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Transendoscopic Ventriculocordectomy Using Monopolar Electrosurgical Instrumentation for Conjunctive Treatment of Laryngeal Hemiplegia in Horses: 24 Cases (2017-2019).
Abstract: Objective: The objective of this study is to evaluate the safety, efficacy, and owner satisfaction following electrosurgical ventriculocordectomy (EVC), in conjunction with prosthetic laryngoplasty, in equine clinical cases affected with left- or right-sided recurrent laryngeal neuropathy. Methods: Retrospective data analysis of clinical signalment, surgery, athletic outcome, intra- and postoperative complications, and postoperative examinations from clinical cases wherein EVC was performed in conjunction with traditional prosthetic laryngoplasty from one practice. Owners were contacted by phone or email for a follow-up questionnaire. Results: Twenty-four horses underwent unilateral EVC, performed transendoscopically under sedated restraint, using monopolar electrosurgical instrumentation successfully. One horse experienced excessive intraoperative hemorrhage. No horses demonstrated postoperative complications. Twenty cases had a history of increased airway noise prior to surgery. In 15 of these cases (15/20, 75%), the airway noise was reported as fully improved post-surgery. Eighteen cases had a history of exercise intolerance prior to surgery. In 15 of these cases (15/18; 83%), the exercise intolerance was reported as resolved. Conclusion: EVC, in conjunction with prosthetic laryngoplasty, can contribute to improvement of RLN symptoms and aid in the effective return to athletic work. Performing transendoscopic ventriculocordectomy with monopolar electrosurgical instrumentation provides comparable clinical outcomes to traditional techniques using a diode laser or direct excision via laryngotomy.
Copyright © 2021 Caspers, Bell and Tatarniuk.
Publication Date: 2021-03-01 PubMed ID: 33732741PubMed Central: PMC7957056DOI: 10.3389/fvets.2021.628410Google Scholar: Lookup 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.
- Journal Article
- Athletic Horses
- Athletic Performance
- Case Reports
- Clinical Study
- Clinical Symptoms
- Complications
- Diagnosis
- Disease Diagnosis
- Disease Treatment
- Endoscopy
- Equine Health
- Hemorrhage
- Horses
- Laryngeal Dysfunction
- Laryngoplasty
- Post-Operative Period
- Respiratory Health
- Retrospective Study
- Surgery
- Veterinary Care
- Veterinary Medicine
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.
This research article evaluates the efficacy and safety of electrosurgical ventriculocordectomy (EVC) in treating horses with recurrent laryngeal neuropathy, a nerve disorder that affects breathing and exercise capacity. The research retrospectively analyzes cases where EVC was coupled with prosthetic laryngoplasty to enhance the benefits of this treatment.
Objective and Methodology
- The primary goal of this study was to assess the safety and efficacy of electrosurgical ventriculocordectomy (EVC) for treating horses suffering from recurrent laryngeal neuropathy. The procedure was performed along with conventional prosthetic laryngoplasty.
- The procedure was assessed by analyzing aspects such as clinical information, surgery details, athletic outcome, intra and postoperative complications, and postoperative examinations from cases in a single practice. These cases were where EVC and prosthetic laryngoplasty were performed concurrently.
- For postoperative follow-up, the horse owners were contacted and asked to fill in a questionnaire.
Results
- Out of the 24 horses that underwent the EVC procedure, only one experienced excessive intraoperative bleeding. Importantly, no horses demonstrated any postoperative complications, highlighting the relative safety of this approach.
- Before the surgery, 20 cases had reported increased airway noise, a hallmark of laryngeal hemiplegia. In 75% of these cases, the airway noise significantly improved post-surgery. This suggests that the combination of EVC and prosthetic laryngoplasty is effective in managing symptoms associated with laryngeal hemiplegia.
- In total, 18 horses displayed exercise intolerance before the surgery due to their condition. Remarkably, 83% of these horses could exercise normally after the procedure, further supporting the effectivity of the treatment.
Conclusion
- According to the study results, EVC when used along with prosthetic laryngoplasty can considerably improve symptoms of recurrent laryngeal neuropathy in horses, helping them return to their athletic activities.
- The research also states that using monopolar electrosurgical instrumentation for transendoscopic ventriculocordectomy provides similar clinical outcomes compared to traditional techniques that use a diode laser or direct excision via laryngotomy. Therefore, the procedure can present an alternative to traditional techniques.
Cite This Article
APA
Caspers MK, Bell CD, Tatarniuk DM.
(2021).
Transendoscopic Ventriculocordectomy Using Monopolar Electrosurgical Instrumentation for Conjunctive Treatment of Laryngeal Hemiplegia in Horses: 24 Cases (2017-2019).
Front Vet Sci, 8, 628410.
https://doi.org/10.3389/fvets.2021.628410 Publication
Researcher Affiliations
- Department of Veterinary Clinical Sciences, Iowa State University, Ames, IA, United States.
- Elders Equine Veterinary Services, Winnipeg, MB, Canada.
- Department of Veterinary Clinical Sciences, Iowa State University, Ames, IA, United States.
Conflict of Interest Statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References
This article includes 15 references
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Citations
This article has been cited 1 times.- Munif MR, Islam MA, Rahman MS, Rahman MM, Alam MR. Clinical efficacy of electrosurgery and steel scalpel surgery for umbilical herniorrhaphy in bovine calves: A comparative analysis. Heliyon 2025 Jan 15;11(1):e41454.
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