FREE SHIPPING over $40
OVER 10000 FIVE-STAR REVIEWS
5% OFF ALL SUBSCRIPTIONS
100% HAPPINESS GUARANTEE
Analyze Diet
0
The Canadian veterinary journal = La revue veterinaire canadienne2008; 49(6); 587-591;

Palatal sclerotherapy: a potentially useful treatment of intermittent dorsal displacement of the soft palate in juvenile standardbred racehorses.

Abstract: This study was aimed at evaluating the tolerability and the efficacy of palatal sclerotherapy in juvenile standardbred racehorses with easily audible "snoring-like" respiratory noises suspected to be the result of intermittent dorsal displacement of the soft palate. The palate of 8 horses was injected with sodium tetradecyl sulfate under videoendoscopic guidance. Palatal sclerotherapy resulted in resolution of the respiratory noise in 7 horses, improvement of performance in 6 horses, and mild side effects in only 3 horses. This preliminary study suggests that palatal sclerotherapy is a safe, repeatable, inexpensive, and promising technique that should be considered as an alternative to existing treatments of intermittent dorsal displacement of the soft palate. Sclérothérapie du palais : un traitement potentiellement pratique lors du déplacement dorsal intermittent du voile du palais chez les jeunes chevaux de course Standardbred. Le but de cette étude clinique visait à évaluer les inconvénients ainsi que l’efficacité de la sclérothérapie pratiquée au niveau du palais mou chez de jeunes chevaux Standardbred. Ces chevaux présentaient lors de l’exercice des bruits anormaux au niveau des voies respiratoires supérieures et ces bruits étaient décrits comme étant similaires à des «ronflements» et donc suspect d’être la résultante d’un déplacement du palais mou. Chez 8 chevaux, le palais mou fut injecté avec du sulfate de tetradecyl de soude sous visualisation endoscopique. Suite au traitement on nota la disparition des bruits respiratoires chez 7 chevaux, une amélioration de la performance chez 6 chevaux ainsi que la présence d’effets secondaires considérés comme peu importants chez 3 chevaux. Cette étude préliminaire semble démontrer que la sclérothérapie du palais mou est une procédure sécuritaire, renouvelable et peu dispendieuse qui peut être considérée comme une alternative intéressante aux traitements déjà décrits lors de déplacement dorsal du voile du palais chez le cheval. (Traduit par les auteurs)
Get Full Text
Publication Date: 2008-07-16 PubMed ID: 18624069PubMed Central: PMC2387264
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
LinkedInCopy
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research article evaluates the use of palatal sclerotherapy in treating juvenile standardbred racehorses exhibiting intermittent dorsal displacement of the soft palate, which presents as snoring-like respiratory noises. The study showcases palatal sclerotherapy as a potential affordable, repeatable, and safe alternative to existing treatments.

Introduction to the Research

The study focuses its investigation on assessing the medical implications of palatal sclerotherapy. The therapy is potentially a promising, cost-effective treatment for juvenile standardbred racehorses that experience intermittent dorsal displacement of the soft palate—a condition that manifests in unusual respiratory noises likened to snoring.

Research Methodology

  • This research was conducted using eight standardbred racehorses regarded as juvenile.
  • The horses were subjected to sodium tetradecyl sulfate injections in the palate under videoendoscopic guidance. It is a non-intrusive methodology that allowed researchers to directly observe and monitor the procedure.

Research Findings

  • Out of the eight horses subjected to palatal sclerotherapy, the unusual respiratory sounds completely disappeared in seven of them. This suggests the therapy has a high success rate.
  • Six out of eight horses showed an improvement in their performance following the treatment, indicating the therapy might aid in improving the overall health and well-being of the animals.
  • However, three out of eight horses showed mild side effects post-therapy. While not specified in the abstract, these side effects warrant further study but were classified as minor.

Conclusion

The researchers conclude that palatal sclerotherapy might be a promising, affordable, safe, and repeatable alternative to existing treatments for intermittent dorsal displacement of the soft palate in horses. The therapy possesses high efficacy, shown by the disappearance of unusual respiratory noises in a large portion of the subjects, and comes with minor side effects. However, it is important to remember that this is a preliminary study and further research into its impact and potential side effects is needed to conclusively validate these findings.

Cite This Article

APA
Marcoux M, Picandet V, Céleste C, Macieira S, Morisset S, Rossier Y, Schambourg M, Jean D. (2008). Palatal sclerotherapy: a potentially useful treatment of intermittent dorsal displacement of the soft palate in juvenile standardbred racehorses. Can Vet J, 49(6), 587-591.

Publication

The Canadian veterinary journal = La revue veterinaire canadienne
ISSN: 0008-5286
NlmUniqueID: 0004653
Country: Canada
Language: English
Volume: 49
Issue: 6
Pages: 587-591

Researcher Affiliations

Marcoux, Marcel
  • Veterinary Teaching Hospital of the Université de Montréal, Faculty of Veterinary Medicine, C.P. 5000, Saint-Hyacinthe, Q. marcel.marcoux@umontreal.ca
Picandet, Valerie
    Céleste, Christophe
      Macieira, Susana
        Morisset, Sophie
          Rossier, Yves
            Schambourg, Morgane
              Jean, Daniel

                MeSH Terms

                • Animals
                • Female
                • Horse Diseases / pathology
                • Horse Diseases / therapy
                • Horses
                • Male
                • Palate, Soft / drug effects
                • Palate, Soft / pathology
                • Physical Conditioning, Animal / physiology
                • Postoperative Complications / veterinary
                • Respiratory Sounds / veterinary
                • Sclerosing Solutions / therapeutic use
                • Sclerotherapy / methods
                • Sclerotherapy / veterinary
                • Sodium Tetradecyl Sulfate / therapeutic use
                • Sports
                • Treatment Outcome

                References

                This article includes 35 references
                1. Davidson EJ, Martin B. Diagnosis of upper respiratory tract diseases in the performance horse.. Vet Clin North Am Equine Pract 2003;19:51–62.
                  pubmed: 12747661
                2. Ferrucci F, Zucca E, Di Fabio V, Ferro E. Treadmill endoscopic findings in 15 racehorses presented for poor performance.. Vet Res Commun 2003;27:395–397.
                  pubmed: 14535438
                3. Lane JG, Bladon B, Little DR, Naylor JR, Franklin SH. Dynamic obstructions of the equine upper respiratory tract. Part 1: observations during high-speed treadmill endoscopy of 600 Thoroughbred racehorses.. Equine Vet J 2006;38:393–399.
                  pubmed: 16986598
                4. Franklin SH, Naylor JR, Lane JG. Videoendoscopic evaluation of the upper respiratory tract in 93 sport horses during exercise testing on a high-speed treadmill.. Equine Vet J Suppl 2006;36:540–545.
                  pubmed: 17402480
                5. Rehder RS, Ducharme G, Hackett RP, Nielan GJ. Measurement of upper airway pressures in exercising horses with dorsal displacement of the soft palate.. Am J Vet Res 1995;56:269–274.
                  pubmed: 7771690
                6. Franklin SH, Naylor JR, Lane JG. Effect of dorsal displacement of the soft palate on ventilation and airflow during high-intensity exercise.. Equine Vet J Suppl 2002;34:379–383.
                  pubmed: 12405720
                7. Parente EJ, Martin BB, Tulleners EP, Ross MW. Dorsal displacement of the soft palate in 92 horses during high-speed treadmill examination (1993–1998). Vet Surg 2002;31:507–512.
                  pubmed: 12415518
                8. Franklin SH, Price C, Burn JF. The displaced equine soft palate as a source of abnormal respiratory noise during expiration.. Equine Vet J 2004;36:590–594.
                  pubmed: 15581323
                9. Blythe LL, Cardinet GH, Meagher DM, Brown MP, Wheat JD. Palatal myositis in horses with dorsal displacement of the soft palate.. J Am Vet Med Assoc 1983;183:781–785.
                  pubmed: 6629986
                10. Holcombe SJ, Derksen FJ, Stick JA, Robinson NE. Effect of bilateral blockade of the pharyngeal branch of the vagus nerve on soft palate function in horses.. Am J Vet Res 1998;59:504–508.
                  pubmed: 9563638
                11. Ducharme NG, Holcombe SJ. The function of the extrinsic and intrinsic musculature in stabilizing the upper airways.. World Equine Airways Symp 2001.
                12. Holcombe SJ, Derksen FJ, Berney C, Becker AC, Horner NT. Effect of topical anesthesia of the laryngeal mucosa on upper airway mechanics in exercising horses.. Am J Vet Res 2001;62:1706–1710.
                  pubmed: 11703011
                13. Greet TR, Dixon PM. ‘Flapping like a sail in the breeze’: the history of equine soft palate displacement and its treatment.. Equine Vet J 2005;37:386–388.
                  pubmed: 16163937
                14. Anderson JD, Tulleners EP, Johnston JK, Reeves MJ. Sternothyrohyoideus myectomy or staphylectomy for treatment of intermittent dorsal displacement of the soft palate in racehorses: 209 cases (1986–1991). J Am Vet Med Assoc 1995;206:1909–1912.
                  pubmed: 7790306
                15. Tate LP, Sweeney CL, Bowman KF, Newman HC, Duckett WM. Transendoscopic Nd:YAG laser surgery for treatment of epiglottal entrapment and dorsal displacement of the soft palate in the horse.. Vet Surg 1990;19:356–363.
                  pubmed: 2219673
                16. Hogan PM, Palmer SE, Congelosi M. Transendoscopic laser cauterization of the soft palate as an adjunctive treatment for dorsal displacement in the racehorse.. Annual Conv Am Assoc Equine Pract 2002;48:228–230.
                17. Ducharme NG, Hackett RP, Woodie JB. Investigations into the role of the thyrohyoid muscles in the pathogenesis of dorsal displacement of the soft palate in horses.. Equine Vet J 2003;35:258–263.
                  pubmed: 12755428
                18. Ordridge RM. The treatment of dorsal displacement of the soft palate by thermal cautery: a review of 252 cases.. World Equine Airway Symp 2001.
                19. Lafrentz JR, Brietzke SE, Mair EA. Evaluation of palatal snoring surgery in an animal model.. Otolaryngol Head Neck Surg 2003;129:343–352.
                  pubmed: 14574287
                20. Brietzke SE, Mair EA. Injection snoreplasty: how to treat snoring without all the pain and expense.. Otolaryngol Head Neck Surg 2001;124:503–510.
                  pubmed: 11337652
                21. Brietzke SE, Mair EA. Injection snoreplasty: extended follow-up and new objective data.. Otolaryngol Head Neck Surg 2003;128:605–615.
                  pubmed: 12748553
                22. Cehak A, Deegen E, Drommer W, Luktefels E, Ohnsesorge B. Transendoscopic injection of poly-l-lacrtic acid into the soft palate in horses: A new therapy for dorsal displacement of the soft palate?. J Equine Vet Sci 2006;2:59–66.
                23. Raker CW, Boles CR. Pharyngeal lymphoid hyperplasia in the horse.. J Equine Med Surg 1978;2:202–208.
                24. Harrison IW, Raker CW. Sternothyrohyoideus myectomy in horses: 17 cases (1984–1985). J Am Vet Med Assoc 1988;193:1299–1302.
                  pubmed: 3204058
                25. Duncan DW. Retrospective study of 50 Thoroughbred racehorses subjected to radical myectomy surgery for treatment of dorsal displacement of the soft palate.. Proc Am Assoc Equine Pract 1997;43:237–238.
                26. Tulleners E, Stick JA, Leitch M, Trumble TN, Wilkerson JP. Epiglottic augmentation for treatment of dorsal displacement of the soft palate in racehorses: 59 cases (1985–1994). J Am Vet Med Assoc 1997;211:1022–1028.
                  pubmed: 9343548
                27. Smith JJ, Embertson RM. Sternothyroideus myotomy, staphylectomy, and oral caudal soft palate photothermoplasty for treatment of dorsal displacement of the soft palate in 102 thoroughbred racehorses.. Vet Surg 2005;34:5–10.
                  pubmed: 15720590
                28. BonenClark G, Bryant J, Hernandez J, Ferrel EP, Colahan PC. Sternohyoideus tenectomy or sternothyroideus tenectomy with staphylectomy for the treatment of soft palate displacement.. Annu Conv Am Assoc Equine Pract 1999:85–86.
                29. Barakzai SZ, Johnson VS, Baird DH, Bladon B, Lane JG. Assessment of the efficacy of composite surgery for the treatment of dorsal displacement of the soft palate in a group of 53 racing Thoroughbreds (1990–1996). Equine Vet J 2004;36:175–179.
                  pubmed: 15038442
                30. Woodie JB, Ducharme NG, Kanter P, Hackett RP, Erb HN. Surgical advancement of the larynx (laryngeal tie-forward) as a treatment for dorsal displacement of the soft palate in horses: a prospective study 2001–2004.. Equine Vet J 2005;37:418–423.
                  pubmed: 16163943
                31. Holcombe SJ, Derksen FJ, Stick JA, Robinson NE. Pathophysiology of dorsal displacement of the soft palate in horses.. Equine Vet J Suppl 1999;30:45–48.
                  pubmed: 10659220
                32. Poyrazoglu E, Dogru S, Saat B, Gungor A, Cekin E, Cincik H. Histologic effects of injection snoreplasty and radiofrequency in the rat soft palate.. Otolaryngol Head Neck Surg 2006;135:561–564.
                  pubmed: 17011417
                33. Holcombe SJ, Beard WL, Hinchcliff KW, Robertson JT. Effect of sternothyrohyoid myectomy on upper airway mechanics in normal horses.. J Appl Physiol 1994;77:2812–2816.
                  pubmed: 7896626
                34. Holcombe SJ, Derksen FJ, Stick JA, Robinson NE. Effects of bilateral hypoglossal and glossopharyngeal nerve blocks on epiglottic and soft palate position in exercising horses.. Am J Vet Res 1997;58:1022–1026.
                  pubmed: 9285009
                35. Brietzke SE, Mair EA. Injection snoreplasty: investigation of alternative sclerotherapy agents.. Otolaryngol Head Neck Surg 2004;130:47–57.
                  pubmed: 14726910

                Citations

                This article has been cited 2 times.
                1. Hunt S, Kuo J, Aristizabal FA, Brown M, Patwardhan A, Hedman T. Soft Palate Modification Using a Collagen Crosslinking Reagent for Equine Dorsal Displacement of the Soft Palate and Other Upper Airway Breathing Disorders. Int J Biomater 2019;2019:9310890.
                  doi: 10.1155/2019/9310890pubmed: 31057624google scholar: lookup
                2. Jean D, Picandet V, Céleste C, Macieira S, Cesarini C, Morisset S, Rossier Y, Marcoux M. Palatal sclerotherapy for the treatment of intermittent dorsal displacement of the soft palate in 51 standardbred racehorses. Can Vet J 2011 Nov;52(11):1203-8.
                  pubmed: 22547840
                Subscribe to our newsletter
                Join 99,727 horse owners like you who receive our email updates on horse health and nutrition.