Marsupialization and sclerotherapy with povidone iodine and ethanol of a branchial remnant cyst in an Arabian filly.
Abstract: Branchial remnant cysts are an uncommon cause of masses of the throatlatch area in horses. Two methods of treatment have been proposed in literature, both with complications. This manuscript proposes a method (marsupialization and sclerotherapy) for the treatment of a cyst in a 1.5-year-old Arabian filly. Diagnosis was made by ultrasonographic, radiographic and endoscopic examinations, revealing an anechoic fluid-filled structure and a well-defined capsule not in communication with other structures. After emptying the cyst, the skin was sutured circumferentially to the cyst wall; it was then flushed first with a solution of ethanol and povidone-iodine, then with sterile saline. Eight months after surgery, the filly had no recurrence of the cyst and the stoma was healed.
Publication Date: 2018-07-06 PubMed ID: 29991922PubMed Central: PMC6033618DOI: 10.1294/jes.29.43Google Scholar: Lookup
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Summary
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This research presents a method for treating branchial remnant cysts in horses, specifically Arabian fillies, via marsupialization and sclerotherapy. The researchers used these techniques on a 1.5-year-old Arabian filly and confirmed eight months later that the cyst had not recurred.
Splitting the Research Study Elements
- Introduction: The initial portion of this abstract introduces the primary topic of the research article, i.e., branchial remnant cysts. Branchial remnant cysts are an uncommon medical condition affecting the throatlatch area of horses. The literature suggested two treatment methods, but these were found to have potential complications.
- Proposed Treatment Method: The research article proposes an alternative method of treatment for this condition, combining marsupialization and sclerotherapy. The test subject in the research was a 1.5-year-old Arabian filly, which demonstrated the presence of a cyst.
- Diagnosis: The diagnosis was confirmed using ultrasonographic, radiographic, and endoscopic examinations. These techniques showed an anechoic fluid-filled structure and a discernable capsule, which were not in connection with other structures.
- Procedure: After the confirmation of the cyst, the contents were drained. The skin around the cyst was then stitched to the cyst’s wall. This was then flushed with a solution consisting of ethanol and povidone-iodine, followed by a sterile saline solution.
- Result: At eight months post-surgery, the Arabian filly showed no recurrence of the cyst and the previously treated area was healed.
Detailed Explanation
In this study, the researchers focused on a relatively rare condition that causes masses in the throatlatch area of horses—branchial remnant cysts. Previously proposed treatment methods were shown to have complications, so the researchers sought to find an effective and less problematic treatment approach. The method they proposed used marsupialization—a surgical process where a pouch is created from a cyst or abscess with an opening to the outside—and sclerotherapy—a treatment where an irritating solution is used inside a cyst to cause it to harden and shrink.
The study was conducted on an Arabian filly, 1.5 years old, that presented with a cyst. Diagnosis was confirmed using ultrasonographic, radiographic, and endoscopic techniques. A visible fluid-filled structure with a distinct capsule was not connecting with other structures indicated the presence of a cyst.
The actual procedure consisted of first draining the cyst. Next, the skin around the cyst was stitched to the cyst wall in a process called marsupialization. This stitched area was then flushed with a solution made from ethanol and povidone-iodine, with a final rinse of sterile saline solution. This process is referred to as sclerotherapy.
The results of this study were positive; the filly showed no recurrence of the cyst at eight months after the surgery and the treatment site had fully healed. Thus, the marsupialization and sclerotherapy method appears to be effective for treating branchial remnant cysts in horses.
Cite This Article
APA
Rinnovati R, Bianchin Butina B, Bianchi J, Foglia A, Lambertini C, Del Magno S.
(2018).
Marsupialization and sclerotherapy with povidone iodine and ethanol of a branchial remnant cyst in an Arabian filly.
J Equine Sci, 29(2), 43-46.
https://doi.org/10.1294/jes.29.43 Publication
Researcher Affiliations
- Department of Veterinary Medical Sciences, University of Bologna, 40064, Ozzano dell'Emilia, BO, Italy.
- Department of Veterinary Medical Sciences, University of Bologna, 40064, Ozzano dell'Emilia, BO, Italy.
- Private practitioner, Pesaro-Urbino, 61121, Italy.
- Department of Veterinary Medical Sciences, University of Bologna, 40064, Ozzano dell'Emilia, BO, Italy.
- Department of Veterinary Medical Sciences, University of Bologna, 40064, Ozzano dell'Emilia, BO, Italy.
- Department of Veterinary Medical Sciences, University of Bologna, 40064, Ozzano dell'Emilia, BO, Italy.
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Citations
This article has been cited 1 times.- Ricard RM, Lightfoot KC, Burton J, Wobeser BK. Bilateral second pharyngeal cleft cysts in 2 calves on the same farm.. Can Vet J 2022 Mar;63(3):292-296.
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