Update on disorders and treatment of the guttural pouch.
Abstract: The most common disorders of the equine guttural pouches are empyema, tympany, mycosis, and temporohyoid osteoarthropathy. Diagnosis of these conditions is made primarily by imaging with endoscopy, radiographs, computed tomography, and/or MRI. Medical treatment with anti-inflammatories, antimicrobials, and/or antifungals may be successful in some cases, but many of these disorders necessitate surgical intervention. Direct surgical approaches to the guttural pouch are difficult because of their complex anatomy and relationship with important structures, thus precipitating a move toward minimally invasive procedures when possible.
Copyright © 2015 Elsevier Inc. All rights reserved.
Publication Date: 2015-03-15 PubMed ID: 25770066DOI: 10.1016/j.cveq.2014.11.010Google Scholar: Lookup
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Summary
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The research article addresses common diseases of the horse’s guttural pouch with a focus on their diagnosis, treatment options, and advancements in minimally invasive surgical procedures.
Common Disorders of the Equine Guttural Pouch
- They include empyema (an accumulation of pus in the pouch), tympany (abnormal accumulation of air or gas), mycosis (fungal infection), and temporohyoid osteoarthropathy (a disorder characterized by the abnormal growth of the bone part between the skull and the hyoid apparatus).
- Diagnosing these conditions mostly involves the use of imaging techniques such as endoscopy, radiographs, computed tomography (CT), and magnetic resonance imaging (MRI).
Treatment of the Disorders
- Medical treatments involve the use of anti-inflammatories, antimicrobials, and antifungals.
- Despite the possibility of successful medical treatment in certain cases, it’s crucial to note that many of the mentioned disorders will require surgical attention.
Surgical Interventional Approach
- Conducting direct surgical approaches can be difficult due to the complex anatomy of the guttural pouches and their relationship with other important structures in the horse’s body.
- To mitigate the complications associated with direct surgical procedures, the veterinary medical field is gradually shifting towards minimally invasive surgical procedures wherever feasible.
Cite This Article
APA
Freeman DE.
(2015).
Update on disorders and treatment of the guttural pouch.
Vet Clin North Am Equine Pract, 31(1), 63-89.
https://doi.org/10.1016/j.cveq.2014.11.010 Publication
Researcher Affiliations
- Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW. 16th Avenue, PO Box 100136, Gainesville, FL 32610, USA. Electronic address: freemand@ufl.edu.
MeSH Terms
- Animals
- Eustachian Tube / microbiology
- Eustachian Tube / pathology
- Horse Diseases / diagnosis
- Horse Diseases / microbiology
- Horse Diseases / therapy
- Horses
- Mycoses / diagnosis
- Mycoses / microbiology
- Mycoses / therapy
- Mycoses / veterinary
- Otorhinolaryngologic Diseases / diagnosis
- Otorhinolaryngologic Diseases / microbiology
- Otorhinolaryngologic Diseases / therapy
- Otorhinolaryngologic Diseases / veterinary
Citations
This article has been cited 6 times.- Jeong S, Bond S, Bayly W, Sole-Guitart A. Laser fenestration of the dorsal pharyngeal recess does not correct experimentally induced dorsal nasopharyngeal collapse in horses. Vet Surg 2026 Jan;55(1):88-100.
- Waitt Wolker LH, Black A, Lee JK. Dermatitis, cellulitis, and osteomyelitis caused by Aspergillus nidulans in a horse with pituitary pars intermedia dysfunction. J Vet Diagn Invest 2024 Mar;36(2):248-253.
- Thomas-Cancian A, Ségard-Weisse E, Drumond B, Cadoré JL. Diagnostic Imaging of Diseases Affecting the Guttural Pouch. Vet Sci 2023 Aug 16;10(8).
- Vitoria A, Laborda A, Serrano-Casorrán C, Fuente S, Romero A, Vázquez FJ. Percutaneous Ultrasound-Guided Carotid Access and Puncture Closure with Angio-Seal in Horses. Animals (Basel) 2022 Jun 7;12(12).
- Elad D. Therapy of Non-Dermatophytic Mycoses in Animals. J Fungi (Basel) 2018 Oct 30;4(4).
- Elad D, Segal E. Diagnostic Aspects of Veterinary and Human Aspergillosis. Front Microbiol 2018;9:1303.
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