DOI QR코드

DOI QR Code

Permanent Tracheostomy in a Thoroughbred Mare with Arytenoid Chondritis

  • Park, Soomin (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University) ;
  • Park, Kyung-won (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University) ;
  • Lee, Eun-bee (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University) ;
  • Sohn, Yongwoo (KRA Veterinary Center, Korea Racing Authority) ;
  • Jeong, Hyohoon (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University) ;
  • Kang, Tae-Young (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University) ;
  • Seo, Jong-pil (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University)
  • Received : 2021.02.16
  • Accepted : 2021.09.01
  • Published : 2021.10.31

Abstract

A 10-year-old Thoroughbred mare was referred to the Jeju National University Equine Hospital with roaring, dyspnea, and weight loss. On endoscopic examination, the horse was diagnosed with right arytenoid chondritis. Surgical treatment was selected due to the failure of a previous medical treatment. Permanent tracheostomy was performed in a standing position. The horse was restrained and tied in a proper position in the stock. The cranial parts of the 2nd to 5th tracheal cartilages were resected, as were the associated skin, mucosa, muscle, and cartilages. After the stoma was formed, external mucosa and skin were sutured using a simple interrupted method. The horse was hospitalized for 22 days receiving postoperative care including antibiotics, non-steroidal anti-inflammatory drugs, dressing as required, and was pregnant six months after the surgery. A permanent tracheostomy is thought to be effective in horses with diseases causing upper respiratory tract obstruction.

Keywords

References

  1. Auer JA, Stick JA, Kummerle JM, Prange T. Equine surgery. St. Louis: Elsevier. 2019: 578, 611-912.
  2. Bolfa P, Cercone M, Dennis MM, Conan A, Grevemeyer B, Ducharme NG. Clinical and pathological features in horses with advanced arytenoid chondritis. Vet Pathol 2021; 58: 91-102. https://doi.org/10.1177/0300985820967452
  3. Carmalt JL, Johanssen B, Waldner C. Comparisons between staphylectomy and tie-forward procedures in combination with a sternothyroideus myotenectomy for the treatment of intermittent dorsal displacement of the soft palate: an observational study. Vet Surg 2016; 45: 816-823. https://doi.org/10.1111/vsu.12518
  4. Chesen AB, Rakestraw PC. Indications for and short- and longterm outcome of permanent tracheostomy performed in standing horses: 82 cases (1995-2005). J Am Vet Med Assoc 2008; 232: 1352-1356. https://doi.org/10.2460/javma.232.9.1352
  5. Hawkins J. Advances in equine upper respiratory surgery. Ames: Wiley Blackwell. 2015: 87-135, 231-235, 272-275.
  6. Hughes KJ, McGorum BC, Love S, Dixon PM. Bilateral laryngeal paralysis associated with hepatic dysfunction and hepatic encephalopathy in six ponies and four horses. Vet Rec 2009; 164: 142-147. https://doi.org/10.1136/vr.164.5.142
  7. Mazzaferro EM. Temporary tracheostomy. Top Companion Anim Med 2013; 28: 74-78. https://doi.org/10.1053/j.tcam.2013.06.002
  8. McClure SR, Taylor TS, Honnas CM, Schumacher J, Chaffin MK, Hoffman AG. Permanent tracheostomy in standing horses: technique and results. Vet Surg 1995; 24: 231-234. https://doi.org/10.1111/j.1532-950X.1995.tb01323.x
  9. Rakestraw PC, Eastman TG, Taylor TS, Schumacher J, Wright L. Long-term outcome of horses undergoing permanent tracheostomy: 42 cases. Proc Am Assoc Equine Pract 2000; 46: 111-112.
  10. Saulez MN, Slovis NM, Louden AT. Tracheal perforation managed by temporary tracheostomy in a horse. J S Afr Vet Assoc 2005; 76: 113-115. https://doi.org/10.4102/jsava.v76i2.408
  11. Stick JA. Instrumentation and techniques in respiratory surgery. Vet Clin North Am Equine Pract 1996; 12: 351-372. https://doi.org/10.1016/S0749-0739(17)30286-9
  12. Suzuki M, Tsunoda A, Shirakura S, Sumi T, Nishijima W, Kishimoto S. A novel permanent tracheostomy technique for prevention of stomal stenosis (triangular tracheostomy). Auris Nasus Larynx 2010; 37: 465-468. https://doi.org/10.1016/j.anl.2009.11.007
  13. Tulleners EP, Harrison IW, Mann P, Raker CW. Partial arytenoidectomy in the horse with and without mucosal closure. Vet Surg 1988; 17: 252-257. https://doi.org/10.1111/j.1532-950X.1988.tb01009.x