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Topic:Equine Health

Equine health encompasses the study and management of diseases, disorders, and overall well-being of horses. It involves understanding various physiological systems, preventive care, and treatment strategies to maintain optimal health in equine populations. Common areas of focus include nutrition, infectious diseases, orthopedic conditions, and reproductive health. Research in equine health aims to advance knowledge on diagnostic methods, therapeutic interventions, and management practices that improve horse welfare and performance. This page collects peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine health, offering insights into current findings and advancements in the field.
Renal replacement therapy in healthy adult horses.
Journal of veterinary internal medicine    March 4, 2013   Volume 27, Issue 2 308-316 doi: 10.1111/jvim.12049
Wong DM, Witty D, Alcott CJ, Sponseller BA, Wang C, Hepworth K.Renal replacement therapy (RRT) has been implemented extensively in people to facilitate recovery from acute renal failure (ARF). RRT has not been explored in horses, but might provide a further treatment option in horses with ARF. Objective: To investigate efficacy and safety of RRT in horses. Methods: Five healthy adult horses. Methods: A prospective study was performed on horses restrained in stocks and intravenously connected to a commercial RRT machine to allow continuous venovenous hemodiafiltration to be performed for 6 hours. The RRT machine was set at the following flow rates: blood ...
Detection of A/B toxin and isolation of Clostridium difficile and Clostridium perfringens from foals.
Equine veterinary journal    March 3, 2013   Volume 45, Issue 6 671-675 doi: 10.1111/evj.12046
Silva RO, Ribeiro MG, Palhares MS, Borges AS, Maranhão RP, Silva MX, Lucas TM, Olivo G, Lobato FC.Toxin detection and screening could contribute to knowledge of the transmission patterns, risk factors and epidemiology of Clostridium difficile and Clostridium perfringens. Objective: To isolate C. difficile and C. perfringens and to detect A/B toxins in faecal samples from diarrhoeic and nondiarrhoeic foals. Methods: Cross-sectional observational study. Methods: A total of 153 samples from foals were collected: 139 samples from farms and 14 samples from diarrhoeic foals admitted to a veterinary hospital. The A/B toxins were detected by cytotoxicity assay. All suspected colonies of C. perfrin...
Clinical evaluation of a closed, one-stage, stapled, functional, end-to-end jejuno-ileal anastomosis in 5 horses.
The Canadian veterinary journal = La revue veterinaire canadienne    March 2, 2013   Volume 53, Issue 9 987-991 
Anderson SL, Blackford JT, Kelmer SG.This study describes the outcome and complications in horses that had a closed, one-stage, stapled, functional, end-to-end (COSFE) jejuno-ileal anastomosis (JIA) following resection of compromised small intestine. Medical records were reviewed to identify all horses that had a COSFE JIA performed during exploratory laparotomy and to determine post-operative complications and final outcome. All 5 horses that were identified had successful COSFE JIA with resection of various amounts of distal jejunum and proximal ileum. Post-operative ileus occurred in 1 of the 5 horses. All horses survived at l...
Retrospective study investigating causes of abnormal respiratory noise in horses following prosthetic laryngoplasty.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 27-30 doi: 10.1111/j.2042-3306.2012.00612.x
Compostella F, Tremaine WH, Franklin SH.To investigate causes of respiratory noises in horses following prosthetic laryngoplasty (with or without a ventriculocordectomy) and to examine potential associations between degree of arytenoid abduction and the presence of other upper respiratory tract (URT) abnormalities, including right-sided collapse. Methods: Clinical records and dynamic videoendoscopic recordings were examined from horses presented between 1995 and 2010 for investigation of respiratory noise during exercise, following a prosthetic laryngoplasty (+/- a ventriculocordectomy). Relationships between the degree of left aryt...
Equine piroplasmosis treatment protocols: specific effect on orocaecal transit time as measured by the lactose 13C-ureide breath test.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 62-67 doi: 10.1111/j.2042-3306.2012.00656.x
Kutscha J, Sutton DG, Preston T, Guthrie AJ.Imidocarb dipropionate is the drug of choice for equine piroplasmosis but its administration causes severe colic and diarrhoea. An imidocarb protocol that reduces these effects is needed. Objective: 1) Quantification of the effects of imidocarb dipropionate on equine orocaecal transit time (OCTT), with and without atropine or glycopyrrolate premedication and 2) investigation of an improved pretreatment regimen for imidocarb administration. Objective: Treatment with imidocarb dipropionate will result in colic and reduced OCTT as demonstrated by the lactose 13C-ureide breath test which will be a...
Identification of periparturient mare and foal associated predictors of post parturient immunoglobulin A concentrations in Thoroughbred foals.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 73-77 doi: 10.1111/j.2042-3306.2012.00648.x
Jenvey C, Caraguel C, Howarth GB, Riley CB.Prior to the start of endogenous production of immunoglobulins (Igs), absorption of maternal Igs is important to protect against pathogens in the early neonatal period. It is possible that mare- or foal-associated factors may influence neonatal IgA concentrations. Objective: The temporal relationships among serum and milk IgA concentrations in Thoroughbred mare-foal pairs were explored to determine if periparturient mare- and foal-associated factors contribute to the prediction of foal serum IgA concentrations. Methods: Blood and milk samples as well as complete veterinary records, were collec...
The addition of ticarcillin-clavulanic acid to INRA 96 extender for stallion semen cooling.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 95-99 doi: 10.1111/j.2042-3306.2012.00638.x
Dean CJ, Hobgood AM, Blodgett GP, Love CC, Blanchard TL, Varner DD.A commonly used commercial extender (i.e. INRA 96) contains antimicrobials that may have limited effectiveness. Therefore, addition of ticarcillin-clavulanic acid to this extender is a widespread procedure in the equine breeding industry in the United States. However, such practice has not been critically evaluated. Objective: To evaluate the addition of ticarcillin-clavulanic acid to INRA 96 and different extender and antimicrobial storage conditions on sperm function and antimicrobial effectiveness. Methods: Gel-free semen (42 ejaculates from 14 mature Quarter Horse stallions) was extended w...
Variability in particulate concentrations in a horse training barn over time.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 51-56 doi: 10.1111/j.2042-3306.2012.00647.x
Ivester KM, Smith K, Moore GE, Zimmerman NJ, Couëtilt LL.Exposure of horses to airborne particulates during stable confinement has been linked with airway inflammation in these animals. Understanding that link requires accurate measures of exposures and greater understanding of the sources of variability in these exposures. Objective: Area and breathing zone particulate concentrations were measured over time in order to determine the relative variability introduced by daily, monthly or between horse variations. Additionally, the relationship between area and breathing zone respirable particulate concentrations was examined. Methods: The study was co...
Selenium deficiency associations with gender, breed, serum vitamin E and creatine kinase, clinical signs and diagnoses in horses of different age groups: a retrospective examination 1996-2011.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 31-35 doi: 10.1111/j.2042-3306.2012.00643.x
Streeter RM, Divers TJ, Mittel L, Korn AE, Wakshlag JJ.Selenium and vitamin E deficiency have been associated with nutritional myopathy, more commonly known as white muscle disease (WMD) in horses. However, correlations between selenium concentrations and presenting clinical signs, age, breed, gender, serum vitamin E, creatine kinase (CK) and final diagnosis, have not previously been evaluated. Objective: To determine the number of hospitalised horses in 3 age groups that were selenium tested and the proportions of horses with categorised presenting clinical signs; the association/odds risk of final diagnosis with selenium deficiency and to examin...
Retrospective study on equine uterine fungal isolates and antifungal susceptibility patterns (1999-2011).
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 84-87 doi: 10.1111/j.2042-3306.2012.00608.x
Beltaire KA, Cheong SH, Coutinho da Silva MA.Knowledge of commonly encountered fungi infecting the mare's reproductive tract and their respective drug susceptibilities should improve treatment efficacy in mares with fungal endometritis. This is particularly important when practitioners need to start empiric treatment before culture results are complete. Objective: To report the spectrum of fungal isolates from uterine samples from mares with reproductive problems and their respective antifungal susceptibilities. Methods: Equine uterine samples submitted to the Cornell University Animal Health Diagnostic Centre for fungal culture between ...
The clinical and pathological features of gastric impaction in twelve horses.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 105-110 doi: 10.1111/j.2042-3306.2012.00674.x
Bird AR, Knowles EJ, Sherlock CE, Pearson GR, Mair TS.Gastric impaction in the horse is poorly described in the veterinary literature. Objective: To review the clinical and pathological features of gastric impaction. Methods: The clinical details of horses presenting with colic over a 7-year period and cases in which gastric impaction was considered to determine the outcome were reviewed. Clinical and clinicopathological data were recorded. Results: Twelve cases of gastric impaction were recorded (1.4% of 857 horses hospitalised for colic). Diagnosis was achieved by ultrasonographic examination, gastroscopy, exploratory celiotomy and/or post mort...
The use of maggot debridement therapy in 41 equids.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 120-125 doi: 10.1111/j.2042-3306.2012.00609.x
Lepage OM, Doumbia A, Perron-Lepage MF, Gangl M.Maggot debridement therapy is a long-established tool to promote wound healing. Objective: To describe and assess the results of this technique in equids with various lesions. Methods: Retrospective analysis performed on cases in which, depending on clinical case, type, size and location of the wound, maggots were applied either in direct or indirect contact with the wound. Results: Treated cases (n = 41) included horses with foot pathology (n = 9), laceration of the limbs (n = 15), other soft tissue abscesses or wounds (n = 6), fistulous withers (n = 5), other musculoskeletal infection (n = 2...
Magnetic resonance and radiographic diagnosis of osseous resorption of the flexor surface of the distal phalanx in the horse.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 3-7 doi: 10.1111/j.2042-3306.2012.00675.x
Young AC, Dimock AN, Puchalski SM, Murphy B, Spriet M.Osseous resorption of the flexor surface of the distal phalanx of the horse has been identified previously using magnetic resonance (MR) imaging; however, little is known about the prevalence and characteristics of this lesion. Objective: To establish the MR prevalence of resorptive lesions in the flexor surface of the distal phalanx and identify concurrent lesions associated with this finding and associations between the MR and radiographic findings. Methods: Horses with distal extremity MR and radiographs performed within 2 weeks of each other were included in the study. The flexor surface o...
Effects of repeated transvaginal aspiration of immature follicles on mare health and ovarian status.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 78-83 doi: 10.1111/j.2042-3306.2012.00606.x
Velez IC, Arnold C, Jacobson CC, Norris JD, Choi YH, Edwards JF, Hayden SS, Hinrichs K.Transvaginal ultrasound-guided follicle aspiration (TVA) is performed clinically but there is little information available on complications associated with this procedure. Objective: It is possible that TVA is associated with damage to the ovary and may induce peritonitis or peritoneal adhesions. This study was conducted to determine the effect of repeated TVA on mare health and ovarian status. Methods: Thirty-two mares were used for oocyte recovery via repeated TVA over a 3 year period; different mares were used each year. In Year 1, ovarian status was monitored in 11 mares by transrectal pal...
Use of a wireless, inertial sensor-based system to objectively evaluate flexion tests in the horse.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 8-11 doi: 10.1111/j.2042-3306.2012.00611.x
Marshall JF, Lund DG, Voute LC.A wireless, inertial sensor-based system has previously been validated for evaluation of equine lameness. However, threshold values have not been determined for the assessment of responses to flexion tests. The aim of this investigation was to evaluate a sensor-based system for objective assessment of the response to flexion. Methods: Healthy adult horses (n = 17) in work were recruited prospectively. Horses were instrumented with sensors on the head (accelerometer), pelvis (accelerometer) and right forelimb (gyroscope), before trotting in a straight line (minimum 25 strides) for 2 consecutive...
Surgical treatment for acute small intestinal obstruction caused by Parascaris equorum infection in 15 horses (2002-2011).
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 111-114 doi: 10.1111/j.2042-3306.2012.00607.x
Tatz AJ, Segev G, Steinman A, Berlin D, Milgram J, Kelmer G.There is a consensus in the veterinary literature that Parascaris equorum (ascarid) impaction carries a poor prognosis. Hence surgery is often delayed and foals are often subjected to euthanasia after diagnosis of ascarid impaction is established. Our clinical impression was that ascarid impaction carries a better prognosis than previously reported. Objective: Our expectation was that manually evacuating the impaction into the caecum, thus refraining from opening the small intestine, would improve the prognosis for survival of horses with ascarid impaction. The aim of this study was to examine...
Pathological evidence of pancreatitis in 43 horses (1986-2011).
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 45-50 doi: 10.1111/j.2042-3306.2012.00636.x
Yamout SZ, Nieto JE, Anderson J, De Cock HE, Vapniarsky N, Aleman M.Definitive ante mortem diagnosis of pancreatitis in horses is difficult. Reports summarising the most common clinical signs, clinicopathological features and concurrent disorders in horses with a definitive diagnosis of pancreatitis that may aid in the recognition of disease are lacking. Objective: To describe case details, clinical signs, clinicopathological data and necropsy findings in horses with a definitive diagnosis of pancreatitis. Methods: This was a retrospective study (1986-2011) and inclusion criteria consisted of horses with a definitive diagnosis of pancreatitis. A medical record...
Visual outcome after corneal transplantation for corneal perforation and iris prolapse in 37 horses: 1998-2010.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 115-119 doi: 10.1111/j.2042-3306.2012.00657.x
Henriksen Mde L, Plummer CE, Mangan B, Ben-Shlomo G, Tsujita H, Greenberg S, Toft N, Brooks DE.We wanted to investigate the visual outcome of horses presented with iris prolapse and treated with corneal transplantation. Objective: To evaluate the visual outcome of horses with iris prolapse treated with penetrating keratoplasty alone and penetrating keratoplasty in combination with overlying conjunctival or amniotic membrane grafting. Methods: A retrospective medical records study of horses presented to the University of Florida Veterinary Medical Center for iris prolapse and treated with penetrating keratoplasty in the period of 1998-2010. Data collected from the medical records include...
Effects of repeated intra-articular administration of amikacin on serum amyloid A, total protein and nucleated cell count in synovial fluid from healthy horses.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 12-16 doi: 10.1111/j.2042-3306.2012.00637.x
Sanchez Teran AF, Rubio-Martinez LM, Villarino NF, Sanz MG.Serum amyloid A (SAA) in synovial fluid has recently been used as a marker for septic arthritis in horses but the effects of repeated intra-articular (IA) administration of amikacin on synovial SAA concentrations are unknown. Objective: To report the effect of repeated IA administration of amikacin on SAA, total protein (TP), nucleated cell count (NCC) and differential NCC in synovial fluid of healthy equine joints. Methods: A controlled, 2 period crossover study was performed on 5 clinically healthy horses. Each intercarpal joint received one of 2 treatments every 48 h for 5 consecutive times...
Effect of sample handling and storage time on the stability of total CO2 in equine plasma.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 57-61 doi: 10.1111/j.2042-3306.2012.00610.x
Tinkler SH, Couëtil LL, Constable PD.The stability of total CO2 concentration (ctCO2) in plasma is influenced by storage temperature and handling during sample processing. Conflicting information exists regarding the stability of ctCO2 in equine plasma over time, and the effect of centrifugation on the measured value for plasma ctCO2 is unclear. Objective: To determine plasma ctCO2 stability over 5 days when equine blood is collected into Vacutainer tubes, centrifuged within 30 min of collection, and stored at 4 degrees C; and to determine whether a delay in centrifugation increases the rate at which plasma ctCO2 decreases over t...
Near-fatal misuse of medical tape around an endotracheal tube connector during inhalation anesthesia in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    March 2, 2013   Volume 53, Issue 9 978-982 
Gregson R, Clutton RE.A 7-year-old gelded Irish sports horse weighing 650 kg was anesthetized on 2 consecutive days for lavage of a septic right radio-carpal joint. On both occasions the endotracheal tube connector, which had been bound in medical tape to produce an airtight seal, functioned as a unidirectional valve during mechanical ventilation, retarding expiration, imposing positive end expiratory pressure (PEEP), and probably continuous positive airway pressure (CPAP). The equipment dysfunction was not identified on either occasion despite close inspection prompted by progressive increases in airway pressure a...
Hindlimb kinematics before and after laser fibrotomy in horses with fibrotic myopathy.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 126-131 doi: 10.1111/j.2042-3306.2012.00681.x
Janicek J, Lopes MA, Wilson DA, Reed S, Keegan KG.Fibrotic myopathy can cause incapacitating gait abnormalities. Transection of the fibrotic mass followed by early post operative exercise is the best treatment for fibrotic myopathy. A laser may be used to transect the fibrotic mass. Assessment of the effectiveness of therapies for fibrotic myopathy has been limited to subjective evaluation. Objective: To objectively assess gait abnormalities associated with fibrotic myopathy before and after laser fibrotomy followed by early post operative exercise. Methods: Kinematic evaluation of horses with fibrotic myopathy walking and trotting on a tread...
Equine colostral carbohydrates reduce lipopolysaccharide-induced inflammatory responses in equine peripheral blood mononuclear cells.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 68-72 doi: 10.1111/j.2042-3306.2012.00680.x
Vendrig JC, Coffeng LE, Fink-Gremmels J.Increasing evidence suggests that reactions to lipopolysaccharide (LPS), particularly in the gut, can be partly or completely mitigated by colostrum- and milk-derived oligosaccharides. Confirmation of this hypothesis could lead to the development of new therapeutic concepts. Objective: To demonstrate the influence of equine colostral carbohydrates on the inflammatory response in an in vitro model with equine peripheral blood mononuclear cells (PBMCs). Methods: Carbohydrates were extracted from mare colostrum, and then evaluated for their influence on LPS-induced inflammatory responses in PBMCs...
B-mode and Doppler ultrasonography in pony mares with experimentally induced ascending placentitis.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 88-94 doi: 10.1111/j.2042-3306.2012.00658.x
Bailey CS, Heitzman JM, Buchanan CN, Bare CA, Sper RB, Borst LB, Macpherson M, Archibald K, Whitacre M.Early, accurate diagnosis of ascending placentitis in mares remains a key challenge for successful treatment of the disease. Doppler ultrasonography has shown promise as a tool to diagnose pregnancy abnormalities and is becoming more available to equine clinicians. However, to date, no studies have prospectively compared this technique to standard B-mode measurement of the combined thickness of the uterus and placenta (CTUP). Objective: The objective of the current study was to compare Doppler and B-mode ultrasonography for the detection of experimentally-induced ascending placentitis in mares...
Dose titration of the clinical efficacy of intravenously administered flunixin meglumine in a reversible model of equine foot lameness.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 17-20 doi: 10.1111/j.2042-3306.2012.00655.x
Foreman JH, Bergstrom BE, Golden KS, Roark JJ, Coren DS, Foreman CR, Schumacher SA.There are no refereed controlled documentations of the skeletal analgesic efficacy of different dosages of flunixin meglumine (FM). Objective: The objective of this experiment was to compare the efficacy of various dosages of FM with a negative control. The hypothesis was that higher doses would result in improved efficacy in a dose-dependent manner when tested in a reversible model of foot lameness. Methods: Ten horses shod with adjustable heart bar shoes had weekly modified AAEP grade 4.0/5.0 lameness induced by tightening a set screw against the heart bar. Heart rate (HR) and lameness score...
Effect of surgical technique for unilateral orchiectomy on subsequent testicular function in Miniature Horse stallions.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 100-104 doi: 10.1111/j.2042-3306.2012.00639.x
McCormick JD, Valdez R, Rakestraw PC, Varner DD, Blanchard TL, Cavinder CA, Sudderth AK, Kiser A, Love CC.Management decisions on unilateral orchiectomy are often influenced by the potential for post operative return to successful breeding. The effects of 2 surgical methods (first intention [FI] vs. second intention [SI] incision healing) for unilateral orchiectomy on resulting semen quality and scrotal temperature were evaluated. Objective: To evaluate the effects of 2 surgical unilateral orchiectomy techniques on scrotal healing, size of the remaining testis and post operative sperm quality. Methods: Unilateral orchiectomy was performed on mature Miniature Horse stallions. Semen was collected pr...
Influence of head and neck position on radiographic measurement of intervertebral distances between thoracic dorsal spinous processes in clinically sound horses.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 21-26 doi: 10.1111/j.2042-3306.2012.00678.x
Berner D, Winter K, Brehm W, Gerlach K.Reductions in distances between dorsal spinous processes on radiographs are used as criteria for the diagnosis of impingement of the thoracic dorsal spinous processes in horses but are potentially altered by spine motion and different head and neck positions. Objective: To determine the influence of head and neck positions on intervertebral distances between dorsal spinous processes on radiographs of thoracic spines of clinically sound horses. Methods: Lateral-lateral radiographs were obtained from 23 horses in 3 head and neck positions. The width of the thoracic dorsal spinous processes and i...
Acquired equine polyneuropathy in Norway and Sweden: a clinical and epidemiological study.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 36-44 doi: 10.1111/j.2042-3306.2012.00679.x
Gröndahl G, Hanche-Olsen S, Bröjer J, Ihler CF, Jäderlund KH, Egenvall A.Acquired equine polyneuropathy (AEP, also known as 'Scandinavian knuckling syndrome'), is a serious disease of unknown aetiology, which emerged clustering in horse farms in Sweden, Norway and Finland in the 1990s. Clinical and epidemiological data regarding the syndrome are scarce. Objective: To describe the clinical and epidemiological findings and outcome in outbreaks of AEP and compare risk factors in affected and unaffected horses on affected farms in Norway and Sweden during 2007-2009. Methods: Neurological examinations were performed and data collected regarding demography, usage, turnin...
Evaluation of a point-of-care portable analyzer for measurement of plasma immunoglobulin G, total protein, and albumin concentrations in ill neonatal foals.
Journal of the American Veterinary Medical Association    March 1, 2013   Volume 242, Issue 6 812-819 doi: 10.2460/javma.242.6.812
Wong DM, Giguère S, Wendel MA.To compare the diagnostic performance of a point-of-care (POC) analyzer with that of established methods for the measurement of plasma IgG, total protein, and albumin concentrations in neonatal foals. Methods: Evaluation study. Methods: 100 neonatal foals < 7 days of age. Procedures-Plasma IgG, total protein, and albumin concentrations were measured with a POC analyzer via an immunoturbidimetric method. Corresponding measurements of plasma IgG, total protein, and albumin concentrations were measured by means of automated biochemical analyzers via automated immunoturbidimetric, biuret, and b...
Long-term maintenance of arytenoid cartilage abduction and stability during exercise after laryngoplasty in 33 horses.
Veterinary surgery : VS    March 1, 2013   Volume 42, Issue 3 291-295 doi: 10.1111/j.1532-950X.2013.01109.x
Barnett TP, O'Leary JM, Parkin TD, Dixon PM, Barakzai SZ.To (1) assess long-term maintenance of arytenoid cartilage abduction (ACA) after laryngoplasty (LP); and (2) correlate the residual grade of ACA and postoperative abductory loss with arytenoid cartilage stability (ACS) during exercise. Methods: Case series. Methods: Horses re-examined after laryngoplasty (n = 33). Methods: Of 89 LP horses (2005-2010), 33 had historic ACA data available and upper airway endoscopy at rest and during over-ground exercise (mean, 33 months; range, 4-71 months) after surgery. ACA grade at 1 and 6 weeks postoperatively were correlated to long-term ACA grade. Effects ...