Topic:Pharynx
The pharynx in horses is a muscular tube that serves as a passageway for both the respiratory and digestive systems. It connects the nasal and oral cavities to the larynx and esophagus, facilitating the movement of air to the lungs and food to the stomach. The equine pharynx plays a role in breathing, swallowing, and vocalization. Anatomically, it is divided into the nasopharynx, oropharynx, and laryngopharynx, each with distinct functions. This section provides access to peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, and clinical relevance of the pharynx in equine health, including its involvement in respiratory and swallowing disorders.
Field imaging of the respiratory tract. Radiology and ultrasonography. This article addresses the current status and clinical opportunities for portable radiography and ultrasonography. Radiology is indicated for imaging the nasal cavity, larynx, pharynx and thin portions of the neck. In young foals, adequate radiographs of the entire respiratory tract may be possible. Ultrasonography is indicated in superficial parts of the head and neck, the pleural space and diseased parts of the lungfields.
Effect of combined staphylectomy and laryngotomy on upper airway mechanics in clinically normal horses. To investigate the effect of combined staphylectomy and laryngotomy on upper airway mechanics in clinically normal horses running on a treadmill. Methods: 6 Standardbreds. Methods: Upper airway mechanics were measured with horses trotting or pacing on a treadmill at 5, 8, and 10 m/s before and 6 weeks after combined staphylectomy and laryngotomy. Pharyngeal and tracheal inspiratory and expiratory pressure were measured by use of transnasal tracheal and pharyngeal side hole catheters connected to differential pressure transducers. A pneumotachograph mounted on the rostral end of an airtight fac...
Effects of bilateral hypoglossal and glossopharyngeal nerve blocks on epiglottic and soft palate position in exercising horses. To determine the effect of bilateral hypoglossal and and glossopharyngeal nerve block on epiglottic and soft palate position and tracheal and pharyngeal pressures in exercising horses. Methods: 5 Standardbreds. Methods: Tracheal and pharyngeal pressures were measured in 5 Standardbreds exercising at the speed at which the horses achieved 50, 75, and 100% of maximal heart rate after bilateral hypoglossal and glossopharyngeal nerve block and without nerve block. Nerve block was achieved by injection of 1 to 2 ml of 2% mepivicaine hydrochloride between the glossopharyngeal and hypoglossal nerves,...
Effects of sedation, anesthesia, and endotracheal intubation on respiratory mechanics in adult horses. To determine the effects of endotracheal intubation on respiratory mechanics during xylazine sedation and xylazine-diazepam-ketamine anesthesia in adult horses. Methods: 5 healthy adult horses. Methods: Measurements were derived from recordings of respiratory gas flow, and transpulmonary and transtracheal pressures. Total pulmonary resistance (RT) was partitioned into upper airway resistance (extrathoracic portion of trachea, larynx, pharynx, nasal cavity, nares; RUA) and lower airway resistance (intrathoracic portion of trachea, bronchi, bronchioles). Baseline measurements were obtained in un...
Functional anatomy observations of the pharyngeal orifice of the equine guttural pouch (auditory tube diverticulum). The pharyngeal orifice of the equine auditory tube has not been adequately described. Its larger size and position, further rostral within the nasopharynx compared with other species, cannot be easily explained, but could be important for the proposed brain-cooling function of the guttural pouches; however, unlike other species, it may not be the sole regulator of auditory tube aeration. A 'second orifice' (representing the final entrance to the auditory tube diverticulum) deserves recognition in performing a role in air exchange between the auditory tube, diverticulum and middle ear. The resu...
Airflow mechanics in models of equine obstructive airway disease under conditions simulating exercise. Effects of respiratory tract obstructions on ventilatory mechanics in horses exercising at high speeds were tested with a fibreglass replica of the airways (nares to mainstem bronchi) of an adult horse. Segmental pressures were recorded at six sites along the model at four different unidirectional flows (1300-4100 litre min-1), and the respective resistances (R) to airflow were calculated. The external nares and the larynx made the greatest contributions to the total resistance (RTOT) when no obstruction was present. Modifying the model to simulate severe pharyngeal lymphoid hyperplasia (PLH) ...
Effect of bilateral tenectomy of the tensor veli palatini muscle on soft palate function in horses. To determine the effect of bilateral tenectomy of the tensor veli palatini muscle on soft palate and nasopharyngeal function in exercising horses. Methods: 5 Standardbreds. Methods: Treadmill videoendoscopy was performed on 5 Standardbreds exercising at 50, 75, and 100% of the speed that produced maximum heart rate; tracheal and pharyngeal pressures were measured before and after surgery. Tenectomy of the tensor veli palatini muscle was performed bilaterally on each horse while under general anesthesia, using a transoral approach. Results: Peak inspiratory tracheal pressures were significantly...
[Immunopathology of Borna disease in the horse: clinical, virological and neuropathologic findings]. Tissues from nine horses and one donkey suffering from natural Borna disease were investigated. Clinically, all animals demonstrated progressive reduced mentation and aggravating gait disturbances. During the clinical course anorexia and progressive loss of proprioception were observed. Cranial nerve failure was accompanied by signs of pharyngeal paralysis, sialorrhea, bruxism, and by blindness. Virologically, infectious virus was detected in the brain of all animals investigated but was not found regularly in all areas of the brain. However, in all cases, infectivity was found in the thalamus...
Effect of nasal occlusion on tracheal and pharyngeal pressures in horses. To compare tracheal and pharyngeal inspiratory and expiratory pressures achieved during 60 seconds of nasal occlusion in standing horses with pressures achieved in horses during intense exercise. Methods: 5 Standardbreds. Methods: Tracheal and pharyngeal inspiratory and expiratory pressures were obtained from 5 horses during 60 seconds of nasal occlusion and compared with tracheal and pharyngeal pressures achieved during incremental treadmill exercise tests in which horses ran at 50, 75, and 100% of the speed that resulted in maximal heart rate (HRmax). Results: Significant difference was not ...
Laryngeal and pharyngeal dysfunction in horses homozygous for hyperkalemic periodic paralysis. Evaluate histories, clinical signs, and laboratory data of 69 horses homozygous by DNA testing for hyperkalemic periodic paralysis (HPP). Methods: Cohort study. Methods: 69 of 189 horses testing homozygous for HPP between October 1992 and November 1994. Methods: Questionnaires addressing signalment, training regimes, medical history, and current status of affected horses were sent to owners, trainers, or attending veterinarians. Data from completed questionnaires were tabulated and evaluated, using descriptive statistics. Results: Sixty-nine (37%) of 189 questionnaires were completed and retur...
Laryngospasm, dysphagia, and emaciation associated with hyperkalemic periodic paralysis in a horse. An 18-month-old Quarter Horse gelding was examined because of weight loss and dysphagia of 1 month's duration. Clinical signs included lethargy, dehydration, ptyalism, and probable aspiration pneumonia. Severe dyspnea and cyanosis were evident after mild exercise. Endoscopy revealed laryngospasm and pharyngospasm. Because clinical signs and endoscopic findings were suggestive of hyperkalemic periodic paralysis (HPP), acetazolamide treatment was instituted. Marked improvement was observed within 48 hours. The horse was determined to be homozygous for HPP. It is likely that this horse's dysphagi...
Effect of a mask and pneumotachograph on tracheal and nasopharyngeal pressures, respiratory frequency, and ventilation in horses. To investigate the effect of a mask and pneumotachograph on ventilation, respiratory frequency, and tracheal and nasopharyngeal pressures in horses running on a treadmill. Methods: Six horses ran at 50, 75, and 100% of the speed that resulted in maximum oxygen consumption, with and without a mask and pneumotachograph. Tracheal and pharyngeal inspiratory and expiratory pressures, respiratory frequency, and arterial blood gases were measured. Methods: Six Standardbred horses. Methods: Oxygen consumption was measured during an incremental exercise test to determine the speed that resulted in maxi...
Prevalence of upper respiratory tract disorders detected with a flexible videoendoscope in thoroughbred racehorses. A total of 350 thoroughbred racehorses found clinically as having coughs or abnormal breath sounds underwent endoscopic examination of the upper respiratory tract at rest. As a result, abnormal endoscopic findings were obtained in all horses, demonstrating that thoroughbred racehorses with a clinical abnormality in the respiratory system necessarily had disorders in the upper respiratory tract. Whereas 11 types of disorder were observed, a combination of three different types of disorder were found in the highest frequencies in 3-, 4- and 5-year-old horses (27.8%, 29.2% and 29.7%, respectively...
Measurement of upper airway pressures in exercising horses with dorsal displacement of the soft palate. To determine whether abnormal airway pressures have a role in development of dorsal displacement of the soft palate (DDSP), measurements of tracheal and pharyngeal pressures were correlated with nasopharyngeal morphology in exercising horses. Exercising videoendoscopy and measurement of tracheal and pharyngeal pressures were used in 14 clinically normal horses and 19 horses with intermittent DDSP. The pressure signals were superimposed on the videoendoscope image, and both images were saved simultaneously on a videocassette for slow motion analysis to determine the instant displacement occurre...
Endoscopy of the upper respiratory tract during treadmill exercise: a clinical study of 100 horses. Endoscopy of the upper respiratory tract was performed in 100 horses during high speed treadmill exercise. Reasons for endoscopy were a history of an abnormal noise during exercise in 75 horses, poor performance in 17 horses and to evaluate the results of upper respiratory tract surgery in 8 horses. Of the 75 horses with a history of an abnormal noise during exercise the cause was determined in 67 (89%). Endoscopic abnormalities were detected at rest in 40 of these 75 horses (53%). In these 40 horses, a similar diagnosis as to the cause of the abnormal noise was made at rest and during exercis...
Radiographic and endoscopic study of horses performing an oral based stereotypy. There is confusion in the veterinary literature concerning the definition of oral based stereotypies in the horse. This study reports the use of fluoroscopy and endoscopy during cribbiting/wind-sucking in afflicted horses. This permitted observations of movements of the pharyngeal and oesophageal tissues and of the air column within during the stereotypic behaviour. The findings reported show that the sequence of events during crib-biting/wind-sucking is not related to deglutition and that air is not swallowed to the stomach. Transient dilation of the upper oesophagus was recorded and the char...
A transtracheal catheter for recording the static tracheal pressure in the exercising horse. After giving an account of the principles of pressure measurement in flowing air and a review of the literature on tracheal catheters, the authors describe the construction, the introduction and the function of their own transtracheal catheter. This is a teflon catheter with several side-ports which is introduced into the cervical trachea by a guide technique. After introduction, the catheter is stiffened by the insertion of 2 steel wires. The catheter was studied in model experiments concerning: a) the ability to measure the static pressure in flowing air, and b) the dynamic accuracy of a rec...
He-Ne laser therapy by fibroendoscopy in the mucosa of the equine upper airway. A study was made of the effects of low-level laser irradiation on the cicatrization of superficial wounds in the pharyngeal mucosa of the horse. Methods: Duplicate pharyngeal mucosal ulcers were induced in 12 Spanish horses with submucosal injection of sulfuric acid. A fibroendoscope and an He-Ne laser were used to treat one of the ulcers and the second ulcer in each animal was left untreated, serving as a control. Biopsy samples for the histological study were taken after the seventh laser therapy session from the two animals. Results: Irradiated lesions cicatrized at 10.5 days and nonirradia...
Effect of sternothyrohyoid myectomy on upper airway mechanics in normal horses. The effect of transection of the sternothyroideus and sternohyoideus muscles on upper airway mechanics was investigated in exercising horses. Upper airway mechanics of six Standardbred horses were measured at rest and during exercise before and 24 h and 2 wk after sternothyrohyoid myectomy. Transnasal tracheal and pharyngeal catheters connected to differential pressure transducers were used to measure tracheal and pharyngeal pressures. A pneumotachograph mounted on the rostral end of an airtight face mask was used to measure airflow. Horses ran at 50, 75, and 100% of maximal O2 consumption on ...
Surgical treatment for epiglottic entrapment in horses: 51 cases (1981-1992). Medical records of 51 horses with epiglottic entrapment were reviewed, and the outcome after surgical treatment was evaluated by use of results from a survey of owners and from race records. Horses with epiglottic entrapment and no additional problem (uncomplicated) of the nares, nasal passages, pharynx, or larynx (upper airway) that were treated by transoral axial division (group 1) or resection via laryngotomy (group 2), and horses with epiglottic entrapment complicated by an additional upper airway abnormality (group 3) were compared. The cost of treatment, duration of hospitalization, time...
Transnasal incision of restrictive nasopharyngeal cicatrix in three horses. Three horses were found to have an extensive nasopharyngeal cicatrix that was responsible for respiratory impairment. The cicatrization was diagnosed by use of endoscopy during evaluations of the horses for inspiratory stridor. All 3 horses were treated by endoscope-guided transnasal incision of the cicatrix and were able to resume their previous activities.
Cardiorespiratory and metabolic responses to exercise in horses with various abnormalities of the upper respiratory tract. A standardised incremental exercise test was performed by 9 racehorses with idiopathic laryngeal hemiplegia (ILH), 1 horse with maxillary sinus cysts, 1 horse with epiglottic entrapment, 1 horse with a lesion on the vocal folds, and 1 horse with pharyngitis. Two of the horses with ILH were retested after laryngoplasty and ventriculectomy. The findings were compared with those from 20 normal racehorses. Heart rate, plasma lactate concentration, arterial blood gases, stride frequency, oxygen uptake (VO2) and carbon dioxide production were assessed during treadmill exercise on a +10% slope. The g...
Repeatability and normal values for measurement of pharyngeal and tracheal pressures in exercising horses. Repeatability of measurements of peak and mean tracheal and pharyngeal pressures in exercising horses was determined. Five athletically fit horses were subjected to repeated (n = 5) standardized exercise trials. Static pressures in the trachea, nasopharynx, and mask were determined. At least 96% of all mean pressure measurements were within 5 cm of H2O of the mean value for any horse. Peak pressure measurements were less repeatable, but at least 96% of all measurements were within 10 cm of H2O of the mean peak measurements for any horse. In 10 horses galloping at 14 m/s, the 95% confidence int...
Squamous cell carcinoma of the larynx and pharynx in horses. Medical records were reviewed for 11 horses with squamous cell carcinoma of the larynx and/or pharynx. The average age at presentation was 15.3 years. No breed or sex predilection was present. At presentation, 6 of 11 horses were dyspneic and 4 horses had inspiratory stridor. Endoscopy was performed in all cases and was more useful in demonstrating a mass in the laryngopharyngeal region than laryngeal or guttural pouch radiography. Surgical excision was attempted in 3 horses and in 1 horse alleviated clinical signs for 4 months. Ten horses were euthanatized and 1 horse died. Results of this st...