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Correlation of performance with endoscopic and radiographic assessment of epiglottic hypoplasia in racehorses with epiglottic entrapment corrected by use of contact neodymium:yttrium aluminum garnet laser.

Abstract: Epiglottic entrapment in 35 Thoroughbred and 44 Standardbred horses was corrected transendoscopically by use of a neodymium:yttrium aluminum garnet laser. Before surgery, the entrapped epiglottis was classified as hypoplastic or normal in each horse on the basis of endoscopic appearance alone. Using a digitizer, thyroepiglottic length was determined from lateral-view laryngeal radiographs. For 78 racehorses, earnings (less than $5,000 or greater than $5,000) were compared before and after surgery. Earnings category and racing performance after surgery were tested for association with endoscopically determined epiglottic hypoplasia and radiographically determined thyroepiglottic length. Endoscopy and radiography were useful methods of evaluating the epiglottis in horses with epiglottic entrapment. Mean (+/- SD) thyroepiglottic length for both breeds of horses with epiglottic entrapment was significantly (P = 0.0001) smaller (Thoroughbreds, 7.28 +/- 0.67 cm; Standardbreds, 7.21 +/- 0.62 cm), compared with thyroepiglottic length measured from control groups composed of clinically normal Thoroughbred (8.56 +/- 0.29 cm) and Standardbred (8.74 +/- 0.38 cm) racehorses. Both breeds of horses with epiglottic entrapment that had endoscopically apparent hypoplastic epiglottis had significantly (P less than 0.0001) smaller thyroepiglottic length (Thoroughbreds, 6.64 +/- 0.60 cm; Standardbred, 6.93 +/- 0.72 cm) than did horses with epiglottic entrapment that had endoscopically normal epiglottis (Throughbreds, 7.57 +/- 0.47 cm, Standardbreds, 7.36 +/- 0.50 cm). Significant difference was not detected in endoscopic appearance of the epiglottis among age, gender, or breed distributions.(ABSTRACT TRUNCATED AT 250 WORDS)
Publication Date: 1991-02-15 PubMed ID: 2019529
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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This research studied the use of neodymium:yttrium aluminum garnet laser in correcting epiglottic entrapment in racehorses. It found that horses with endoscopically apparent hypoplastic epiglottis had smaller thyroepiglottic length than those with normal epiglottis, with no significant difference observed among age, gender or breed.

Objective of the Research

  • The main aim of this research was to examine the use of a neodymium:yttrium aluminum garnet laser in correcting the entrapped epiglottis in Thoroughbred and Standardbred horses and to also assess the correlation between surgical outcomes and racing performance.

Methods of the Research

  • The researchers conducted the surgical procedures on 35 Thoroughbred horses and 44 Standardbred horses.
  • Prior to surgery, the entrapped epiglottis was classified as either hypoplastic (underdeveloped) or normal based on its endoscopic appearance.
  • Laryngeal radiographs were used to measure the thyroepiglottic length in the horses.
  • After the surgery, the earnings from racing before and after the surgery were compared.
  • The team of researchers then tested for any potential associations between post-surgery racing performance and the endoscopically determined hypoplasia.

Results of the Research

  • Endoscopy and radiography were found to be useful methods for evaluating the epiglottis in horses with epiglottic entrapment.
  • The average thyroepiglottic length for both breeds of horses with entrapped epiglottis was significantly smaller compared to the control group comprising of clinically normal racehorses.
  • Horses that had endoscopically apparent hypoplastic epiglottis also had significantly smaller thyroepiglottic length compared to those with endoscopically normal epiglottis.
  • No significant difference was found in endoscopic appearance of the epiglottis among age, gender or breed distributions.

Conclusion

  • The results of this study indicate that horses with an entrapped epiglottis and clearly visible hypoplastic epiglottis through an endoscopy, do indeed have a smaller thyroepiglottic length compared to horses with a normal epiglottis. Furthermore, the results also suggest that age, gender, or breed does not affect the endoscopic appearance of the epiglottis.

Cite This Article

APA
Tulleners EP. (1991). Correlation of performance with endoscopic and radiographic assessment of epiglottic hypoplasia in racehorses with epiglottic entrapment corrected by use of contact neodymium:yttrium aluminum garnet laser. J Am Vet Med Assoc, 198(4), 621-626.

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 198
Issue: 4
Pages: 621-626

Researcher Affiliations

Tulleners, E P
  • Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Kenneth Square 19348.

MeSH Terms

  • Animals
  • Breeding
  • Epiglottis / diagnostic imaging
  • Epiglottis / pathology
  • Epiglottis / surgery
  • Female
  • Follow-Up Studies
  • Horse Diseases / physiopathology
  • Horse Diseases / surgery
  • Horses
  • Laryngeal Diseases / physiopathology
  • Laryngeal Diseases / surgery
  • Laryngeal Diseases / veterinary
  • Laryngoscopy / veterinary
  • Laser Therapy / veterinary
  • Male
  • Radiography

Citations

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