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Topic:Thoroughbreds

Thoroughbreds are a breed of horse known for their agility, speed, and spirit, often associated with horse racing and equestrian sports. Originating from crossbreeding native English mares with imported Arabian, Barb, and Turkoman stallions, Thoroughbreds have a well-documented pedigree that traces back to the late 17th and early 18th centuries. This breed is characterized by a refined head, deep chest, and long legs, contributing to their athletic capabilities. Thoroughbreds are primarily bred for their performance in racing but are also utilized in other equestrian disciplines. This page compiles peer-reviewed research studies and scholarly articles that explore the genetics, physiology, and performance characteristics of Thoroughbreds, as well as their management and welfare in various equine activities.
Concurrent vaccination against equine influenza and equine herpesvirus – a practical approach.
Influenza and other respiratory viruses    July 2, 2016   Volume 10, Issue 5 433-437 doi: 10.1111/irv.12396
Gildea S, Sanchez Higgins MJ, Johnson G, Walsh C, Cullinane A.There is a lack of information concerning concurrent administration of vaccines against equine influenza virus (EIV) and equine herpesvirus 1 and 4 (EHV-1/4). The primary objective of this study was to determine the impact of the concurrent use of EIV and EHV-1/4 vaccines in Thoroughbred racehorses on their humoral immune response to EIV. This study was carried out on a population of 30 horses using an inactivated whole-virus EIV vaccine and an inactivated EHV-1/4 vaccine. Horses were randomly allocated to vaccination group A or B. Horses in group A were vaccinated against EIV and EHV-1/4 2 we...
Exertional heat illness: a review of the syndrome affecting racing Thoroughbreds in hot and humid climates.
Australian veterinary journal    June 29, 2016   Volume 94, Issue 7 240-247 doi: 10.1111/avj.12454
Brownlow MA, Dart AJ, Jeffcott LB.Metabolic heat produced by Thoroughbred racehorses during racing can rapidly elevate core body temperature (1°C/min). When environmental conditions are hot and humid, the normal physiological cooling mechanisms become ineffective. The heat accumulated may exceed a critical thermal maximum (estimated to be 42°C), which may trigger a complex pathophysiological cascade with potentially lethal consequences. This syndrome has been labelled exertional heat illness (EHI). EHI is described in humans, but has not been well documented in Thoroughbred racehorses. The clinical signs described in racehor...
Comparative Transcriptomic Analyses by RNA-seq to Elucidate Differentially Expressed Genes in the Muscle of Korean Thoroughbred Horses.
Applied biochemistry and biotechnology    June 28, 2016   Volume 180, Issue 3 588-608 doi: 10.1007/s12010-016-2118-4
Ghosh M, Cho HW, Park JW, Choi JY, Chung YH, Sharma N, Singh AK, Kim NE, Mongre RK, Huynh D, Jiao ZJ, Do KT, Lee HK, Song KD, Cho BW, Jeong D.The athletic abilities of the horse serve as a valuable model to understand the physiology and molecular mechanisms of adaptive responses to exercise. We analyzed differentially expressed genes in triceps brachii muscle tissues collected from Eonjena Taeyang and Jigusang Seryeok Thoroughbred horses and their co-expression networks in a large-scale RNA-sequence dataset comparing expression before and after exercise. High-quality horse transcriptome data were generated, with over 22 million 90-bp pair-end reads. By comparing the annotations, we found that MYH3, MPZ, and PDE8B genes in Eonjena Ta...
Descriptive epidemiology of veterinary events in flat racing Thoroughbreds in Great Britain (2000 to 2013).
Equine veterinary journal    June 22, 2016   Volume 49, Issue 3 275-281 doi: 10.1111/evj.12592
Rosanowski SM, Chang YM, Stirk AJ, Verheyen KL.To date, no large scale studies have reported race-day events requiring veterinary attention in British Thoroughbreds racing on the flat. Quantifying and describing common injuries and health conditions affecting racehorses will enable targeted risk factor analysis aimed at reducing their occurrence. Objective: To describe the type and incidence of race-day veterinary events experienced by Thoroughbred racehorses participating in flat racing in the UK. Methods: Retrospective cohort study (2000 to 2013). Methods: Veterinary events recorded by race-day veterinarians were retrieved and linked to ...
Visual evoked potentials in the horse.
BMC veterinary research    June 21, 2016   Volume 12, Issue 1 120 doi: 10.1186/s12917-016-0743-3
Ström L, Ekesten B.Electrical potentials generated in the central nervous system in response to brief visual stimuli, flash visual evoked potentials (FVEPs), can be recorded non-invasively over the occipital cortex. FVEPs are used clinically in human medicine and also experimentally in a number of animal species, but the method has not yet been evaluated in the horse. The method would potentially allow the ophthalmologist and equine clinician to evaluate visual impairment caused by disorders affecting post-retinal visual pathways. The aim was to establish a method for recording of FVEPs in horses in a clinical s...
Oxidative stress markers in Thoroughbred horses after castration surgery under inhalation anesthesia.
Journal of equine science    June 21, 2016   Volume 27, Issue 2 77-79 doi: 10.1294/jes.27.77
Tsuzuki N, Sasaki N, Kusano K, Endo Y, Torisu S.Oxidative stress has been reported to occur during surgery. It is important to reduce intraoperative oxidative stress to improve the postoperative prognosis. However, there are no reports regarding oxidative stress related to surgery in horses. In the present study, we measured pre and postsurgical diacron-reactive oxygen metabolites (d-ROMs) and biological antioxidant potential (BAP); the oxidative stress index (OSI) was then calculated (OSI=d-ROMs/BAP × 100). d-ROMs were not significantly different between the pre and postsurgical periods. However, BAP significantly decreased after surgery ...
A retrospective study of radiographic abnormalities in the repositories of 2-year-old Thoroughbred in-training sales in Japan.
Journal of equine science    June 21, 2016   Volume 27, Issue 2 67-76 doi: 10.1294/jes.27.67
Miyakoshi D, Senba H, Shikichi M, Maeda M, Shibata R, Misumi K.This study aimed to evaluate the influence of radiographic abnormalities of 2-year-old Thoroughbred horses that were listed at in-training sales in Japan, on whether they started to race or not at 2-3 years of age. Radiographs of 850 2-year-old Thoroughbreds in the in-training sales repository from 2007 to 2010 were reviewed, and 26 categories of radiographic abnormalities were found. Forty-three horses (5.1%, 43/850) did not start a race at 2-3 years of age. In accordance with the racing results for this age category, as determined by Fisher's exact test and multiple logistic regression analy...
Studies on exercise physiology of the racehorse performed in Japan during the period from the 1930s to the 1970s: respiration and heart rate during exercise and the effect of exercise on blood characteristics.
Journal of equine science    June 21, 2016   Volume 27, Issue 2 37-48 doi: 10.1294/jes.27.37
Hiraga A, Sugano S.After publication of the epic report on equine exercise physiology by Matsuba and Shimamura in 1933, papers on exercise physiology of the racehorse in Japan began appearing in scientific journals and increased in number. In 1944, respiration during exercise at a walk, trot, and canter was measured by recording expiratory sounds with a microphone attached near the nostril. Respiratory frequency during cantering was synchronized with stride frequency, and expiratory sounds were found to occur during the stance phase of the trailing forelimb. Development of a radiotelemetry system in 1964 for ele...
Interval prevalence of and factors associated with colic in horses hospitalized for ocular or orthopedic disease.
Journal of the American Veterinary Medical Association    June 17, 2016   Volume 249, Issue 1 90-95 doi: 10.2460/javma.249.1.90
Scherrer NM, Lassaline M, Richardson DW, Stefanovski D.OBJECTIVE To determine interval (1-year) prevalence of and factors associated with colic in horses hospitalized for ocular or orthopedic disease. DESIGN Cross-sectional study. ANIMALS 105 horses with ocular disease and 197 horses with orthopedic disease admitted to a veterinary teaching hospital between July 1, 2011, and June 30, 2012. PROCEDURES Medical records were reviewed to determine whether colic (abnormal behavior prompting abdominal palpation per rectum or nasogastric intubation) was observed during hospitalization. Data were collected on putative risk factors for colic, including reas...
Disposition of the anti-ulcer medications ranitidine, cimetidine, and omeprazole following administration of multiple doses to exercised Thoroughbred horses.
Journal of veterinary pharmacology and therapeutics    June 13, 2016   Volume 40, Issue 1 92-96 doi: 10.1111/jvp.12328
Knych HK, Stanley SD, Arthur RM, McKemie DS.The use of anti-ulcer medications, such as cimetidine, ranitidine, and omeprazole, is common in performance horses. The use of these drugs is regulated in performance horses, and as such a withdrawal time is necessary prior to competition to avoid a medication violation. To the authors' knowledge, there are no reports in the literature describing repeated oral administrations of these drugs in the horse to determine a regulatory threshold and related withdrawal time recommendations. Therefore, the objective of the current study was to describe the disposition and elimination pharmacokinetics o...
Analytical validation and establishment of reference intervals for a ‘high-sensitivity’ cardiac troponin-T assay in horses.
BMC veterinary research    June 13, 2016   Volume 12, Issue 1 104 doi: 10.1186/s12917-016-0737-1
Shields E, Seiden-Long I, Massie S, Passante S, Leguillette R.Cardiac troponin-I assays have been validated in horses.'High-sensitivity' cardiac troponin assays are now the standard in human cardiology. Objective: Appropriately validate the'high-sensitivity' cardiac Troponin-T (hscTnT) assay for clinical use in horses, establish reference intervals, determine the biological variation, and demonstrate assay utility in selected clinical cases. Methods: Analytical validation of the Roche hscTnT assay included within- and between-run precision, linear dose response, limit of quantitation (LoQ), stability, and comparison with cTn-I (iSTAT). Reference interval...
Influential factors inducing suboptimal humoral response to vector-based influenza immunisation in Thoroughbred foals.
Vaccine    June 10, 2016   Volume 34, Issue 33 3787-3795 doi: 10.1016/j.vaccine.2016.05.068
Fougerolle S, Legrand L, Garrett D, Birand I, Foursin M, D'Ablon X, Bayssat P, Newton RJ, Pronost S, Paillot R.Numerous equine influenza (EI) epizooties are reported worldwide. EI vaccination is the most efficient methods of prevention. However, not all horses develop protective immunity after immunisation, increasing the risk of infection and transmission. This field study aimed to understand the poor response to primary EI vaccination. The EI antibody response was measured in 174 Thoroughbred foals set in 3 stud farms (SF#1 to SF#3) over a 2years period. All foals were immunised with a commercial recombinant canarypox-based EI vaccine. Sera were tested by single radial haemolysis against the A/equine...
Analysis of Failure to Finish a Race in a Cohort of Thoroughbred Racehorses in New Zealand.
Animals : an open access journal from MDPI    May 25, 2016   Volume 6, Issue 6 doi: 10.3390/ani6060036
Tanner J, Rogers C, Bolwell C, Cogger N, Gee E, Mcllwraith W.The objective was to describe the incidence of failure to finish a race in flat-racing Thoroughbreds in New Zealand as these are summary indicators of falls, injuries and poor performance. Retrospective data on six complete flat racing seasons (n = 188,615 race starts) of all Thoroughbred flat race starts from 1 August 2005 to 31 July 2011 were obtained. The incidence of failure to finish events and binomial exact 95% confidence intervals were calculated per 1000 horse starts. The association between horse-, rider- and race-level variables with the outcomes failure to finish, pulled-up/fell an...
Evaluation of activity of fenbendazole, oxibendazole, piperazine , and pyrantel pamoate alone and combinations against ascarids, strongyles, and strongyloides in horse foals in field tests on two farms in Central Kentucky in 2014 and 2015.
Veterinary parasitology, regional studies and reports    May 24, 2016   Volume 3-4 23-26 doi: 10.1016/j.vprsr.2016.05.007
Lyons ET, Dorton AR, Tolliver SC.Activity of fenbendazole (FBZ), oxibendazole (OBZ), piperazine (PIP) and pyrantel pamoate (PRT) alone and combinations of OBZ and PIP and of OBZ and PRT was evaluated against parascarids, strongyles and strongyloides in horse foals (n=281).This was on two farms - Farm A - mixed light-horses (n=26) and Farm B-Thoroughbreds (n=255) - in Central Kentucky in field tests in 2014 and 2015. Foals on both farms were treated one to three times each; an exception was that seven foals on Farm A were nontreated controls. Before treatment, the foals on Farm A were all weighed on scales but weights for Farm...
Autologous bone marrow aspirate for treatment of superficial digital flexor tendonitis in 105 racehorses.
The Veterinary record    May 20, 2016   Volume 179, Issue 3 69 doi: 10.1136/vr.103620
Russell JW, Russell TM, Vasey JR, Hall MS.To evaluate a treatment protocol whereby superficial digital flexor (SDF) tendonitis in Thoroughbred and Standardbred racehorses was treated with autologous bone marrow aspirate (ABMA) obtained from the sternebrae. This treatment was combined with desmotomy of the accessory ligament of the SDF tendon (DAL-SDFT) in selected cases. Medical records of 105 horses treated using the reported protocol were reviewed. Signalment, history and details of treatment were recorded. Racing records were reviewed and performance recorded. Of Thoroughbreds, 82 per cent had one or more starts within the follow-u...
The period of the follicular phase during which the uterus of mares shows estrus-like echotexture influences the subsequent pregnancy rate.
Theriogenology    May 20, 2016   Volume 86, Issue 6 1506-1515 doi: 10.1016/j.theriogenology.2016.05.009
Mateu-Sánchez S, Newcombe JR, Garcés-Narro C, Cuervo-Arango J.The interval from both spontaneous and prostaglandin (PGF)-induced luteolysis to ovulation is greatly variable in mares. Several reports have shown a positive association between the length of the interval from PGF treatment to ovulation (ITO) and the subsequent pregnancy rate (PR). However, it is not known whether this association also occurs in estrous cycles with spontaneous luteolysis. The main objective of this study was to determine the effect of the duration of estrus-like echotexture of the uterus during the follicular phase on the subsequent PR in both spontaneous and PGF-induced cycl...
Classification of Horse Gaits Using FCM-Based Neuro-Fuzzy Classifier from the Transformed Data Information of Inertial Sensor.
Sensors (Basel, Switzerland)    May 10, 2016   Volume 16, Issue 5 doi: 10.3390/s16050664
Lee JN, Lee MW, Byeon YH, Lee WS, Kwak KC.In this study, we classify four horse gaits (walk, sitting trot, rising trot, canter) of three breeds of horse (Jeju, Warmblood, and Thoroughbred) using a neuro-fuzzy classifier (NFC) of the Takagi-Sugeno-Kang (TSK) type from data information transformed by a wavelet packet (WP). The design of the NFC is accomplished by using a fuzzy c-means (FCM) clustering algorithm that can solve the problem of dimensionality increase due to the flexible scatter partitioning. For this purpose, we use the rider's hip motion from the sensor information collected by inertial sensors as feature data for the cla...
Pharmacokinetics of ketoprofen enantiomers following intravenous and oral administration to exercised Thoroughbred horses.
Veterinary journal (London, England : 1997)    May 7, 2016   Volume 207 196-198 doi: 10.1016/j.tvjl.2015.09.018
Knych HK, Arthur RM, Steinmetz S, McKemie DS.Ketoprofen (KTP) is currently only available as an injectable formulation for intravenous administration to horses. The primary goal of the study reported here was to characterize the pharmacokinetics of KTP, including determination of bioavailability following oral administration of the currently available injectable formulation as well as a paste formulation. KTP was administered intravenously and orally, and blood and urine samples were collected at various time points up to 96 h. KTP enantiomer concentrations were determined using LC–MS/MS, and pharmacokinetic analyses were performed. Me...
Can we use subchondral bone thickness on high-field magnetic resonance images to identify Thoroughbred racehorses at risk of catastrophic lateral condylar fracture?
Equine veterinary journal    May 6, 2016   Volume 49, Issue 2 167-171 doi: 10.1111/evj.12574
Tranquille CA, Murray RC, Parkin TD.Fractures of the lateral condyle of the third metacarpus (MC3) are a significant welfare concern in horseracing worldwide. Objective: The primary aim of this work was to identify magnetic resonance (MR) image-detectable prefracture markers that have the potential for use as a screening tool to identify horses at significant risk of catastrophic fracture. Methods: Case-control study of bone-level risk factors for fracture in racehorses. Methods: A total of 191 MC3s from horses, with and without lateral condylar fracture of MC3, were subjected to MR imaging. The depth of dense subchondral/trabec...
Changing Human-Animal Relationships in Sport: An Analysis of the UK and Australian Horse Racing Whips Debates.
Animals : an open access journal from MDPI    May 3, 2016   Volume 6, Issue 5 32 doi: 10.3390/ani6050032
Graham R, McManus P.Changing social values and new technologies have contributed to increasing media attention and debate about the acceptable use of animals in sport. This paper focuses on the use of the whip in thoroughbred horse racing. Those who defend its use argue it is a necessary tool needed for safety, correction and encouragement, and that it does not cause the horse any pain. For those who oppose its use, it is an instrument of cruelty. Media framing is employed to unpack the discourses played out in print and social media in the UK (2011) and Australia (2009) during key periods of the whip debate foll...
Corrigendum to “Objective evaluation of two deworming regimens in young Thoroughbreds using parasitological and performance parameters” [Vet. Parasitol. 221 (2016) 69-75].
Veterinary parasitology    April 29, 2016   Volume 223 141-142 doi: 10.1016/j.vetpar.2016.04.028
Bellaw JL, Pagan J, Cadell S, Phethean E, Donecker JM, Nielsen MK.No abstract available
Elimination of cetirizine following administration of multiple doses to exercised thoroughbred horses.
Journal of veterinary pharmacology and therapeutics    April 28, 2016   Volume 39, Issue 5 522-524 doi: 10.1111/jvp.12318
Knych HK, Stanley SD, Arthur RM, McKemie DS.Cetirizine is an antihistamine used in performance horses for the treatment of hypersensitivity reactions and as such a withdrawal time is necessary prior to competition. The objective of the current study was to describe the disposition and elimination of cetirizine following oral administration in order to provide additional serum concentration data upon which appropriate regulatory recommendations can be established. Nine exercised thoroughbred horses were administered 0.4 mg/kg of cetirizine orally BID for a total of five doses. Blood samples were collected immediately prior to drug admin...
Meticillin-resistant Staphylococcus aureus colonisation and infection in Thoroughbred racehorses and veterinarians in Japan.
The Veterinary record    April 25, 2016   Volume 178, Issue 19 473 doi: 10.1136/vr.103576
Kuroda T, Kinoshita Y, Niwa H, Shinzaki Y, Tamura N, Hobo S, Kuwano A.Meticillin-resistant Staphylococcus aureus (MRSA) infections have been confirmed in hospitalised Thoroughbred racehorses at the hospitals of two training centres in Japan since 2009. To investigate the source of infection, the authors examined the rate of nasal MRSA colonisation in 600 healthy Thoroughbred racehorses, 53 veterinarians and 16 office staff at the racehorse hospitals of the two training centres. MRSA was not isolated from healthy Thoroughbred racehorses or hospital office staff. However, MRSA was isolated from 16 veterinarians (30.1 per cent), and the colonisation rate was signif...
Does subchondral bone of the equine proximal phalanx adapt to race training?
Journal of anatomy    April 14, 2016   Volume 229, Issue 1 104-113 doi: 10.1111/joa.12478
Noble P, Singer ER, Jeffery NS.Sagittal fractures of the first phalanx are a common, potentially catastrophic injury in racehorses. These fractures are often linked to an acute, one time, biomechanical event; however, recent evidence implies that chronic exposure to stress can lead to the accumulation of bony changes that affect the structural integrity of the bone and increase the likelihood of fracture. The aim of the study was to compare variations of two common metrics of bone adaptation - subchondral bone density and thickness across the proximal articular surface of the first phalanx in Thoroughbred horses that (1) ra...
Missense Mutation in the Ligand-Binding Domain of the Horse Androgen Receptor Gene in a Thoroughbred Family with Inherited 64,XY (SRY+) Disorder of Sex Development. Bolzon C, Joonè CJ, Schulman ML, Harper CK, Villagómez DA, King WA, Révay T.Disorders of sex development (DSD) have long been documented in domestic animal species including horses. However, there is only a single report of an androgen receptor (AR) mutation causative of such a DSD syndrome in a horse pedigree. Here, we present a new familial AR mutation in horses. A missense mutation (c.2042G>C) at AR exon 4 explains the segregation of the DSD in a Thoroughbred horse pedigree. The mutation, expected to affect the ligand-binding domain of the AR protein, led to complete androgen insensitivity of 64,XY SRY+, testicular DSD individuals. Additionally, the design of a ...
Cardiorespiratory and anesthetic effects of combined alfaxalone, butorphanol, and medetomidine in Thoroughbred horses.
Journal of equine science    April 12, 2016   Volume 27, Issue 1 7-11 doi: 10.1294/jes.27.7
Ohmura H, Okano A, Mukai K, Fukuda K, Takahashi T.This study evaluated induction of anesthesia and cardiorespiratory and anesthetic effects during maintained anesthesia with the combination of alfaxalone, medetomidine, and butorphanol. Alfaxalone (1.0 mg/kg) was administered to induce anesthesia after premedication with medetomidine (7.0 µg/kg), butorphanol (25 µg/kg), and midazolam (50 µg/kg) in six Thoroughbred horses. Intravenous general anesthesia was maintained with alfaxalone (2.0 mg/(kg∙hr)), medetomidine (5.0 µg/(kg∙hr)), and butorphanol (30 µg/(kg∙hr)) for 60 min. Electrical stimulation of the upper oral mucosa was used to...
Differences in the electrocardiographic QT interval of various breeds of athletic horses during rest and exercise.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    April 7, 2016   Volume 18, Issue 3 255-264 doi: 10.1016/j.jvc.2016.02.002
Pedersen PJ, Karlsson M, Flethøj M, Trachsel DS, Kanters JK, Klaerke DA, Buhl R.Quantitative measurements of cardiac repolarization, defined as the electrocardiographic QT interval, have important diagnostic implications in humans, as irregularities can trigger potentially fatal ventricular tachyarrhythmia. In both humans and horses, cardiac repolarization is influenced to some extent by heart rate, age, body weight (BW), sex, autonomic tone, and environment. In horses, there is substantial inter-breed variation in size and training, and the aims of this study were therefore to determine the best model describing the QT to RR relationship in breeds of various athletic hor...
Polarisation of equine pregnancy outcome associated with a maternal MHC class I allele: Preliminary evidence.
Veterinary microbiology    April 6, 2016   Volume 188 34-40 doi: 10.1016/j.vetmic.2016.04.004
Kydd JH, Case R, Winton C, MacRae S, Sharp E, Ricketts SL, Rash N, Newton JR.Identification of risk factors which are associated with severe clinical signs can assist in the management of disease outbreaks and indicate future research areas. Pregnancy loss during late gestation in the mare compromises welfare, reduces fecundity and has financial implications for horse owners. This retrospective study focussed on the identification of risk factors associated with pregnancy loss among 46 Thoroughbred mares on a single British stud farm, with some but not all losses involving equid herpesvirus-1 (EHV-1) infection. In a sub-group of 30 mares, association between pregnancy ...
Use of diagnostic reports to estimate prevalence and distribution of skeletal lesions in young Thoroughbreds.
Veterinary journal (London, England : 1997)    March 31, 2016   Volume 214 72-76 doi: 10.1016/j.tvjl.2016.03.022
Axling JM, Castle K, Velie BD, Tammen I, Thomson PC, Hamilton NA, Raadsma HW, Lindgren G, Jeffcott LB, Nicholas FW.Diagnostic reports written to assist stud managers in the sale of young Thoroughbreds have not previously been used as a data source for the study of skeletal lesions. However, analyses of these reports may provide efficient and cost-effective insights into the prevalence and distribution of skeletal lesions within a population. Diagnostic reports written by veterinarians were acquired from Thoroughbred stud managers in Australia and New Zealand. The reports were based on approximately 1300 sets of weanling and yearling radiographs taken between 2002 and 2007. The prevalence and anatomical dis...
Surgical Treatment of Iatrogenic Ventral Glottic Stenosis Using a Mucosal Flap Technique.
Veterinary surgery : VS    March 25, 2016   Volume 45, Issue 4 436-442 doi: 10.1111/vsu.12465
Kane-Smyth J, Barnett TP, Mark O'Leary J, Dixon PM.To describe a novel surgical technique for correcting postoperative ventral glottic stenosis (cicatrix or web formation) and the outcome in 2 Thoroughbred racehorses. Methods: Retrospective case report. Methods: Thoroughbreds diagnosed with ventral glottic stenosis (n=2). Methods: Horses presenting with iatrogenic ventral glottic stenosis and resultant exercise intolerance and abnormal exercise-related noise were anesthetized and a midline sagittal skin incision was made over the ventral larynx and between the sternohyoideus muscles overlying the cricothyroid notch. The cricothyroid ligament, ...
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