Outcome of treatment in 23 horses with progressive ethmoidal haematoma.
Abstract: This paper describes the outcome of treatment in 23 horses with an ethmoidal haematoma. In 22 cases a diagnosis could be made by endoscopic means alone but in 1 horse the lesion was confined to the maxillary sinus and a diagnosis was made only at surgery. One horse was destroyed at the owner's request but the other 22 underwent radical excision of the lesion via a facial flap approach under general anaesthesia. Post-operative haemorrhage was controlled by nasal packing with a gauze bandage and this was removed between the 2nd and 4th post-operative day. One horse died from encephalitis the day after surgery. Other complications included facial wound dehiscence, sequestration and suture periostitis. Of 21 horses followed up post-operatively there was definite recurrence of lesion in 2 cases and possibly a third. However, in 18 horses there was no evidence of recurrence (follow up times were 2 to 85 months). It is suggested that radical excision of the lesion provides an effective means of treatment.
Publication Date: 1992-11-01 PubMed ID: 1459061DOI: 10.1111/j.2042-3306.1992.tb02878.xGoogle Scholar: Lookup
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- Journal Article
Summary
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This study reviews the treatment outcomes for 23 horses diagnosed with ethmoidal haematoma, a type of tumor-like growth in the nasal cavity. The research indicates that radical excision, a surgical procedure to remove the growth, was generally effective in managing the condition.
Diagnosis of Ethmoidal Haematoma
- The research involved 23 horses that were diagnosed with ethmoidal haematoma, a swelling in the ethmoid region of the nasal cavity, often caused by prolonged nasal bleeding.
- In 22 cases, the diagnosis was achieved solely through endoscopic means. Endoscopy is a non-surgical procedure that uses an instrument called an endoscope to examine the interior part of the body.
- In one instance, the lesion was located in the maxillary sinus, making it harder to diagnose without surgical intervention.
Treatment Outcome
- One horse was euthanized at the owner’s request without undergoing treatment.
- The remaining 22 horses underwent a surgical procedure known as radical excision, under general anesthesia. This procedure involves the extensive removal of the lesion through a facial flap approach.
- Post-surgery, nasal bleeding was controlled by packing the nasal cavity with a gauze bandage, which was then removed between the 2nd and 4th post-operative day.
Complications and Follow Up
- One horse died from encephalitis (inflammation of the brain) the day after the surgery.
- Other complications reported included facial wound dehiscence (splitting or rupturing of the surgical wound), sequestration (isolation of tissue), and suture periostitis (inflammation around the surgical stitching).
- In a follow-up with 21 horses post-surgery, two showed definite signs of the lesion recurring, with a potential third also showing signs.
- However, in 18 cases, there was no evidence of the lesion recurring, with follow-up times ranging between 2 to 85 months after the surgery.
Conclusion
- The study concluded that radical excision of the ethmoidal haematoma lesion is an effective treatment method for horses.
Cite This Article
APA
Greet TR.
(1992).
Outcome of treatment in 23 horses with progressive ethmoidal haematoma.
Equine Vet J, 24(6), 468-471.
https://doi.org/10.1111/j.2042-3306.1992.tb02878.x Publication
Researcher Affiliations
- Beaufort Cottage Stables, Newmarket, Suffolk, UK.
MeSH Terms
- Animals
- Encephalitis / etiology
- Encephalitis / veterinary
- Endoscopy / veterinary
- Epistaxis / diagnosis
- Epistaxis / surgery
- Epistaxis / veterinary
- Ethmoid Sinus
- Female
- Follow-Up Studies
- Hematoma / diagnosis
- Hematoma / surgery
- Hematoma / veterinary
- Horse Diseases / diagnosis
- Horse Diseases / surgery
- Horses
- Male
- Paranasal Sinus Diseases / diagnosis
- Paranasal Sinus Diseases / surgery
- Paranasal Sinus Diseases / veterinary
- Postoperative Complications / veterinary
- Recurrence
- Treatment Outcome
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