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The Veterinary clinics of North America. Equine practice2026; 42(1); 79-85; doi: 10.1016/j.cveq.2025.12.012

Disorders of the Equine Head and Neck: Paranasal Sinuses.

Abstract: This article provides an overview of equine paranasal sinus disease with emphasis on relevant anatomy, diagnostic considerations, and commonly encountered pathologic conditions. It outlines the structure and drainage of the paranasal sinuses to establish a foundation for understanding disease development and spread. The discussion reviews available diagnostic modalities and their roles in localizing disease and determining underlying causes. Common sinus disorders are presented with attention to their general pathophysiology, diagnostic features, treatment approaches, and expected outcomes. Collectively, the document serves as a practical framework for understanding, evaluating, and managing disorders of the equine paranasal sinuses in a clinical setting.
Publication Date: 2026-02-18 PubMed ID: 41714198DOI: 10.1016/j.cveq.2025.12.012Google Scholar: Lookup
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Summary

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Overview

  • This research article reviews diseases affecting the paranasal sinuses in horses, focusing on anatomy, diagnosis, typical conditions, and treatment strategies.

Anatomy of Equine Paranasal Sinuses

  • The article explains the detailed structure of the paranasal sinuses, which are air-filled cavities in the equine skull located around the nasal passages.
  • It describes how these sinuses are connected and how they drain, highlighting key anatomical features that influence disease development and progression.
  • Understanding sinus anatomy is critical for assessing how infections or other disorders can spread within the head and neck.

Diagnostic Considerations

  • The paper reviews the various diagnostic tools veterinarians use to identify sinus diseases in horses.
  • Diagnostic modalities discussed likely include clinical examination, endoscopy, radiography (X-rays), computed tomography (CT), and possibly ultrasonography.
  • Each diagnostic method’s role is addressed in localizing lesions within the sinuses and determining the cause of the disorder, whether infectious, inflammatory, or neoplastic.

Common Pathologic Conditions

  • The article outlines frequently encountered paranasal sinus disorders in horses, such as sinusitis, cysts, tumors, or dental-related sinus disease.
  • It explains the general mechanisms leading to these diseases, for instance, how blockage of drainage pathways or infections of adjacent structures cause sinus pathology.
  • Diagnostic features specific to each condition are detailed to help clinicians differentiate between disorders.

Treatment Approaches and Outcomes

  • For each type of sinus disorder, the article discusses common treatment strategies, which may include medical management (e.g., antibiotics, anti-inflammatory drugs), surgical interventions, or a combination.
  • Practical guidance is provided on choosing appropriate therapy based on disease severity, cause, and anatomical considerations.
  • The expected prognosis or treatment outcome for various conditions is summarized to assist veterinarians in clinical decision-making.

Clinical Framework and Application

  • The article functions as a comprehensive framework to assist veterinary practitioners in understanding the complexities of equine paranasal sinus diseases.
  • With emphasis on anatomy, diagnostic strategies, and typical disease presentations, it supports effective evaluation and management practices.
  • This resource aims to improve clinical outcomes by equipping veterinarians with knowledge necessary for timely and accurate diagnosis and treatment planning.

Cite This Article

APA
Luedke LK. (2026). Disorders of the Equine Head and Neck: Paranasal Sinuses. Vet Clin North Am Equine Pract, 42(1), 79-85. https://doi.org/10.1016/j.cveq.2025.12.012

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 42
Issue: 1
Pages: 79-85
PII: S0749-0739(25)00080-X

Researcher Affiliations

Luedke, Lauren K
  • College of Veterinary Medicine and Biomedical Sciences, Department of Clinical Sciences, Colorado State University, Johnson Family Equine Hospital, 2230 Gillette Drive, Fort Collins, CO 80523, USA. Electronic address: Lauren.Luedke@colostate.edu.

MeSH Terms

  • Horses
  • Animals
  • Horse Diseases / diagnosis
  • Horse Diseases / therapy
  • Horse Diseases / pathology
  • Paranasal Sinus Diseases / veterinary
  • Paranasal Sinus Diseases / diagnosis
  • Paranasal Sinus Diseases / therapy
  • Paranasal Sinus Diseases / pathology
  • Paranasal Sinuses / anatomy & histology
  • Paranasal Sinuses / pathology

Conflict of Interest Statement

Disclosures The authors have nothing to disclose.

Citations

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