When is ventriculocordectomy all that is required?

Modified first or second cervical nerve transplantation technique for the treatment of recurrent laryngeal neuropathy in horses

“…A uni-or bilateral ventriculocordectomy, performed at the same time as the modified C1/C2 transplantation technique, was performed in all horses and may have played a role in the outcome of our results, especially the reduction of respiratory noise. Ventriculocordectomy has been shown to be an efficient treatment of noise in RLN horses and improved ventilatory parameters [5,26]. To our knowledge, there is no report of ventriculocordectomy, as a sole treatment, showing an improvement or stabilisation of an unstable left arytenoid during inspiration as was seen in 13 out 14 horses in this series.…”

“…Ventriculocordectomy has been shown to be an efficient treatment of noise in RLN horses and improved ventilatory parameters [5,26]. Ventriculocordectomy has been shown to be an efficient treatment of noise in RLN horses and improved ventilatory parameters [5,26].…”

“…The current standard treatment for RLN is prosthetic laryngoplasty, as described by Marks et al [4], with the goal of permanently abducting the left arytenoid cartilage. This nonphysiological procedure has been modified in recent decades but still has undeniable adverse effects on upper airway health that can be subclinical or clinically apparent [5]. A more physiologically viable treatment option for RLN is reinnervation of the CAD with transplantation of the nerve innervating the omohyoideus muscle (OH)a nerve formed by the first and second cervical nerve and hereafter referred to as the C1/C2 nerve.…”