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Journal of the American Veterinary Medical Association2009; 235(6); 731-733; doi: 10.2460/javma.235.6.731

Partial resection of the plica salpingopharyngeus for the treatment of three foals with bilateral tympany of the auditory tube diverticulum (guttural pouch).

Abstract: 3 foals were referred for treatment of tympany of the auditory tube diverticulum (guttural pouch). Results: Bilateral guttural pouch tympany was diagnosed in all 3 foals on the basis of clinical signs and results of radiographic and endoscopic evaluations and gutturocentesis. In each foal, previous medical or surgical interventions or both had failed to correct the problem. Results: Bilateral surgical resection of the plica salpingopharyngeus was performed. Follow-up telephone interviews with owners 8 months to 3 years after surgery revealed that long-term resolution of the tympany had been achieved in each foal, with few to no postsurgical complications. Conclusions: Surgical correction of refractory bilateral guttural pouch tympany can be accomplished by resection of the plica salpingopharyngeus within the pharyngeal opening of the Eustachian tube. In the foals of this report, permanent resolution of tympany was apparently achieved without interfering with upper airway function, providing support for the use of surgical resection of the plica salpingopharyngeus in the treatment of bilateral guttural pouch tympany.
Publication Date: 2009-09-16 PubMed ID: 19751171DOI: 10.2460/javma.235.6.731Google Scholar: Lookup
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  • Journal Article

Summary

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The research describes the successful treatment of three foals who suffered from tympany in the auditory tube diverticulum, using the surgical method of resecting the plica salpingopharyngeus.

About the Research

  • The research aimed to treat three foals with bilateral tympany of the auditory tube diverituculum, also known as the guttural pouch. These foals had been previously treated using medical or surgical interventions but didn’t respond favorably to them.
  • Bilateral guttural pouch tympany was confirmed in all the subjects through various clinical signs and testing methods including radiographic evaluations, endoscopic evaluations, and gutturocentesis (a procedure used to remove fluid or air from the guttural pouch).

Surgical Method

  • All three foals underwent a surgical procedure that involved bilateral resection of the plica salpingopharyngeus, a fold of mucous membrane in the pharyngeal opening of the Eustachian tube.

Results

  • Long-term interviews with the owners of the foals between 8 months to three years after the surgery showed that each foal had gained a permanent resolution of tympany with few to no post-surgical complications.

Conclusions

  • The research concludes that surgical interruption of refractory bilateral guttural pouch tympany can be effectively accomplished by resecting the plica salpingophayngeus. This result has been validated with the successful permanent resolution of tympany in the foals treated in this study.
  • Based on this research and its successful outcomes, resection of the plica salpingopharyngeus has been recommended for treating bilateral guttural pouch tympany.

Cite This Article

APA
Sparks HD, Stick JA, Brakenhoff JE, Cramp PA, Spirito MA. (2009). Partial resection of the plica salpingopharyngeus for the treatment of three foals with bilateral tympany of the auditory tube diverticulum (guttural pouch). J Am Vet Med Assoc, 235(6), 731-733. https://doi.org/10.2460/javma.235.6.731

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 235
Issue: 6
Pages: 731-733

Researcher Affiliations

Sparks, Holly D
  • Oakridge Equine Hospital, Edmond, OK 73034, USA.
Stick, John A
    Brakenhoff, Jeffery E
      Cramp, Phil A
        Spirito, Micheal A

          MeSH Terms

          • Animals
          • Eustachian Tube / pathology
          • Female
          • Horse Diseases / pathology
          • Horse Diseases / surgery
          • Horses
          • Male
          • Pharyngeal Diseases / surgery
          • Pharyngeal Diseases / veterinary

          Citations

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