FREE SHIPPING over $40
OVER 9000 FIVE-STAR REVIEWS
5% OFF ALL SUBSCRIPTIONS
100% HAPPINESS GUARANTEE
Analyze Diet
0
Home / Equine Research Bank / Equine Vet J / Equine paranasal sinus disease: a long-term study of 200 cas...
Equine veterinary journal2011; 44(3); 272-276; doi: 10.1111/j.2042-3306.2011.00427.x

Equine paranasal sinus disease: a long-term study of 200 cases (1997-2009): treatments and long-term results of treatments.

Abstract: There is limited objective information available on the treatment and the long-term response to treatment of the different types of equine sinus disease. Objective: To document the treatments and long-term response to these treatments in 200 cases of equine sinus disease (1997-2009). Methods: The treatments of horses affected with subacute primary sinusitis (n = 52); chronic primary sinusitis (n = 37); dental sinusitis (n = 40); sinus cyst (n = 26); traumatic (n = 13); dental-related oromaxillary fistula (n = 8); sinus neoplasia (n = 10); mycotic sinus disease (n = 7); and intrasinus progressive ethmoid haematoma (n = 7) and the long-term response to these treatments were retrospectively reviewed. Results: Treatments evolved throughout the study and latterly were as conservative as possible, including sinoscopic lavage and standing sinusotomy, with a maxillary sinusotomy approach preferred for the mainly mature horses treated in this study. Removal of intrasinus inspissated pus, including transendoscopically (by sinusotomy and via existing sinonasal fistulae), was the main treatment for chronic primary sinusitis and sinonasal fistulation was seldom performed latterly. Attempted oral extraction of infected cheek teeth, even if unsuccessful, facilitated subsequent dental repulsion, resulting in few post operative problems. Sinus cyst removal carried an excellent prognosis. Except for cases of sinus neoplasia (only 22% cured), an excellent long-term response to treatment (91% fully cured, 7% partially cured) was obtained for all other types of sinus disease following a median of one treatment. Conclusions: More conservative treatments, including removal of intrasinus inspissated pus by sinoscopy, pre-existing sinonasal fistula or sinusotomy, are effective for chronic primary sinus disease. Standing sinusotomy, mainly using a small maxillary site, was suitable for most cases of sinus disease in mature horses.
© 2011 EVJ Ltd.
Get Full Text
Publication Date: 2011-08-04 PubMed ID: 21812808DOI: 10.1111/j.2042-3306.2011.00427.xGoogle Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
LinkedInCopy
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research article presents a retrospective study on the treatments given and the long-term responses to those treatments in 200 cases of horse sinus disease that occurred between 1997 and 2009.

Objective and Methods

  • The primary objective of the study was to chronicle the treatments used and the long-term response to these treatments in a range of equine sinus diseases, which had limited objective information available previously.
  • The researchers analyzed the treatment data of 200 horses affected by various types of sinus diseases such as subacute primary sinusitis, chronic primary sinusitis, dental sinusitis, sinus cyst, traumatic sinusitis, dental-related oromaxillary fistula, sinus neoplasia, mycotic sinus disease and intrasinus progressive ethmoid haematoma.

Results

  • The study found that the treatments for equine sinus diseases evolved over the period of the study.
  • Later treatments were as conservative as possible, which mainly includes sinoscopic lavage (washing out of the sinus) and standing sinusotomy (a surgical procedure to open the sinus) with a maxillary sinusotomy approach preferred for the mature horses.
  • The main treatment for chronic primary sinusitis included the removal of intrasinus inspissated pus (thickened mucus), either through sinusotomy and via existing sinonasal fistulae. Sinonasal fistulation (the act of creating an artificial passage) was seldom performed.
  • Attempting to extract the infected cheek teeth orally, even if unsuccessful, eased subsequent dental repulsion and caused few post-operative problems.
  • Removal of sinus cysts resulted in an excellent outcome.
  • Except for instances of sinus neoplasia where only 22% were cured, an exceptional long-term response to treatment was achieved for all other types of sinus disease, where 91% were fully cured, and 7% were partially cured.

Conclusions

  • The paper concludes that more conservative treatments like removal of inspissated pus by sinoscopy, use of pre-existing sinonasal fistula or sinusotomy, are effective for treating chronic primary sinus disease in horses.
  • A standing sinusotomy performed preferably at a small maxillary site was found suitable for most cases of sinus disease in mature horses.

Cite This Article

APA
Dixon PM, Parkin TD, Collins N, Hawkes C, Townsend N, Tremaine WH, Fisher G, Ealey R, Barakzai SZ. (2011). Equine paranasal sinus disease: a long-term study of 200 cases (1997-2009): treatments and long-term results of treatments. Equine Vet J, 44(3), 272-276. https://doi.org/10.1111/j.2042-3306.2011.00427.x

Publication

Equine veterinary journal
ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 44
Issue: 3
Pages: 272-276

Researcher Affiliations

Dixon, P M
  • Division of Veterinary Clinical Studies, Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Midlothian, Scotland. P.M.Dixon@ed.ac.uk
Parkin, T D
    Collins, N
      Hawkes, C
        Townsend, N
          Tremaine, W H
            Fisher, G
              Ealey, R
                Barakzai, S Z

                  MeSH Terms

                  • Animals
                  • Anti-Bacterial Agents / therapeutic use
                  • Antifungal Agents / therapeutic use
                  • Bacterial Infections / pathology
                  • Bacterial Infections / therapy
                  • Bacterial Infections / veterinary
                  • Horse Diseases / diagnosis
                  • Horse Diseases / etiology
                  • Horse Diseases / therapy
                  • Horses
                  • Mycoses / drug therapy
                  • Mycoses / veterinary
                  • Nasal Surgical Procedures / veterinary
                  • Paranasal Sinus Diseases / etiology
                  • Paranasal Sinus Diseases / therapy
                  • Paranasal Sinus Diseases / veterinary
                  • Retrospective Studies
                  • Surveys and Questionnaires
                  • Therapeutic Irrigation / veterinary
                  • Treatment Outcome

                  Citations

                  This article has been cited 9 times.
                  1. Tyma JF, Epstein KL. Postoperative sinusitis and pneumonia following exploratory celiotomy for treatment of colic in horses.. Can Vet J 2023 Jan;64(1):76-80.
                    pubmed: 36593935
                  2. Jehle MC, Biermann NM, Haltmayer E. Trephination versus Minimally Invasive Transnasal Approaches for the Diagnosis and Treatment of Sinus Disease in Horses.. Vet Sci 2022 Jul 1;9(7).
                    doi: 10.3390/vetsci9070334pubmed: 35878351google scholar: lookup
                  3. Pezzanite LM, Hackett ES, McCready E, Easley JT. Outcomes following single, caudally based bilateral versus unilateral frontonasal sinusotomy for treatment of equine paranasal sinus disease.. Vet Med Sci 2021 Nov;7(6):2209-2218.
                    doi: 10.1002/vms3.607pubmed: 34405566google scholar: lookup
                  4. Dixon PM, Barnett TP, Morgan RE, Reardon RJM. Computed Tomographic Assessment of Individual Paranasal Sinus Compartment and Nasal Conchal Bulla Involvement in 300 Cases of Equine Sinonasal Disease.. Front Vet Sci 2020;7:580356.
                    doi: 10.3389/fvets.2020.580356pubmed: 33195594google scholar: lookup
                  5. Dixon PM, Puidupin C, Borkent D, Liuti T, Reardon RJM. A Computed Tomographic Assessment of Osteitis of Sinus Bony Structures in Horses With Sinonasal Disorders.. Front Vet Sci 2020;7:627.
                    doi: 10.3389/fvets.2020.00627pubmed: 33062655google scholar: lookup
                  6. Robert MP, Stemmet GP, Smit Y. A bilateral sinus cyst treated via a bilateral frontonasal bone flap in a standing horse.. J S Afr Vet Assoc 2019 Mar 28;90(0):e1-e6.
                    doi: 10.4102/jsava.v90i0.1729pubmed: 31038323google scholar: lookup
                  7. Bach FS, Böhler A, Schieder K, Handschuh S, Simhofer H. Surgical enlargement of the nasomaxillary aperture and transnasal conchotomy of the ventral conchal sinus: Two surgical techniques to improve sinus drainage in horses.. Vet Surg 2019 Aug;48(6):1019-1031.
                    doi: 10.1111/vsu.13207pubmed: 30968454google scholar: lookup
                  8. Liuti T, Smith S, Dixon PM. A Comparison of Computed Tomographic, Radiographic, Gross and Histological, Dental, and Alveolar Findings in 30 Abnormal Cheek Teeth from Equine Cadavers.. Front Vet Sci 2017;4:236.
                    doi: 10.3389/fvets.2017.00236pubmed: 29354640google scholar: lookup
                  9. Nieto JE, Yamout S, Dechant JE. Sinusitis associated with nasogastric intubation in 3 horses.. Can Vet J 2014 Jun;55(6):554-8.
                    pubmed: 24891638
                  Subscribe to our newsletter
                  Join 99,359 horse owners like you who receive our email updates on horse health and nutrition.