Endoscope-guided, transoral axial division of an entrapping epiglottic fold in fifteen standing horses.

The research article focuses on a surgical method to treat epiglottic fold entrapment (EFE) in horses, using an endoscope-guided transoral procedure, which is conducted while the horse is standing and sedated. This method is presented as a viable alternative to performing the procedure under general anesthesia.

Study Methodology

• The researchers carried out a retrospective study of horses diagnosed with EFE. The medical records from 2005 to 2006 were reviewed.
• The procedure of axial division of the EFE was performed in 16 horses, using an endoscope-guided transoral approach.
• During the procedure, a hooked bistoury, a surgical instrument, was utilized, with the horse standing and sedated.

Study Results

• The procedure was successfully performed on 15 of the 16 horses while they were standing and sedated. The remaining horse needed to be anesthetized to complete the procedure.
• None of the horses produced abnormal respiratory noise after the surgery, and all were able to return to their intended use.
• However, one horse was left with a short, deformed epiglottis after the surgery.

Study Conclusions

• The researchers concluded that the endoscope-guided, transoral axial division of EFE in sedated standing horses can be conducted safely and effectively.
• Further, they suggested this approach as an alternative to conducting the procedure under general anesthesia, potentially reducing the associated risks and recovery time.