Evaluation of a novel post operative treatment for sinonasal disease in the horse (1996-2007).
Abstract: Results of surgical treatment of sinonasal disease in horses have been reported previously; however, this paper describes the outcome of horses in which a specific post operative treatment protocol was used. Objective: The objectives of the study were to determine: 1) short- and long-term outcome; 2) complications; and 3) recurrence rates of different disease processes, when horses were treated with a specific treatment protocol. Methods: Medical records of horses presented for surgical treatment of sinonasal disease from 1996-2007 were reviewed. Results and duration of surgical exploration were recorded. Post operatively, the sinus flaps were re-opened with the horses standing and sedated. Number of horses requiring further treatment (debridement and/or lavage), median number of post operative days when the flap was re-opened, median number of times the flap was opened and median duration of hospitalisation were recorded. Short- and long-term survival and complication rates were determined. Results: Ninety-one horses were included in the study. The sinus flaps were re-opened with the horses standing a median of 3 days post operatively. Thirty-nine horses (43%) required further treatment at this time and 89 horses (97%) survived to discharge. Incision infection was the most common complication encountered (29%). No horse required a blood transfusion. Recurrence rates were 5% for paranasal sinus cysts, 12% for progressive ethmoid haematoma and 50% for neoplasia. Conclusions: Rapid removal of the primary lesion followed by packing the sinuses and re-evaluating in the standing horse in a more controlled environment offers a safe and effective means to thoroughly assess and treat sinonasal disease. Conclusions: Surgical time, intraoperative haemorrhage, long-term complications and recurrence rates of paranasal sinus diseases treated via frontonasal or maxillary sinus flap may be reduced using this technique.
© 2010 EVJ Ltd.
Publication Date: 2010-12-15 PubMed ID: 21143630DOI: 10.1111/j.2042-3306.2010.00133.xGoogle Scholar: Lookup
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- Journal Article
Summary
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The research presents an evaluation of a specific post-operative treatment protocol used in treating sinonasal disease in horses over an 11-year period (1996-2007). The primary focus of the study was to assess the short- and long-term outcomes, complications, and recurrence rates of different diseases using this protocol.
Objective and Methods
- The goal of the study was to understand the outcomes and possible complications in horses treated with a novel post-operative protocol for sinonasal diseases. Furthermore, the research also examined the recurrence rates of different disease processes.
- The methods used in this study involved reviewing the medical records of horses presented for surgical treatment of sinonasal disease from 1996 to 2007. The results, surgical duration, number of horses requiring further treatment, and hospitalisation duration were recorded.
Results
- A total of 91 horses were included in the study. The sinus flaps in the horses were reopened while the horses were standing, about three days post-surgery.
- Out of the 91 horses, 39 (43%) required further treatment and 89 horses (97%) survived to discharge. The most common post-operative complication was incision infection, occurring in 29% of the cases. None of the horses needed a blood transfraction.
- The recurrence rates for different sinonasal diseases post-surgery were noted to be 5% for paranasal sinus cysts, 12% for progressive ethmoid haematoma, and 50% for neoplasia.
Conclusions
- The study concluded that quickly removing the primary lesion, packing the sinuses, and re-evaluating the horse, while standing in a more controlled environment, is a safe and effective method in treating sinonasal disease in horses.
- The research also suggested that surgical time, intraoperative haemorrhage, long-term complications, and recurrence rates of paranasal sinus diseases can potentially be reduced when treated through the frontonasal or maxillary sinus flap using this technique.
Cite This Article
APA
Hart SK, Sullins KE.
(2010).
Evaluation of a novel post operative treatment for sinonasal disease in the horse (1996-2007).
Equine Vet J, 43(1), 24-29.
https://doi.org/10.1111/j.2042-3306.2010.00133.x Publication
Researcher Affiliations
- Marion duPont Scott Equine Medical Center, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech, VA, USA. samhart@vet.upenn.edu
MeSH Terms
- Animals
- Horse Diseases / surgery
- Horses
- Paranasal Sinus Diseases / surgery
- Paranasal Sinus Diseases / veterinary
- Postoperative Care / veterinary
- Retrospective Studies
- Surgical Procedures, Operative / methods
- Surgical Procedures, Operative / veterinary
Citations
This article has been cited 1 times.- 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.
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