Tracheal Resection and Anastomosis After Traumatic Tracheal Stenosis in a Horse

Barnett, T. P.; Hawkes, Claire; Dixon, Padraic

doi:10.1111/j.1532-950x.2014.12270.x

Cited by 10 publications

(10 citation statements)

References 13 publications

(38 reference statements)

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“…Larger perforations, particularly those that involve complete rupture between tracheal rings, may require resection and anastomosis (Kirker‐Head and Jakob ; Stick ; Barnett et al . ). Tracheal stenosis is the major indication for performing a resection and anastomosis.…”

Section: Discussionmentioning

confidence: 97%

“…Moderate defects, including small tracheal ring defects, can also be sutured directly (Fubini et al 1985;Stick 2012). Larger perforations, particularly those that involve complete rupture between tracheal rings, may require resection and anastomosis (Kirker-Head and Jakob 1990; Stick 2012; Barnett et al 2014). Tracheal stenosis is the major indication for performing a resection and anastomosis.…”

Section: Discussionmentioning

confidence: 99%

“…Tracheal stenosis is the major indication for performing a resection and anastomosis. As this was not observed in either horse, such a surgery was not deemed necessary (Barnett et al 2014). Other surgical techniques for management of tracheal deformity use chondrotomies to remodel the deformed tracheal rings (Robertson and Spurlock 1986).…”

Section: Discussionmentioning

confidence: 99%

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Management of apposing, full‐thickness tracheal perforations in two horses

Gillen

Munsterman

Pinto

et al. 2015

Equine Veterinary Education

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Summary Two horses, one 15‐year‐old Arabian gelding and one 10‐year‐old Quarter Horse gelding, presented with a history of marked subcutaneous emphysema. The first case exhibited no external wound, although there was a depression noted on the ventral neck. The second case had a laceration on the ventral aspect of the neck over the trachea. Endoscopic examination revealed both horses to have concurrent dorsal and ventral perforations of the trachea. The horses were managed by placing a short, cuffed, J‐shaped tracheostomy tube in the ventral perforation, while the dorsal perforation healed. The dorsal perforation in the first horse was allowed to heal by second intention, whereas sutures were placed in the dorsal perforation in the second case to reduce the healing time. Both horses were maintained on oral antimicrobial and nonsteroidal anti‐inflammatory medications throughout treatment. The dorsal perforation healed after 13 days in the first horse, and 22 days in the second horse. The ventral perforation healed in both horses by second intention following tracheostomy removal, giving a cosmetically acceptable result. In addition to facilitating tracheal healing, the tracheostomy tubes prevented the progression of subcutaneous emphysema, and promoted its resolution.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Management of apposing, full‐thickness tracheal perforations in two horses

Gillen

Munsterman

Pinto

et al. 2015

Equine Veterinary Education

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“…Cervical cellulitis can progress to result in pyrexia, pneumomediastinum and pneumothorax (Caron and Townsend ; Stick ). Tracheal stenosis: Stenosis generally occurs as a rare complication following tracheotomy or tracheal wounds when scar tissue develops across the lumen (Stick ; Barnett et al . ). Excessive granulation tissue that develops at sites of tracheal surgery can also obstruct the lumen (Yovich and Stashak ). Tracheal foreign body: Plant material is the most frequently reported tracheal foreign body (Urquhart et al .…”

Section: Differential Diagnosesmentioning

confidence: 97%

Equine emergency upper airway management

Byrne

Barakzai²

2018

Equine Veterinary Education

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Summary Respiratory distress due to acute upper respiratory tract obstruction is an uncommon emergency in equine practice. However, clinicians should be confident with the approach to this truly life‐threatening scenario. Clinical signs are obvious at rest and include increased respiratory effort, loud respiratory noise and recumbency as asphyxiation progresses. Many cases of upper respiratory tract obstruction involve the pharynx or larynx, though obstruction in other regions of the upper respiratory tract and other causes of respiratory distress should be considered. Generally, the obstruction can be bypassed by placing a nasotracheal tube under endoscopic guidance or by making a temporary tracheotomy to ensure a patent airway. Following this stabilisation, further investigation into the cause of airway obstruction can be performed. Endoscopy is usually the most valuable diagnostic tool, though other imaging modalities can be useful. Further empirical treatment is often required, though the specific management will vary depending on the pathology present.

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“…40 However, chronic airway disease, malformation of the hyaline cartilage rings, or trauma resulted in abnormal collapse of the tracheal lumen. 41 Tracheal collapse in older donkeys because of age related degeneration in tracheal ring/cartilage or secondary to other respiratory diseases that caused an increase in respiratory effort; typically collapse occurred in animals with chronic recurrent airway obstruction or pulmonary fibrosis.…”

mentioning

confidence: 99%

Endoscopic Evidences of Upper Respiratory Tract Disorders in Horses and Donkeys

Sheta¹,

Ashour²

2017

Vet Med Open J

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Background: Upper respiratory tract (URT) obstructive disorders are a common problem among horses and are often associated with poor performance and respiratory noise during exercise. Aim: The study is proposed to visualize the upper respiratory tract of horses and donkeys by endoscopic examination, aiming to highlight and clarify the disease conditions that causing respiratory distress and subsequenly affect negatively on the work and sports ability of these animals. Materials and Methods: The present study employed the endoscopic examinations on the upper respiratory tract of 45 stallions, 30 mares, 10 foals and 38 donkeys, suffered from upper respiratory tract distresses. These animals were of various ages and weights. Results: Investigation of these animals proved that the upper respiratory tract disorders were numerous in horses and prevailing in donkeys. The pharyngeal region was more affected than the other parts of the upper respiratory tract. In addition, squamous cell carcinoma, cyst and granuloma in the guttural pouches have been taken care of, regardless of its rare occurrence. The ethmoidal glandular cyst acini, pharyngeal mycosis, and pharyngeal tonsillitis were considered critical evidences for the study. Conclusion: Endoscopy of the upper respiratory tract of horses and donkeys should be a standard diagnostic technique for all upper respiratory disorders in equine.

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Tracheal Resection and Anastomosis After Traumatic Tracheal Stenosis in a Horse

Abstract: This tracheal resection and anastomosis technique successfully provided the horse with a large tracheal lumen, and despite major complications, allowed a return to full athletic work.

Cited by 10 publications

References 13 publications

Management of apposing, full‐thickness tracheal perforations in two horses

Management of apposing, full‐thickness tracheal perforations in two horses

Equine emergency upper airway management

Endoscopic Evidences of Upper Respiratory Tract Disorders in Horses and Donkeys

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