Mechanical comparison of 3 anchoring techniques in the muscular process for laryngoplasty in the equine larynx.
Abstract: To compare mechanical properties of 2 techniques with a conventional technique for anchoring the muscular process in a laryngoplasty procedure. Methods: Experimental ex vivo study. Methods: Equine larynges (n = 60). Methods: A single loop (SL), a screw (SC), and a double loop technique (DL) were compared. Constructs were subjected to cyclic loading, oscillating from 5 to 50 N for 3000 cycles, followed by a single cycle to failure test. Mean distraction, load at failure, stiffness, and failure mode were compared between groups. Results: Mean ± SD distraction in cyclic loading was greater for DL (2.1 ± 0.7 mm) than for SL (1.9 ± 1.3 mm) and SC (1.539 ± 0.9 mm); however, there was no significant difference between SL and SC or between SL and DL. Mean ultimate failure load was greater for DL (240 ± 44.56 N) than for SC (189.59 ± 46.16 N) and SL (150.93 ± 44.43 N) and greater for SC compared with SL. Failure occurred by cartilage tearing for DL and SL, and by screw pull out (n = 13) or knot slippage (4) for SC. Conclusions: In cyclic loading, SC is more stable than DL and at least as stable as SL. In single cycle to failure, DL is the strongest construct and SC is stronger than SL.
© Copyright 2014 by The American College of Veterinary Surgeons.
Publication Date: 2014-07-28 PubMed ID: 25069790DOI: 10.1111/j.1532-950X.2014.12248.xGoogle Scholar: Lookup
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- Evaluation Study
- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research study compared the mechanical properties of two new techniques and one conventional technique for anchoring the muscular process in an equine laryngoplasty procedure. The study found that in cyclic loading, a screw technique is more stable than a double loop, and at least as stable as a single loop. In single cycle to failure tests, the double loop was the strongest construct, while the screw technique was stronger than the single loop.
Experimentation Method
- The experiments for the research were conducted using ex vivo equine larynges, with a total of 60 specimens used in the study.
- The anchoring techniques compared were a single loop (SL) technique, a screw (SC) technique, and a double loop (DL) technique.
- These constructs were subjected to cyclic loading and oscillation ranging from 5 to 50 N for 3000 cycles. Following this, a single cycle to failure test was performed to assess the strength and durability of each technique.
Results of the Study
- The mean distraction during cyclic loading was greater for the double loop technique, followed by the single loop and screw techniques. However, no significant difference was found between the single loop and screw techniques or between the single loop and double loop techniques.
- The mean ultimate failure load was greatest for the double loop technique, followed by the screw technique, and then the single loop technique.
- Failure in the techniques was due to different reasons: cartilage tearing was found in the double loop and single loop techniques, while for the screw technique, failure occurred either due to the screw pulling out or knot slippage.
Conclusions drawn from the Study
- In terms of stability under cyclic loading, the researchers found the screw technique was more stable than the double loop technique and at least as stable as the single loop technique.
- In single cycle to failure tests, the double loop technique proved to be the strongest construct, whereas the screw technique exhibited greater strength than the single loop technique.
- The findings of this study could have significant implications for improving techniques for anchoring the muscular process in laryngoplasty procedures for equine patients.
Cite This Article
APA
Lechartier A, Rossignol F, Brandenberger O, Vitte A, Mespoulhès-Rivière C, Rossignol A, Boening KJ.
(2014).
Mechanical comparison of 3 anchoring techniques in the muscular process for laryngoplasty in the equine larynx.
Vet Surg, 44(3), 333-340.
https://doi.org/10.1111/j.1532-950X.2014.12248.x Publication
Researcher Affiliations
- Clinique vétérinaire de Grosbois, Boissy Saint Léger, France; Clinique équine de l'Ecole Nationale Vétérinaire d'Alfort, Maisons Alfort, France.
MeSH Terms
- Animals
- Biomechanical Phenomena
- Bone Screws / veterinary
- Horse Diseases / surgery
- Horses
- Laryngeal Diseases / surgery
- Laryngeal Diseases / veterinary
- Laryngoplasty / methods
- Laryngoplasty / veterinary
- Suture Techniques / veterinary
Citations
This article has been cited 5 times.- Byrne CA, Hotchkiss JW, Barakzai SZ. Variations in the application of equine prosthetic laryngoplasty: A survey of 128 equine surgeons. Vet Surg 2023 Feb;52(2):209-220.
- Gray SM, Gutierrez-Nibeyro SD, Horn GP, McCoy AM, Schaeffer DJ, Stewart M. The effect of repeated freezing and thawing on the suture pull-out strength in equine arytenoid and cricoid cartilages. Vet Surg 2022 Oct;51(7):1106-1110.
- Otto S, Michler JK, Dhein S, Mülling CKW. Development of a constant pressure perfused ex vivo model of the equine larynx. PLoS One 2021;16(5):e0251530.
- Pascoletti G, Pressanto MC, Putame G, Terzini M, Franceschini G, Zanetti EM. Design of a loading system for cyclic test on sutured organs. MethodsX 2020;7:100988.
- Ysebaert MP, Johnson J, Marie U, Campos A, Verchrerin A, Ducharme NG, Rossignol F, Luedke LK. Biomechanical testing of three constructs for prosthetic laryngoplasty in horses demonstrates advantages of differing metallic implants in the arytenoid cartilage. Vet Surg 2026 Jan;55(1):69-77.
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