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Veterinary surgery : VS.

Periodical
General Surgery
Veterinary Medicine
Publisher:
Lippincott.. Malden, MA : John Wiley & Sons
Frequency: Eight issues a year,
Country: United States
Language: English
Author(s):
American College of Veterinary Surgeons., European College of Veterinary Surgeons.
Start Year:1978 -
ISSN:
0161-3499 (Print)
1532-950X (Electronic)
0161-3499 (Linking)
Impact Factor
1.8
2022
NLM ID:8113214
(OCoLC):03905443
(DNLM):V06115000(s)
Coden:VESUD6
Classification:W1 VE938C
Tissue engineering in wound repair: the three “R”s–repair, replace, regenerate.
Veterinary surgery : VS    December 19, 2009   Volume 38, Issue 8 905-913 doi: 10.1111/j.1532-950X.2009.00585.x
Theoret C.Horses are predisposed to traumatic wounds that can be labor intensive and expensive to manage. Skin has a considerable potential for efficient and functional repair however, while cutaneous repair is a regenerative process in the fetus, this capability declines in late gestation as inflammation and scarring alter the outcome of healing. The historical gold standard for replacement of lost skin is the autologous skin graft. However, the horse's lack of redundant donor skin limits the practicality of full-thickness grafting to smaller wounds; moreover, graft failure is relatively common in equi...
Comparison of three drilling techniques for carpometacarpal joint arthrodesis in horses.
Veterinary surgery : VS    December 19, 2009   Volume 38, Issue 8 990-997 doi: 10.1111/j.1532-950X.2009.00594.x
Lang HM, Panizzi L, Allen AL, Woodbury MR, Barber SM.To evaluate 3 drilling techniques for arthrodesis of the equine carpometacarpal (CMC) joint. Methods: Experimental study. Methods: Cadaveric equine forelimbs (n=15). Methods: Limbs were divided into 3 groups (5 limbs each) to evaluate 3 drilling techniques: (1) use of a 4.5 mm drill bit inserted into the joint through 4 entry points and moved in a fanning motion; (2) a 5.5 mm drill bit inserted through 2 entry points to create 3 nonfanned drill tracts (3 drill technique); and (3) a 4.5 mm drill bit used in a 3 drill technique. The CMC joint was disarticulated after drilling, and cartilage and ...
Treatment of carpometacarpal osteoarthritis by arthrodesis in 12 horses.
Veterinary surgery : VS    December 19, 2009   Volume 38, Issue 8 1006-1011 doi: 10.1111/j.1532-950X.2009.00590.x
Barber SM, Panizzi L, Lang HM.To evaluate arthrodesis as a treatment for carpometacarpal joint osteoarthritis (CMC-OA). Methods: Case series. Methods: Horses (n=12) with CMC-OA. Methods: Arthrodesis was facilitated by insertion and fanning of a drill bit into the CMC joint at several (3-5) locations in 15 limbs. Follow-up radiographs were obtained for 7 horses (9 limbs). Outcome was determined by telephone survey of owners based on postoperative pain, return to use, appearance of the limb, and success of treatment. Results: Postoperative pain was slight or moderate in 10 of 12 (83%) horses during the first 30 days, and 11 ...
Postoperative race performance is not correlated with degree of surgical abduction after laryngoplasty in National Hunt Thoroughbred racehorses.
Veterinary surgery : VS    December 19, 2009   Volume 38, Issue 8 934-940 doi: 10.1111/j.1532-950X.2009.00605.x
Barakzai SZ, Boden LA, Dixon PM.To (1) assess the degree of arytenoid cartilage abduction lost after laryngoplasty (LP) in Thoroughbred National Hunt racehorses and (2) to correlate postoperative racing performance with degree of arytenoid abduction after LP. Methods: Case series. Methods: National Hunt Thoroughbred racehorses (n=68). Methods: Grade of postoperative arytenoid abduction for National Hunt racehorses that had LP with ventriculocordectomy was assessed at 1 day, 6 days, and 6 weeks after LP. Race records were analyzed to ascertain if there was correlation between the degree of arytenoid cartilage abduction and va...
Inguinal herniation of the ascending colon in a 6-month-old Standardbred colt.
Veterinary surgery : VS    December 19, 2009   Volume 38, Issue 8 1012-1013 doi: 10.1111/j.1532-950X.2009.00595.x
Robinson E, Carmalt JL.To report inguinal herniation of the ascending colon in a Standardbred colt. Methods: Case report. Methods: A 6-month-old Standardbred colt. Methods: The colt underwent surgical exploration of the hernia with large colon resection and anastomosis. Results: A successful large colon resection and anastomosis was completed, however, the colt was euthanatized at the end of surgery upon owner request. Conclusions: Although uncommon, indirect inguinal herniation of the ascending colon can occur in young horses.
Race performance after laryngoplasty and ventriculocordectomy in National Hunt racehorses.
Veterinary surgery : VS    December 19, 2009   Volume 38, Issue 8 941-945 doi: 10.1111/j.1532-950X.2009.00600.x
Barakzai SZ, Boden LA, Dixon PM.To evaluate the effect of laryngoplasty (LP) on race performance in longer distance (National Hunt) Thoroughbred racehorses. Methods: Case-control study. Methods: National Hunt Thoroughbred racehorses (n=71) and race-matched controls (n=126). Methods: Race records for National Hunt racehorses that had LP and ventriculocordectomy were analyzed and racing performance was compared with race-matched controls. Results: Sixty-three of 71 cases were matched with controls. Postoperatively, 78% of cases raced, 47% improved their individual performance and cases were as likely to start in 1 or 3 races a...
Carpometacarpal osteoarthritis in thirty-three horses.
Veterinary surgery : VS    December 19, 2009   Volume 38, Issue 8 998-1005 doi: 10.1111/j.1532-950X.2009.00589.x
Panizzi L, Barber SM, Lang HM, Carmalt JL.To describe signalment, clinical, and radiographic changes associated with carpometacarpal osteoarthritis (CMC-OA) and to report long-term outcome. Methods: Case series. Methods: Horses (n=33) with CMC-OA. Methods: Medical records (1992-2007) of horses diagnosed with CMC-OA were reviewed and signalment, clinical, and radiographic findings retrieved. Owners were contacted for information on the impact of lameness on intended use, response to treatment, progression of lameness, outcome, and owner satisfaction with response to treatment. Results: CMC-OA identified in 39 limbs, occurred predominan...
Use of propofol-xylazine and the Anderson Sling Suspension System for recovery of horses from desflurane anesthesia.
Veterinary surgery : VS    December 19, 2009   Volume 38, Issue 8 927-933 doi: 10.1111/j.1532-950X.2009.00599.x
Steffey EP, Brosnan RJ, Galuppo LD, Mama KR, Imai A, Maxwell LK, Cole CA, Stanley SD.To characterize the behavior of horses recovering in the Anderson Sling Suspension System after 4 hours of desflurane anesthesia and postdesflurane intravenous (IV) administration of propofol and xylazine. Methods: Experimental study. Methods: Healthy horses (n=6), mean+/-SEM age 12.3+/-1.8 years; mean weight 556+/-27 kg. Methods: Each horse was anesthetized with xylazine, diazepam, and ketamine IV and anesthesia was maintained with desflurane in O(2). At the end of 4 hours of desflurane, each horse was positioned in the sling suspension system and administered propofol-xylazine IV. Recovery e...
Challenging the current paradigm of equine castration.
Veterinary surgery : VS    September 29, 2009   Volume 38, Issue 7 902-903 doi: 10.1111/j.1532-950X.2009.00591.x
Maxwell JA.No abstract available
Endoscope-guided balloon sinuplasty of the equine nasomaxillary opening.
Veterinary surgery : VS    September 29, 2009   Volume 38, Issue 7 791-797 doi: 10.1111/j.1532-950X.2009.00579.x
Bell C, Tatarniuk D, Carmalt J.To describe and evaluate an endoscope-guided balloon sinuplasty technique for dilation of the equine nasomaxillary opening (NMO). Methods: Experimental study. Methods: Equine cadaver heads (n=5); Quarter Horses (n=4). Methods: A custom rigid balloon introducer was passed into position within the NMO at the caudal recess of the middle meatus. Under endoscopic guidance, a balloon catheter was passed via the introducer into the NMO and inflated to 6 atmospheres, for 30 seconds 3 times, to dilate the NMO. Drainage rates after sinuplasty were evaluated for the caudal maxillary sinus in 5 cadaver he...
Arthrodesis of the equine proximal interphalangeal joint: a biomechanical comparison of two parallel headless, tapered, variable-pitched, titanium compression screws and two parallel 5.5 mm stainless-steel cortical screws.
Veterinary surgery : VS    September 29, 2009   Volume 38, Issue 7 861-867 doi: 10.1111/j.1532-950X.2009.00574.x
Wolker RR, Carmalt JL, Wilson DG.To compare the biomechanical characteristics, failure mode, and effects of side (left or right limb) and end (forelimb or hindlimb) of different screws in 2-screw, parallel-screw proximal interphalangeal joint arthrodesis constructs in horses. Methods: In vitro experimental study. Methods: Twenty limbs from 6 cadavers (4 complete limb sets, 2 partial sets-total of 4 forelimb and 6 hindlimb pairs). Methods: Two parallel 5.5 mm cortical (AO) screws were inserted in lag fashion in 1 randomly allocated limb of a pair, and 2 parallel headless, tapered, variable-pitched, titanium compression screws ...
A lateral approach for screw repair in lag fashion of spiral third metacarpal and metatarsal medial condylar fractures in horses.
Veterinary surgery : VS    August 14, 2009   Volume 38, Issue 6 681-688 doi: 10.1111/j.1532-950X.2009.00503.x
Smith LC, Greet TR, Bathe AP.To describe a lateral approach for screw fixation in lag fashion of simple spiral medial condylar fractures of the third metacarpus/metatarsus (MC3/MT3). Methods: Case series. Methods: Thoroughbred racehorses (n=9). Methods: Nondisplaced medial MC3/MT3 condylar fractures (3 thoracic, 6 pelvic limbs), with mean length 126 mm (range, 91-151 mm) were repaired by internal fixation, under general anesthesia, using multiple 4.5 mm cortical screws inserted in lag fashion from the lateral aspect of the limb, using radiographic or fluoroscopic guidance. Horses were recovered from anesthesia in half-lim...
A lateral approach to the repair of propagating fractures of the medial condyle of the third metacarpal and metatarsal bone in 18 racehorses.
Veterinary surgery : VS    August 14, 2009   Volume 38, Issue 6 689-695 doi: 10.1111/j.1532-950X.2009.00562.x
Wright IM, Smith MR.To report the technique, observations on fracture configurations and results of treatment by fixation lag screw following the fracture plane determined by an approach to the third metacarpal/metatarsal bone (MC3/MT3) that begins laterally over the metacarpo(metatarso)phalangeal joint and extends dorsally over the diaphysis of the bone. Methods: Case series. Methods: Thoroughbred horses (n=18) with propagating fractures of the medial condyle of MC3/MT3. Methods: Retrospective analysis of case records of horses with fractures of the medial condyle of MC3/MT3 that propagated sagittaly or in a spi...
Acute phase response to surgery of varying intensity in horses: a preliminary study.
Veterinary surgery : VS    August 14, 2009   Volume 38, Issue 6 762-769 doi: 10.1111/j.1532-950X.2009.00564.x
Jacobsen S, Nielsen JV, Kjelgaard-Hansen M, Toelboell T, Fjeldborg J, Halling-Thomsen M, Martinussen T, Thoefner MB.To evaluate the postoperative inflammatory response of horses to elective surgery of varying intensity. Methods: Prospective longitudinal study. Methods: Horses referred to 2 hospitals for either arthroscopic removal of a unilateral osteochondritic lesion in the tibiotarsal joint (minimal surgical trauma, n=11), correction of recurrent laryngeal neuropathy by laryngoplasty and ventriculectomy (intermediate surgical trauma, n=10) or removal of an ovarian tumor by laparotomy (major surgical trauma, n=5). Methods: Horses had a thorough clinical examination every day. White blood cell (WBC) counts...
An in vitro biomechanical comparison of dynamic condylar screw plate combined with a dorsal plate and double plate fixation of distal diaphyseal radial osteotomies in adult horses.
Veterinary surgery : VS    August 14, 2009   Volume 38, Issue 6 719-731 doi: 10.1111/j.1532-950X.2009.00522.x
Janicek JC, Wilson DA, Carson WL, Kramer J.To compare stiffness and strength of a dynamic condylar screw plate combined with dorsal broad dynamic compression plate (DCS-bDCP) fixation with double broad dynamic compression plate (dbDCP) fixation used to repair oblique distal fractures of adult equine radii. Methods: Experimental. Methods: Adult equine radii (n=10 pair). Methods: An unconstrained three-dimensional loading-measurement system was used to determine stiffness of a 50 mm long intact, and then DCS-bDCP or dbDCP-plated osteotomized/ostectomized segment of radii when subjected to a nondestructive sequence of compression, torsion...
Carboxymethylcellulose and adhesion formation in horses.
Veterinary surgery : VS    July 4, 2009   Volume 38, Issue 3 428-429 doi: 10.1111/j.1532-950X.2009.00497_2.x
Freeman DE.No abstract available
Use of computed tomography in standing position to identify guidelines for screw insertion in the distal phalanx of horses: an ex vivo study.
Veterinary surgery : VS    July 4, 2009   Volume 38, Issue 3 373-379 doi: 10.1111/j.1532-950X.2009.00502.x
Vandeweerd JM, Perrin R, Launois T, Brogniez L, Clegg PD, Desbrosse FG.To compare the precision of radiography and computed tomography (CT) preoperatively in the standing position for identification of guidelines for screw insertion in the distal phalanx, and to identify whether standing CT might improve operative time compared with preoperative radiographic planning. Methods: Experimental ex vivo study. Methods: Cadaveric equine thoracic limb pairs (n=10). Methods: Insertion of a 4.5 mm cortex screw in lag fashion into an intact distal phalanx was evaluated in 2 groups (n=10) of cadaveric equine thoracic limbs. In 1 group, the site, direction, and length of the ...
Sinoscopic treatment of rostral maxillary and ventral conchal sinusitis in 60 horses.
Veterinary surgery : VS    July 4, 2009   Volume 38, Issue 5 613-619 doi: 10.1111/j.1532-950X.2009.00556.x
Perkins JD, Windley Z, Dixon PM, Smith M, Barakzai SZ.To evaluate the use of sinoscopy for detection and treatment of ventral conchal sinus (VCS) and/or rostral maxillary sinus (RMS) disease in horses. Methods: Case series Methods: Horses (n=60) with suspected paranasal sinus disease. Methods: Horses were evaluated by sinoscopy through a conchofrontal sinus (CFS) portal with ventral conchal bulla (VCB) fenestration. Other endoscopic sinus approaches and adjunctive diagnostic tests; oral examination, computed tomography, radiography, scintigraphy and endoscopic examination of the upper portion of the respiratory tract were used in some horses. Res...
Laparoscopic mesh incisional hernioplasty in five horses.
Veterinary surgery : VS    July 4, 2009   Volume 38, Issue 3 318-325 doi: 10.1111/j.1532-950X.2009.00511.x
Caron JP, Mehler SJ.To report a technique for incisional hernioplasty in horses using laparoscopic placement of a prosthetic mesh. Methods: Case series. Methods: Horses (n=5) with ventral median abdominal incisional hernia. Methods: A telescope and 2 instrument portals were established bilaterally, lateral to and distant from the hernia margins. After exposure of the internal rectus sheath by removal of retroperitoneal fat with endoscopic scissors and monopolar cautery, a prosthetic mesh was introduced into the abdomen and secured intraperitoneally using transfascial sutures with or without supplemental endoscopi...
A tangential radiographic projection for investigation of the equine temporomandibular joint.
Veterinary surgery : VS    July 4, 2009   Volume 38, Issue 5 601-606 doi: 10.1111/j.1532-950X.2009.00536.x
Townsend NB, Cotton JC, Barakzai SZ.To (1) describe a tangential radiographic projection of the equine temporomandibular joint (TMJ) and (2) optimize the radiographic angle and determine its use in standing sedated horses. Methods: Descriptive study. Methods: Cadaveric equine skulls (n=11); 8 horses with a history of quidding or headshaking. Methods: Tangential radiographic projections were taken of a TMJ of a cadaveric skull before and after intra-articular injection of radiographic contrast. Additional tangential radiographic projections were taken after TMJ dissection and placement of a wire along the articular surface of the...
Treatment of a periarticular tibial fracture in a foal with a hybrid external fixator.
Veterinary surgery : VS    July 4, 2009   Volume 38, Issue 5 650-653 doi: 10.1111/j.1532-950X.2009.00549.x
De Godoy RF, Filgueiras RR, Gontijo LA, Ximenes FH, De Gouvêa LV, Da Silva Pereira C, Almeida RM, Leite CR, Neto AR, Borges JR.To report repair of a right proximal tibial Salter-Harris type II fracture in a foal with a hybrid external fixator (HEF). Methods: Case report. Methods: A 5-month-old male foal. Methods: After open surgical reduction, an HEF built with wires, 2 half-rings, 3 half-threaded connecting rods, and Schanz pins was used to stabilize the fracture. Results: Immediately after surgery, the foal had relatively good weight bearing. The HEF was removed at 60 days after radiographic confirmation of healing. Conclusions: HEF can be used to stabilize a proximal tibial Salter-Harris type II fracture in a 5-mon...
Surgical treatment of gastric outflow obstruction in 40 foals.
Veterinary surgery : VS    July 4, 2009   Volume 38, Issue 5 623-630 doi: 10.1111/j.1532-950X.2009.00539.x
Zedler ST, Embertson RM, Bernard WV, Barr BS, Boston RC.To report short- and long-term survival and factors affecting outcome of foals after surgical correction of gastric outflow obstruction. Methods: Case series. Methods: Foals (n=40) aged 5-180 days. Methods: Clinical signs, laboratory data, diagnostic imaging, surgical findings, surgical procedures, medical treatment, and necropsy findings were retrieved from medical records. Outcome was obtained by reviewing performance, sales, and produce records or by telephone conversations with the owners. Results: Gastric outflow obstruction was treated by gastroduodenostomy or by gastrojejunostomy with o...
Comparison of the diagnostic value of ultrasonography and standing radiography for pelvic-femoral disorders in horses.
Veterinary surgery : VS    July 4, 2009   Volume 38, Issue 3 310-317 doi: 10.1111/j.1532-950X.2009.00508.x
Geburek F, Rötting AK, Stadler PM.To assess agreement between ultrasonography (transcutaneous and transrectal) and standing radiography in horses with fractures in the pelvic region and disorders of the coxofemoral joint. Methods: Case series. Methods: Warmblood horses (n=23) and 2 ponies. Methods: Medical records (1999-2008) of equids with pelvic or coxofemoral disorders that had pelvic radiography and ultrasonography were retrieved and results of both techniques compared. Results: Radiography and ultrasonography each identified equal numbers of fractures of the tuber coxa (n=4), ilial shaft (2), ischium (3), femoral neck (2)...
Prevalence of and risk factors for postoperative ileus after small intestinal surgery in two hundred and thirty-three horses.
Veterinary surgery : VS    July 4, 2009   Volume 38, Issue 3 368-372 doi: 10.1111/j.1532-950X.2008.00479.x
Holcombe SJ, Rodriguez KM, Haupt JL, Campbell JO, Chaney KP, Sparks HD, Hauptman JG.To determine the incidence of postoperative ileus (POI) in a population of horses after small intestinal surgery and the effect of multiple variables on development of POI. Methods: Case series. Methods: Horses (n=233) aged > or =1 year that had exploratory celiotomy for small intestinal disease that recovered from surgery from 1995 to 2005. Methods: Sixty-eight variables were collected from medical records (1995-2005) for each horse. POI was defined as nasogastric reflux volume >20 L over 24 hours or >8 L at any single time after surgery. Results: Twenty-seven percent (64/233) of hor...
Comparison of sinoscopic techniques for examining the rostral maxillary and ventral conchal sinuses of horses.
Veterinary surgery : VS    July 4, 2009   Volume 38, Issue 5 607-612 doi: 10.1111/j.1532-950X.2009.00555.x
Perkins JD, Bennett C, Windley Z, Schumacher J.To develop a reliable technique for sinoscopic examination of the ventral conchal (VCS) and rostral maxillary sinuses (RMS) of horses Methods: Descriptive study Methods: Cadaveric equine heads (n=40) Methods: The VCS and RMS were examined endoscopically using: (1) rostral trephination of the RMS (rostral RMS approach); (2) caudal trephination of the RMS (caudal RMS approach); (3) conchofrontal sinus (CFS) trephination followed by RMS trephination at a site identified by endoscopic transillumination of the maxillary bone at the most rostral aspect of the caudal maxillary sinus (CMS) (light-indi...
Arthroscopic removal of metallic foreign body from the talocrural joint using a magnetic retriever in a horse.
Veterinary surgery : VS    July 4, 2009   Volume 38, Issue 5 620-622 doi: 10.1111/j.1532-950X.2009.00538.x
Jansson N.To report use of a magnetic retriever for arthroscopic removal of a metallic foreign body from the equine talocrural joint. Methods: Clinical report. Methods: A 2-year-old Warmblood stallion. Methods: A metallic foreign body was removed from a talocrural joint using a 10-mm magnetic retriever under arthroscopic guidance. Preoperative radiographs were used to locate the intra-articular position of the foreign body. Results: Six months after surgery, the horse was no longer lame. Conclusions: A magnetic retriever can be used for arthroscopic removal of metallic foreign bodies from the equine tal...
Long-term outcome in 44 horses with stifle lameness after arthroscopic exploration and debridement.
Veterinary surgery : VS    June 23, 2009   Volume 38, Issue 4 543-551 doi: 10.1111/j.1532-950X.2009.00524.x
Cohen JM, Richardson DW, McKnight AL, Ross MW, Boston RC.To (1) examine the outcome in horses with osteoarthritis or intra-articular soft tissue injuries of the stifle after arthroscopic exploration and debridement and (2) to determine any imaging or surgical findings that may influence prognosis. Methods: Case series. Methods: Horses (n=44) with lameness referable to the stifle, diagnosed with osteoarthritis, meniscal tears, or other intra-articular soft tissue injuries based on arthroscopic examination. Methods: Medical records of horses with stifle lameness that had arthroscopic exploration were reviewed. Horses with osteochondrosis lesions, intr...
In vitro and in vivo evaluation of ferric-hyaluronate implants for delivery of amikacin sulfate to the tarsocrural joint of horses.
Veterinary surgery : VS    June 23, 2009   Volume 38, Issue 4 498-505 doi: 10.1111/j.1532-950X.2009.00518.x
Cribb NC, Bouré LP, Hanna WJ, Akens MK, Mattson SE, Monteith GJ, Weese JS.To assess the antimicrobial elution characteristics, toxicity, and antimicrobial activity of amikacin-impregnated ferric-hyaluronate implants (AI-FeHAI) for amikacin delivery to the tarsocrural joint of horses. Methods: Experimental study. Methods: AI-FeHAI implants, equine cartilage, and synovium, and horses (n=6). Methods: In vitro study: Five AI-FeHAI were placed in saline solution with daily replacement until implant degradation. Eluent was tested for amikacin concentration and bioactivity. Synovial and cartilage explants were incubated in the presence or absence of AI-FeHAI for 72 hours a...
Ventral locking compression plate for treatment of cervical stenotic myelopathy in a 3-month-old warmblood foal.
Veterinary surgery : VS    June 23, 2009   Volume 38, Issue 4 537-542 doi: 10.1111/j.1532-950X.2009.00523.x
Reardon R, Kummer M, Lischer C.To report a novel technique for cervical vertebral fusion in a foal with cervical vertebral malformation (CVM). Methods: Case report. Methods: A 3-month-old Warmblood filly with ataxia, weakness, and stenotic myelopathy at the level of the articulation of the 6th (C6) and 7th (C7) cervical vertebrae had a 7-hole broad locking compression plate (LCP) applied to the ventral aspect of C6 and C7 using seven 5.0-mm locking screws. Revision surgery was required to replace the self-drilling screws, which had migrated, with longer non self-drilling screws. Fusion and growth of the vertebrae were monit...
Effect of prosthesis number and position on rima glottidis area in equine laryngeal specimens.
Veterinary surgery : VS    June 23, 2009   Volume 38, Issue 4 452-456 doi: 10.1111/j.1532-950X.2009.00525.x
Dart A, Tee E, Brennan M, Dart C, Perkins N, Chapman S, Debney S.To assess the effect of 1 or 2 laryngeal prosthetic sutures on rima glottidis areas in equine laryngeal specimens. Methods: Experimental, randomized design. Methods: Cadaveric equine larynges (n=16). Methods: Larynges were collected from 10 horses; 2 sutures each were preplaced in the right and left sides of each larynx. A dorsal suture (DS) was placed through the caudal rim of the dorsal midline of the cricoid cartilage, under the cricopharyngeus muscle and through the proximal and rostral aspect of the muscular process. A lateral suture (LS) was placed 1.5 cm lateral to the DS and through th...
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