| Ventriculocordectomy as the sole treatment for recurrent laryngeal neuropathy: long-term results from ninety-two horses. | |
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MedLine Citation:
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PMID: 17026550 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the effect ventriculocordectomy (VC) for treatment of recurrent laryngeal neuropathy (RLN) on exercise performance and owner satisfaction in a mixed-breed population of horses. STUDY DESIGN: Retrospective study. ANIMALS: Adult horses (n=92) with a history of abnormal respiratory noise and RLN. METHODS: Retrospective analysis of horse that had unilateral VC (and contralateral ventriculectomy in 63 horses) for treatment of idiopathic RLN. Owners/trainers completed a questionnaire about complications and outcome at least 1 year after surgery. Performance index was determined using race records for previously raced Thoroughbreds to evaluate outcome. RESULTS: Clinical signs included abnormal exercise-induced respiratory noises (noises; 52%), poor performance (11%), and noises and poor performance (37%). The median preoperative resting endoscopic grade of laryngeal function was Havemeyer grade III.1 (mild asymmetry). No discharge from the laryngotomy 1 week postoperatively occurred in 62% horses, 22% coughed after surgery, 66% made no noises, 9% continued to make noises at the canter, 21% made noise at the gallop, and 4% of owners were unsure whether noises were present. Ninety-three percent of horses returned to full work after surgery. Overall, 86% of owners considered the surgery worthwhile, 3% did not consider it worthwhile, and 11% were unsure. Surgery had a significantly beneficial effect on the racing performance index in Thoroughbreds (P=.004). CONCLUSIONS: VC is a useful alternative to laryngoplasty for selected cases of RLN and is associated with a positive effect on exercise performance, a low postoperative complication rate, and a high rate of owner satisfaction. CLINICAL RELEVANCE: Unilateral VC should be considered as a sole treatment in horses with low grades of RLN. |
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Authors:
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Sarah E Taylor; Safia Z Barakzai; Padraic Dixon |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Veterinary surgery : VS Volume: 35 ISSN: 0161-3499 ISO Abbreviation: Vet Surg Publication Date: 2006 Oct |
Date Detail:
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Created Date: 2006-10-09 Completed Date: 2006-12-05 Revised Date: 2011-04-25 |
Medline Journal Info:
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Nlm Unique ID: 8113214 Medline TA: Vet Surg Country: United States |
Other Details:
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Languages: eng Pagination: 653-7 Citation Subset: IM |
Affiliation:
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Department of Veterinary Clinical Studies, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush Veterinary Centre, Scotland, UK. Sarah.Taylor@ed.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Animals Female Hemiplegia / pathology, surgery, veterinary* Horse Diseases / pathology, surgery* Horses Laryngectomy / veterinary Larynx / surgery Male Physical Conditioning, Animal / physiology* Postoperative Complications / epidemiology, veterinary Questionnaires Recurrence Respiratory Sounds / veterinary Retrospective Studies Severity of Illness Index Time Factors Treatment Outcome Vocal Cord Paralysis / pathology, surgery, veterinary* Vocal Cords / pathology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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