernung von Subepiglottiszysten. Bei der Therapie der Dorsalverlagerung des Gaumensegels und des Epiglottis-Entrapment sind transendoskopische OP-Verfahren eine gute Alternative zu konventionell chirurgischen Verfahren. Die endoskopische, partielle Resektion der Stimmfalte bei einer Kehlkopflähmung stellt eine komplikationsarme Ergänzung zu bestehenden Operationsmethoden (Ventrikelektomie und Laryngoplastik) dar, durch die in vielen Fällen eine ausreichende Leistungssteigerung erzielt werden kann.Schlüsselwörter: Minimal invasive Chirurgie, Endoskopie, Laser, obere Atemwege, Pferd Possibilities and limitations of minimal invasiv surgery in upper airway diseases of the horse Through the use of transendoscopic operative techniques (minimal invasiv surgery) it is possible to reduce the risks associated with surgical procedures of the upper respiratory tract. lt is, however, not possible to satisfactorily treat all cases with this technique. The technique is expenstve, and involves the use of an endoscope with a video system, various transendoscopic instruments, a high{requency generator and a surgical laser. Its appltcation in the upper respiratory tract includes the treatment of diseases of the nasal passages, the ethmoid turbinates and the sinuses, as well as the guttural pouches, the pharynx and the larynx. Transendoscopic surgery is particularly well suited for the treatment of small nasal passages tumors and ethmoid hematomas, in the therapy of guttural pouch abscess, tympany and mycosis and in the removal of subepiglottic cysts. In the treatment of the dorsal displacement of the soft palate and in epiglottic entrapment the transendoscopic operative technique represents a sound alternative to conventional surgical techniques. The endoscopic, partial resection of the vocal fold in the case of Hemiplegia laryngis represents an uncomplicated addition to the already establishedtechniques (ventriculectomy and laryngoplasty), through which in many cases, a sufficient increase in performance can be achieved. keywords:Einleitung

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“…Serious complications can follow surgery, such as severe aspiration pneumonia. 1,5,6,11,12 The most common repair failure is dehiscence of the caudal aspect of the soft palate, which has been reported in 90% of the surgical cases. 8 One of the greater challenges of repair is surgical access, which may contribute to failure of the surgery.…”

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confidence: 99%