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The Veterinary clinics of North America. Equine practice2020; 36(3); 613-639; doi: 10.1016/j.cveq.2020.08.003

Equine Sinus Surgery.

Abstract: The anatomy of the equine paranasal sinuses is critical to understand to assess the extent of the disease process, the optimal surgical approach, and the ability to drain through the normal nasomaxillary pathway. By following established anatomic landmarks, direct sinus access can be used to further explore the sinus compartments, remove compromised cheek teeth, remove any purulent debris or feed contamination, and establish drainage. Many complications can be avoided or minimized by thoroughly evaluating all sinus compartments and critically assessing the ability of the sinus to drain.
Publication Date: 2020-10-14 PubMed ID: 33067095DOI: 10.1016/j.cveq.2020.08.003Google Scholar: Lookup
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Summary

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The research article is about the significance of understanding equine paranasal sinuses anatomy for effective disease assessment, surgical approach, and achieving effective drainage, and how detailed compartment evaluation can help avoid complications.

Understanding Equine Paranasal Sinus Anatomy

This research emphasizes the importance of recognizing the equine paranasal sinus anatomy. Understanding this anatomy serves several critical purposes:

  • It is key in assessing the extent of a disease process. This knowledge gives the needed insight into potentially affected regions, enabling proper diagnosis and treatment.
  • To identify the best surgical approach. The design of the sinuses, their interconnections, and adjacent structures all combine to influence surgical accessibility and the execution of appropriate technique.
  • It aids in understanding how to achieve effective drainage via the natural nasomaxillary pathway, which is crucial for post-surgery recovery.

Importance of Direct Sinus Access

The research article also points towards the value of direct sinus access. This access has advantages such as:

  • Exploring the sinus compartments in detail. Thorough exploration provides a clearer picture of the disease process and the degree to which it has spread.
  • Removing compromised cheek teeth. When these problematic teeth are identified and removed, it ensures a reduction in the source of potential infection.
  • Effective removal of purulent debris or feed contamination. This is necessary to prevent postoperative infections and to ensure clean healing.
  • Establishing drainage to facilitate recovery. Drainage is important to prevent fluid buildup, which could lead to complications like sinusitis.

Avoiding Complications Through Thorough Evaluation

Lastly, this paper emphasizes avoiding or minimizing complications by conducting a comprehensive assessment of all sinus compartments. The importance of this is to:

  • Precisely understand the disease pathology. This ensures no area of potential concern is missed, leading to a more successful outcome.
  • Ensure the sinus’ ability to drain properly. An impaired drainage system can lead to complications like infection or chronic sinusitis. Hence, its assessment is critical for the success of the surgery and post-op recovery.

Cite This Article

APA
Pigott J. (2020). Equine Sinus Surgery. Vet Clin North Am Equine Pract, 36(3), 613-639. https://doi.org/10.1016/j.cveq.2020.08.003

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 36
Issue: 3
Pages: 613-639
PII: S0749-0739(20)30044-4

Researcher Affiliations

Pigott, John
  • Cornell Ruffian Equine Specialists, 111 Plainfield Avenue, Elmont, NY 11003, USA. Electronic address: jhp322@gmail.com.

MeSH Terms

  • Animals
  • Endoscopy / veterinary
  • Horse Diseases / surgery
  • Horses / anatomy & histology
  • Otorhinolaryngologic Surgical Procedures / instrumentation
  • Otorhinolaryngologic Surgical Procedures / methods
  • Otorhinolaryngologic Surgical Procedures / veterinary
  • Paranasal Sinus Diseases / surgery
  • Paranasal Sinus Diseases / veterinary
  • Paranasal Sinuses / anatomy & histology
  • Paranasal Sinuses / surgery
  • Sinusitis / surgery
  • Sinusitis / veterinary

Conflict of Interest Statement

Disclosure No disclosures.

Citations

This article has been cited 1 times.
  1. 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