In vitro model for testing novel implants for equine laryngoplasty.
Abstract: To develop an in vitro laryngeal model to mimic airflow and pressures experienced by horses at maximal exercise with which to test laryngoplasty techniques. Methods: Randomized complete block. Methods: Cadaveric equine larynges (n=10). Methods: Equine larynges were collected at necropsy and a bilateral prosthetic laryngoplasty suture was placed with #5 Fiberwire suture to achieve bilateral maximal arytenoid abduction. Each larynx was positioned in a flow chamber and subjected to static flow and dynamic flow cycling at 2 Hz. Tracheal pressure and flow, and pressure within the flow chamber were recorded at a sampling frequency of 500 Hz. Data obtained were compared with the published physiologic values for horses exercising at maximal exercise. Results: Under static flow conditions, the testing system produced inspiratory tracheal pressures (mean+/-SEM) of -33.0+/-0.98 mm Hg at a flow of 54.48+/-1.8 L/s. Pressure in the flow chamber was -8.1+/-2.2 mm Hg producing a translaryngeal impedance of 0.56+/-0.15 mm Hg/L/s. Under dynamic conditions, cycling flow and pressure were reproduced at a frequency of 2 Hz, the peak inspiratory (mean+/-SEM) pharyngeal and tracheal pressures across all larynges were -8.85+/-2.5 and -35.54+/-1.6 mm Hg, respectively. Peak inspiratory flow was 51.65+/-2.3 L/s and impedance was 0.57+/-0.06 mm Hg/L/s. Conclusions: The model produced inspiratory pressures similar to those in horses at maximal exercise when airflows experienced at exercise were used. Conclusions: This model will allow testing of multiple novel techniques and may facilitate development of improved techniques for prosthetic laryngoplasty.
Publication Date: 2009-01-13 PubMed ID: 19134110DOI: 10.1111/j.1532-950X.2008.00424.xGoogle Scholar: Lookup
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- Journal Article
Summary
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This study focuses on developing a laboratory-based model for testing different laryngoplasty techniques on horses. The researchers utilised cadaveric equine larynges with laryngoplasty sutures to mimic airflow and pressure conditions experienced by horses during maximum exercise.
Methods Used in the Research
- The study used a randomized complete block method.
- Postmortem equine larynges (n=10) were utilized for the research.
- Prosthetic laryngoplasty sutures were placed on the larynges bilaterally to create maximal arytenoid abduction.
- Each larynx was seated in a flow chamber with both static and dynamic flow conditions at a frequency of 2 Hz.
- The tracheal pressure and flow, as well as the pressure within the flow chamber, were measured at a sampling frequency of 500 Hz.
- The obtained data set was compared with well-established physiological values relative to horses doing maximal exercise.
Results of the Study
- The study showed that under static flow conditions, the average inspiratory tracheal pressure was -33.0+/-0.98 mm Hg, with a flow rate of 54.48+/-1.8 L/s.
- The pressure within the flow chamber reached -8.1+/-2.2 mm Hg, thus producing a translaryngeal impedance of 0.56+/-0.15 mm Hg/L/s.
- Under dynamic conditions, the model created inspiratory pharyngeal and tracheal pressures of -8.85+/-2.5 and -35.54+/-1.6 mm Hg, respectively.
- The peak inspiratory flow achieved was 51.65+/-2.3 L/s, leading to an impedance of 0.57+/-0.06 mm Hg/L/s.
Conclusion of the Study
- The laboratory model generated inspiratory pressures that closely resemble those experienced by horses during maximal exercise.
- This model proves useful in testing several new techniques for laryngoplasty, potentially leading to the evolution of improved techniques.
Cite This Article
APA
Cheetham J, Witte TH, Soderholm LV, Hermanson JW, Ducharme NG.
(2009).
In vitro model for testing novel implants for equine laryngoplasty.
Vet Surg, 37(6), 588-593.
https://doi.org/10.1111/j.1532-950X.2008.00424.x Publication
Researcher Affiliations
- Department of Clinical Sciences, and Biomedical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA. jc485@cornell.edu
MeSH Terms
- Animals
- Cadaver
- Hemiplegia / surgery
- Hemiplegia / veterinary
- Horse Diseases / pathology
- Horse Diseases / surgery
- Horses
- In Vitro Techniques
- Laryngectomy / methods
- Laryngectomy / veterinary
- Larynx / surgery
- Physical Conditioning, Animal
- Random Allocation
- Treatment Outcome
- Vocal Cord Paralysis / surgery
- Vocal Cord Paralysis / veterinary
- Vocal Cords / surgery
Citations
This article has been cited 4 times.- Tucker ML, Wilson DG, Bergstrom DJ, Carmalt JL. Computational fluid dynamic analysis of upper airway procedures in equine larynges. Front Vet Sci 2023;10:1139398.
- Lean NE, Bertin FR, Ahern BJ. Influence of unilateral and bilateral vocal cordectomy on airflow across cadaveric equine larynges at different Rakestraw grades of arytenoid abduction. Vet Surg 2022 Aug;51(6):974-981.
- Brown BN, Siebenlist NJ, Cheetham J, Ducharme NG, Rawlinson JJ, Bonassar LJ. Computed tomography-guided tissue engineering of upper airway cartilage. Tissue Eng Part C Methods 2014 Jun;20(6):506-13.
- Witte TH, Cheetham J, Rawlinson JJ, Soderholm LV, Ducharme NG. A transducer for measuring force on surgical sutures. Can J Vet Res 2010 Oct;74(4):299-304.
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