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Journal of the American Veterinary Medical Association2004; 224(7); 1147-1112; doi: 10.2460/javma.2004.224.1147

Use of distraction osteogenesis for the correction of deviated nasal septum and premaxilla in a horse.

Abstract: A 13-month-old female Andalusian was evaluated because of a congenital left deviation of the maxilla and nasal septum, which had resulted in a gross malocclusion of the maxillary incisor teeth. Surgical correction of a deviated nasal septum and premaxilla in a horse was first reported in 1978 and involved a pre-maxilla osteotomy and use of an autogenous rib graft, with a nasal septum osteotomy performed in a second surgery; to the authors' knowledge, no alternative surgical treatments have since been described. In this horse, a new surgical treatment by distraction osteogenesis without nasal septum osteotomy was attempted. After the procedure, the premaxilla and nasal septum deviations were corrected; however, an overjet lesion (rostral projection of maxillary arcade over the mandibular arcade) was evident, for which the owners declined treatment. Compared with previously recommended procedures, distraction osteogenesis appears to be a less invasive treatment for congenital facial deformities and may be considered an option in the treatment of congenital deviation of the nasal septum and premaxilla (wry nose), head scoliosis, brachygnathism, and prognathism in horses.
Publication Date: 2004-04-13 PubMed ID: 15074863DOI: 10.2460/javma.2004.224.1147Google Scholar: Lookup
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Summary

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The research discusses a surgical method, distraction osteogenesis, for correcting facial deformities such as maxilla and nasal septum deviations in horses. This less invasive approach proved successful in the case of a 13-month-old female Andalusian, despite leaving an overjet lesion.

Background

  • The study takes off from a context where the only known surgery for correcting deviated nasal septum and premaxilla in horses involved a pre-maxilla osteotomy and use of an autogenous rib graft. This complex process required two separate surgeries.
  • The deformities occurred in a 13-month-old female Andalusian horse as a result of congenital left deviation. This had led to a severe malocclusion of the maxillary incisor teeth.

Objective

  • The primary objective of the researchers was to introduce and evaluate a new method of surgical treatment – distraction osteogenesis.
  • Unlike the traditional method, this treatment did not require the nasal septum osteotomy, making it less invasive.

Procedure and Results

  • The researchers used distraction osteogenesis to treat the horse characteristic.
  • Following the procedure, the horse’s premaxilla and nasal septum deviations were corrected successfully.
  • The only issue left behind was an overjet lesion, which exhibits as the rostral projection of the maxillary arcade over the mandibular arcade. However, the owners declined further treatment.

Conclusion

  • The research concludes that distraction osteogenesis is a less invasive and viable option for correcting facial deformities like wry nose, head scoliosis, brachygnathism, and prognathism in horses.
  • It suggests that this treatment could replace existing methods for congenital deviation of premaxilla and nasal septum correction in horses.

Cite This Article

APA
Puchol JL, Herrán R, Durall I, López J, Díaz-Bertrana C. (2004). Use of distraction osteogenesis for the correction of deviated nasal septum and premaxilla in a horse. J Am Vet Med Assoc, 224(7), 1147-1112. https://doi.org/10.2460/javma.2004.224.1147

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 224
Issue: 7
Pages: 1147-1112

Researcher Affiliations

Puchol, Jose L
  • Clínica Veterinaria Puerta de Hierro, Isla de Oza 59, 28035 Madrid, Spain.
Herrán, Ramón
    Durall, Ignacio
      López, Javier
        Díaz-Bertrana, Carmen

          MeSH Terms

          • Animals
          • Female
          • Horse Diseases / congenital
          • Horse Diseases / surgery
          • Horses / abnormalities
          • Horses / surgery
          • Maxilla / abnormalities
          • Maxilla / surgery
          • Nasal Septum / abnormalities
          • Nasal Septum / surgery
          • Osteogenesis, Distraction / methods
          • Osteogenesis, Distraction / veterinary
          • Treatment Outcome

          Citations

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