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Ex Vivo Comparison of the Diagnostic Performance of Two-Dimensional and Three-Dimensional Three-Tesla Magnetic Resonance Imaging Sequences in Depicting Normal Articular Cartilage in Equine Stifle Cadavers.
Animals : an open access journal from MDPI    December 19, 2023   Volume 14, Issue 1 15 doi: 10.3390/ani14010015
Seidler A, Aßmann A, Torgerson PR, Sánchez-Andrade JS, Bischofberger A.The objective of this study was to compare articular cartilage thickness observed in the different 2D and 3D sequences to the cartilage thickness of the equine stifle in cadavers to determine the accuracy of each sequence. The study was conducted as a blinded laboratory study using seven equine stifle specimens. The 2D (T2W TSE) and 3D (3D VIEW T2W HR, T2 3D mFFE, T1W VISTA SPAIR, 3D PDW SPAIR) 3-tesla MRI sequences of each stifle were obtained. Cartilage thickness was measured at 30 locations on MRI and on gross pathology. Thickness measurements were compared using a Bland-Altman plot and pos...
How Useful Are Existing Protocols in the Quick Assessment of the Welfare of Semi-Feral Horses? Pilot Study on Konik Polski Horses Living in the Forest Sanctuary.
Animals : an open access journal from MDPI    December 19, 2023   Volume 14, Issue 1 8 doi: 10.3390/ani14010008
Górecka-Bruzda A, Siemieniuch M, Lansade L, Stanley CR.Scientifically validated and standardised methods for the evaluation of the welfare of free-living horses are urgently needed by both the owners and managers of these populations and those responsible for implementing national welfare legislation. The aim of the study was to test the feasibility and usefulness of two welfare protocols that could be applied to semi-feral populations: a prototype of welfare assessment template (WAT) for Carneddau semi-feral ponies and the IFCE/INRAE Horse Welfare Protocol. Additionally, the body condition scale designed by Henneke (BCS-H) was employed. The study...
A diverse microbial community and common core microbiota associated with the gonad of female Parascaris spp.
Parasitology research    December 18, 2023   Volume 123, Issue 1 56 doi: 10.1007/s00436-023-08086-w
Cain JL, Norris JK, Swan MP, Nielsen MK.The microbiome plays an important role in health, where changes in microbiota composition can have significant downstream effects within the host, and host-microbiota relationships can be exploited to affect health outcomes. Parasitic helminths affect animals globally, but an exploration of their microbiota has been limited, despite the development of anti-Wolbachia drugs to help control infections with some filarial nematodes. The equine ascarids, Parascaris spp., are considered the most pathogenic nematodes affecting juvenile horses and are also the only ascarid parasite to have developed wi...
Characterizing stress during animal interaction: a focus on the human endocrine response during equine-assisted services.
Frontiers in veterinary science    December 18, 2023   Volume 10 1303354 doi: 10.3389/fvets.2023.1303354
Rigby BR.Repeated stresses applied to the rider may contribute to the documented physical and psychosocial outcomes from equine-assisted services. In this brief review, a summary of neuroendocrine markers of stress, including immunoglobulin A, serotonin, cortisol, progesterone, and oxytocin, is presented within the context of the physiology of stress modulation. Results are mixed with regard to the effects of these hormones on rider physiology before, during, and after equine-assisted services. However, some results from existing studies are promising with regard to the attenuation of stress. Future re...
Optimization of lung ventilation and perfusion in anesthetized horses using a ventilation mode with flow-limited expiration.
American journal of veterinary research    December 18, 2023   1-8 doi: 10.2460/ajvr.23.09.0200
Araos J, Driessen B, Brandly J, Gorenberg E, Heerdt P, Bruhn A, Martin-Flores M, Adler A, Hopster K.To investigate the mechanisms underlying the improved arterial oxygenation described with flow-limited expiration (FLEX) ventilation in anesthetized horses. Methods: 5 healthy adult research horses. Methods: Horses underwent volume-controlled ventilation for 60 minutes (VCV1), followed by 60 minutes of FLEX, and 30 minutes of VCV (VCV2). Main outcomes included the arterial partial pressure of oxygen-to-Fio2 (PF) ratio and electrical impedance tomography (EIT)-derived functional indices at the end of each phase. The EIT data were used to create regional maps of relative lung ventilation and per...
Use of Autologous Conditioned Serum (ACS) for Osteoarthritis Treatment in Horses: A Systematic Review of Clinical Data.
Veterinary sciences    December 18, 2023   Volume 10, Issue 12 707 doi: 10.3390/vetsci10120707
Della Tommasa S, Brehm W, Farì G, Bernetti A, Imperante A.The utilization of Autologous Conditioned Serum (ACS) for treating osteoarthritis (OA) in horses has seen a notable increase in recent years. In vitro studies have consistently identified ACS as a promising therapy for OA joints, contributing to its growing popularity in OA treatment. Despite this, there is a noticeable absence of systematic reviews focused solely on the clinical data of OA patients treated with ACS, excluding the in vitro perspective. This study aims to address this gap by systematically reviewing the latest literature, concentrating solely on clinical data in in vivo studies...
Comparative Assessment of Oxidative and Antioxidant Parameters in Mule and Horse Neonates during Their First Month of Extrauterine Adaptation.
Animals : an open access journal from MDPI    December 16, 2023   Volume 13, Issue 24 3878 doi: 10.3390/ani13243878
Riccio AV, Costa BK, Alonso MA, Affonso FJ, França DS, Nichi M, Belli CB, McLean AK, Boakari YL, Fernandes CB.After parturition, a rapid transition occurs from the intrauterine to the extrauterine milieu, exposing neonates to physiological circumstances characterized by oxidative conditions that instigate the generation of reactive oxygen species. These free radicals play pivotal roles in physiological processes; however, an imbalance between their production and the removal of antioxidants can result in severe cellular damage. The main objective of this study was to compare the oxidative and antioxidant profiles in mule and horse neonates immediately post-parturition, as well as at subsequent time po...
Standing left recurrent laryngeal neurectomy for prospective evaluation of laryngeal hemiplegia evaluated by a high-speed treadmill test.
American journal of veterinary research    December 16, 2023   1-6 doi: 10.2460/ajvr.23.08.0185
Lean NE, Franklin SH, Ahern BJ.To describe left recurrent laryngeal neurectomy (LRLn) performed under standing sedation and evaluate the effect of LRLn on upper respiratory tract function using a high-speed treadmill test (HST). We hypothesized that (1) unilateral LRLn could be performed in standing horses, resulting in ipsilateral arytenoid cartilage collapse (ACC); and (2) HST after LRLn would be associated with alterations in upper respiratory function consistent with dynamic ACC. Methods: 6 Thoroughbred horses. Methods: The horses were trained and underwent a baseline HST up to 14 m/s at 5% incline until fatigue. Evalua...
Decision Making in Severe Equine Asthma-Diagnosis and Monitoring.
Animals : an open access journal from MDPI    December 16, 2023   Volume 13, Issue 24 3872 doi: 10.3390/ani13243872
Simões J, Tilley P.Decision making consists of gathering quality data in order to correctly assess a situation and determine the best course of action. This process is a fundamental part of medicine and is what enables practitioners to accurately diagnose diseases and select appropriate treatment protocols. Despite severe equine asthma (SEA) being a highly prevalent lower respiratory disease amongst equids, clinicians still struggle with the optimization of routine diagnostic procedures. The use of several ancillary diagnostic tests has been reported for disease identification and monitoring, but many are only s...
Immunoproteomics reveal increased serum IgG3/5 binding to Dermatophagoides and yeast protein antigens in severe equine asthma in a preliminary study.
Frontiers in immunology    December 15, 2023   Volume 14 1293684 doi: 10.3389/fimmu.2023.1293684
Schnabel CL, Jentsch MC, Lübke S, Kaiser-Thom S, Gerber V, Vrtala S, Huang HJ, Rhyner C, Wagner B, Hoffmann R, Volke D.Severe equine asthma (SEA) is a common, chronic respiratory disease of horses characterized by hyperreactivity to hay dust which has many similarities to severe neutrophilic asthma in humans. SEA-provoking antigens have not been comprehensively characterized, but molds and mites have been suggested as relevant sources. Here, we identified relevant antigen candidates using immunoproteomics with IgG isotype-binding analyses. Proteins from () were separated by two-dimensional gel electrophoresis followed by immunoblotting (2D immunoblots) resulting in a characteristic pattern of 440 spots. After...
First Swedish case of fatal equine parasitic encephalitis by Halicephalobus gingivalis.
Acta veterinaria Scandinavica    December 15, 2023   Volume 65, Issue 1 56 doi: 10.1186/s13028-023-00719-5
Olofsson KM, van de Velde N, Peletto S, Iulini B, Pratley L, Modabberzadeh B, Małek E, Grandi G.Halicephalobus gingivalis is a nematode with zoonotic potential which can cause fatal opportunistic infections in various mammals. The parasite has never been diagnosed in Sweden, in any species, prior to the presented case. Methods: An imported 21-year-old Icelandic mare developed severe neurological signs. The horse was eventually euthanized and submitted for post-mortem examination where severe lesions in the kidneys were noted. Histopathology revealed the presence of H. gingivalis in both kidneys and the brain. Phylogenetic analysis of the parasite determined it to belong to Lineage 1. Con...
Haematological reference intervals for pregnant Icelandic mares on pasture.
Acta veterinaria Scandinavica    December 15, 2023   Volume 65, Issue 1 57 doi: 10.1186/s13028-023-00721-x
Oddsdóttir C, Jónsdóttir HK, Sturludóttir E.Few studies have been conducted on haematological reference intervals (RIs) in Icelandic horses. Reference intervals have been published for Icelandic horses in Austria and a preliminary study in Iceland compared haematological values in riding horses to published RIs for other breeds as well as Icelandic horses abroad. Haematological parameters can vary greatly due to factors such as breed, gender, age, reproductive status, and training, as well as feeding, prior exercise and management method. Icelandic broodmares are kept on pasture under supervision throughout the year, with haylage provid...
Moelerella wisconsensis: first isolation from lungs and spleen of a horse infected with Streptococcus dysgalactia subsp. equisimilis.
Veterinary research forum : an international quarterly journal    December 15, 2023   Volume 14, Issue 12 685-688 doi: 10.30466/vrf.2023.1987898.3760
İncili CA, Eröksüz Y, Otlu B, Kara E, Tanrıverdi ES, Timurkan MÖ, Kalender H, Eröksüz H.Moellerella wisconsensis is a Gram-negative, facultative anaerobic bacillus of Entero-bacteriaceae family, and it is an uncommon pathogen in domestic animals. To date, five cases were reported including two dogs, two cattle, and a goat. Streptococcus equisimilis is the second common bacterial agent after the S. equi subsp. zooepidemicus in equine pneumonia cases. The present report describes the isolation of M. wisconses from lungs and spleen of a 10-year-old Arabian horse (May 08, 2022) at post-mortem examination being co-infected with S. equisimilis. Clinical and pathological findings includ...
Riders’ Effects on Horses-Biomechanical Principles with Examples from the Literature.
Animals : an open access journal from MDPI    December 15, 2023   Volume 13, Issue 24 3854 doi: 10.3390/ani13243854
Clayton HM, MacKechnie-Guire R, Hobbs SJ.Movements of the horse and rider in equestrian sports are governed by the laws of physics. An understanding of these physical principles is a prerequisite to designing and interpreting biomechanical studies of equestrian sports. This article explains and explores the biomechanical effects between riders and horses, including gravitational and inertial forces, turning effects, and characteristics of rider technique that foster synchronous movement with the horse. Rider symmetry, posture, and balance are discussed in the context of their relationship to rider skill level and their effects on the...
Comprehensive analysis of the whole-transcriptome landscape of the ovarian cortex from Mongolian horses that reproduce seasonally.
Comparative biochemistry and physiology. Part D, Genomics & proteomics    December 15, 2023   Volume 49 101179 doi: 10.1016/j.cbd.2023.101179
Shen Y, Ulaangerel T, Ren H, Liu Q, Davshilt T, Yi M, Dugarjaviin M, Bou G.The reproductive cycle of equines tends to be seasonal and is influenced by factors such as light and temperature. The process and methods of regulating the mare oestrous cycle in the anestrus period are still immature. The effects of noncoding RNAs and mRNAs on the oestrous cycle have aroused much interest, but corresponding analyses of seasonal mare ovaries have not been reported. Here, we report a whole transcriptome analysis of the Mongolian horse ovarian cortex collected in anestrus and diestrus periods. In total, 1081 mRNAs, 205 lncRNAs, 54 circRNAs, and 13 miRNAs were upregulated in win...
Changes in the saliva proteome analysed by gel-proteomics in horses diagnosed with equine gastric ulcer syndrome (EGUS) at diagnosis and after successful treatment.
Research in veterinary science    December 15, 2023   Volume 167 105112 doi: 10.1016/j.rvsc.2023.105112
López-Martínez MJ, Lamy E, Cerón JJ, Ayala I, Contreras-Aguilar MD, Henriksen IH, Muñoz-Prieto A, Hansen S.Equine gastric ulcer syndrome (EGUS) is currently one of the more frequent diseases in horses. We aimed to identify changes in the salivary proteome in horses with EGUS at diagnosis and after successful treatment by using gel proteomics. Saliva samples were collected from nine horses with EGUS before and after treatment and nine matched healthy controls. SDS-PAGE (1DE) and two-dimensional gel electrophoresis (2DE) were performed, and significantly different protein bands and spots were identified by mass spectrometry. Horses with EGUS had increases in proteins such as adenosine deaminase (ADA)...
The Socioeconomic Impact of Diseases of Working Equids in Low and Middle-Income Countries: A Critical Review.
Animals : an open access journal from MDPI    December 15, 2023   Volume 13, Issue 24 3865 doi: 10.3390/ani13243865
Bonsi M, Anderson NE, Carder G.Working equids provide a crucial contribution to the livelihoods and food security of communities in low- and middle-income countries (LMICs). Nevertheless, they are a neglected category within animal health policies and interventions of governmental and non-governmental institutions. This critical review aims to assess the socioeconomic impact of diseases of working equids in LMICs. By highlighting the implications of diseases on working equid welfare, human wellbeing and livelihoods, this review seeks to sensitise policymakers within governments and international organisations to develop pol...
Breed predispositions to congenital and juvenile cataracts in horses at two academic institutions.
Equine veterinary journal    December 14, 2023   Volume 56, Issue 5 1041-1049 doi: 10.1111/evj.14034
Plotsker NM, Bellone RR, Ledbetter EC, Irby NL, Good KL, Knickelbein KE.Determination of horse breeds predisposed to congenital and juvenile cataracts will enable investigations into potential genetic mechanisms for cataracts in horses. Objective: To investigate horse breed predispositions to congenital and juvenile cataracts in two academic referral populations. Methods: Retrospective case series. Methods: Medical record identification of horses diagnosed with congenital or juvenile cataracts at the Cornell University Equine Hospital (2000-2022) and the University of California-Davis (UCD) Large Animal Clinic (1990-2021). Signalment, examination findings and trea...
Identification of T cell and linear B cell epitopes on African horse sickness virus serotype 4 proteins VP1-1, VP2, VP4, VP7 and NS3.
Vaccine    December 14, 2023   Volume 42, Issue 2 136-145 doi: 10.1016/j.vaccine.2023.12.028
Faber E, van Schalkwyk A, Ivy Tshilwane S, Van Kleef M, Pretorius A.The viral proteins VP1-1, VP2, VP4, VP7 and NS3, of African horse sickness virus serotype 4 (AHSV4), have previously been identified to contain CD8+ T cell epitopes. In this study, overlapping peptides spanning the entire sequences of these AHSV4 proteins were synthesized and used to map epitopes. Peripheral blood mononuclear cells (PBMC) isolated from five horses immunized with an attenuated AHSV4 were stimulated in vitro with the synthesized peptides. Various memory immune assays were used to identify the individual peptides that contain CD8+ T cell epitopes, CD4+ T cell epitopes and linear ...
Preliminary evaluation of safety and migration of immune activated mesenchymal stromal cells administered by subconjunctival injection for equine recurrent uveitis.
Frontiers in veterinary science    December 14, 2023   Volume 10 1293199 doi: 10.3389/fvets.2023.1293199
Cassano JM, Leonard BC, Martins BC, Vapniarsky N, Morgan JT, Dow SW, Wotman KL, Pezzanite LM.Equine recurrent uveitis (ERU), an immune mediated disease characterized by repeated episodes of intra-ocular inflammation, affects 25% of horses in the USA and is the most common cause of glaucoma, cataracts, and blindness. Mesenchymal stromal cells (MSCs) have immunomodulatory properties, which are upregulated by preconditioning with toll-like receptor agonists. The objective was to evaluate safety and migration of TLR-3 agonist polyinosinic, polycytidylic acid (pIC)-activated MSCs injected subconjunctivally in healthy horses prior to clinical application in horses with ERU. We hypothesized ...
Clinical and histopathological features in horses with neuroaxonal degeneration: 100 cases (2017-2021).
Journal of veterinary internal medicine    December 14, 2023   Volume 38, Issue 1 431-439 doi: 10.1111/jvim.16969
Brown KA, Bender SJ, Johnson AL.Adult horses with proprioceptive ataxia and behavior changes that have histologic lesions consistent with neurodegenerative disease have been increasingly recognized. Objective: Describe the history, clinical findings and histopathologic features of horses presented to a referral institution with neuroaxonal degeneration. Methods: One hundred horses with a necropsy diagnosis of neuroaxonal degeneration compatible with neuroaxonal dystrophy/degenerative myeloencephalopathy (eNAD/EDM). Methods: Retrospective study of horses presented to the University of Pennsylvania, New Bolton Center, between ...
Arthroscopic Treatment of a Subchondral Bone Cyst via Stem Cells Application: A Case Study in Equine Model and Outcomes.
Biomedicines    December 14, 2023   Volume 11, Issue 12 doi: 10.3390/biomedicines11123307
Canonici F, Marcoccia D, Bonini P, Monteleone V, Innocenzi E, Zepparoni A, Altigeri A, Caciolo D, Tofani S, Ghisellini P, Rando C, Pechkova E, Rau JV....Subchondral bone cysts in horses represent one of the main causes of lameness that can occur in different anatomical locations. The study describes the treatment in regenerative therapy of the intracystic implantation of adipose tissue mesenchymal stromal cells (AMSCs) included in platelet-rich plasma (PRP). The ability of AMSCs to differentiate in osteogenic cells was tested in vitro and in vivo. Given the aim to investigate the application of AMSCs in bone defects and orthopedic pathologies in horses, a four-year-old male thoroughbred racing horse that had never raced before was treated for ...
Wound healing of experimental equine skin wounds and concurrent microbiota in wound dressings following topical propylene glycol gel treatment.
Frontiers in veterinary science    December 14, 2023   Volume 10 1294021 doi: 10.3389/fvets.2023.1294021
Labens R, Raidal S, Borgen-Nielsen C, Pyecroft S, Pant SD, De Ridder T.Topical wound treatments rely on carrier formulations with little to no biological impact. The potential for a common vehicle, a propylene glycol (PG) gel, to affect wound healing measures including microbiota is not known. Microbiome characterization, based on next generation sequencing methods is typically performed on tissue or directly obtained wound fluid samples. The utility for primary wound dressings to characterize equine wound microbiota in the context of topical treatments is currently unknown. This investigation reports the topical effect of an 80% PG based gel on wound healing and...
Intravenous loss of over-the-wire catheter guidewires in 13 horses.
Journal of veterinary internal medicine    December 14, 2023   doi: 10.1111/jvim.16960
Hobbs KJ, Young KAS, Nannarone S, Luethy D, Hopster-Iversen C, McKenzie HC, Ludwig EK.Over-the-wire (OTW) catheter placement is performed frequently in horses. Intravascular loss of a guidewire has been anecdotally reported, but there is limited information regarding the treatment and outcome of horses that have experienced this complication of OTW catheter placement. Objective: Describe the clinical and diagnostic features, treatment, and outcome of horses experiencing IV guidewire loss at the time of OTW catheter placement. Methods: Thirteen horses. Methods: Multicenter retrospective study to identify horses with IV guidewire loss. Horses of all ages were considered for inclu...
Image processing setting adaptions according to image dose and radiologist preference can improve image quality in computed radiography of the equine distal limb: A cadaveric study. Seeber M, Lederer KA, Rowan C, Strohmayer C, Ludewig E.Image processing (IP) in digital radiography has been steadily refined to improve image quality. Adaptable settings enable users to adjust systems to their specific requirements. This prospective, analytical study aimed to investigate the influence of different IP settings and dose reductions on image quality. Included were 20 cadaveric equine limb specimens distal to the metacarpophalangeal and metatarsophalangeal joints. Images were processed with the Dynamic Visualization II system (Fujifilm) using five different IP settings including multiobjective frequency processing, flexible noise cont...
Presence and detection of endogenous steroids in the horse-A review.
Drug testing and analysis    December 13, 2023   doi: 10.1002/dta.3624
Viljanto M, Gray B, Scarth J.Detection of doping with steroids that are also endogenous in the horse can be challenging, and a variety of approaches to distinguish exogenous administration from their natural presence are employed. Knowledge of endogenous concentrations of various steroids in different genders of horses (intact male, castrated male and female) and factors that could naturally affect them is beneficial for establishing ways for detection of their use. The current internationally adopted approaches include concentration-based thresholds in urine and plasma, steroid ratios in urine and targeting the administe...
Effect of 5′-adenosine monophosphate-activated protein kinase agonists on insulin and glucose dynamics in experimentally induced insulin dysregulation in horses.
Journal of veterinary internal medicine    December 13, 2023   Volume 38, Issue 1 102-110 doi: 10.1111/jvim.16970
Pinnell EF, Hostnik LD, Watts MR, Timko KJ, Thriffiley AA, Stover MR, Koenig LE, Gorman OM, Toribio RE, Burns TA.5'-adenosine monophosphate-activated protein kinase (AMPK) agonists, particularly resveratrol (RES), have not been extensively evaluated for their effect on insulin dysregulation (ID) in horses. Objective: Evaluate the effects of treatment with RES (10 mg/kg PO q12h), metformin (MET; 30 mg/kg PO q12h), and aspirin (ASP; 20 mg/kg PO q24h) on experimentally induced ID. Methods: Thirty-three healthy, adult, light-breed horses. Methods: Unblinded, placebo-controlled, experimental trial evaluating effects of AMPK agonists (RES, MET, and ASP) on experimentally induced ID. Horses were randomly ...
Structure and genetic variability of the Costa Rican Paso horse.
Journal of equine veterinary science    December 12, 2023   104985 doi: 10.1016/j.jevs.2023.104985
Domínguez-Viveros J, Molina-Villalobos JR, Camacho-Sandoval J, Cruz-Méndez A, Martínez-Rocha R, Jahuey-Martínez F.The Costa Rican Paso Horse (CPC) is a breed developed in Costa Rica. The objectives were to estimate the genetic structure and evaluate the levels of genetic variability of the population. The genotypes of 14 microsatellites in 3654 records (2052 females and 1602 males) were analyzed. Expected (He) and observed (Ho) heterozygosity, polymorphic information content (CIP), fixation index (FIS), Shannon index, as well as Hardy-Weinberg disequilibrium (DHW) were evaluated. Kinship relationships (Rij) were estimated throughout the entire population. The effective population size (Ne) was calculated,...
DMRT3 Allele Frequencies in Batida- and Picada-Gaited Donkeys and Mules in Brazil.
Animals : an open access journal from MDPI    December 12, 2023   Volume 13, Issue 24 3829 doi: 10.3390/ani13243829
Herman M, Caceres AM, Albuquerque ALH, Leite RO, Araújo CET, Delfiol DJZ, Curi RA, Borges AS, Oliveira-Filho JP.In Brazil, the production of mules with a comfortable gait primarily involves the breeding of marching saddle mules. This is achieved by crossing gaited Pêga donkeys with horses from the Mangalarga Marchador and Campolina breeds. The :g.22999655C>A SNP is implicated in regulating gait phenotypes observed in various horse breeds, including the batida (CC) and picada (CA) gaits found in these horse breeds. We aimed to determine if genotypes influenced gait type in 159 mules and 203 donkeys genotyped for the SNP by PCR-RFLP analysis. About 47% of mules had the CC-genotype, while 53% had the ...
Dynamic nasopharyngeal collapse in horses: What we know so far.
Equine veterinary journal    December 12, 2023   doi: 10.1111/evj.14022
Jeong S, Bond SL, Sole-Guitart A.Dynamic nasopharyngeal collapse (NPC) is an obstructive upper airway disease that affects mainly the inspiratory phase of respiration in horses undergoing strenuous exercise. It occurs when the neuromuscular activity of the nasopharynx is overwhelmed by the intense negative pressures generated during exercise. This leads to collapse of at least one of the four components of the nasopharynx which is comprised of the two lateral walls, the dorsal roof and the ventral soft palate. As a result, the airway diameter and thus airflow become compromised. Even small changes in the airway diameter produ...