Effect of ventriculectomy versus ventriculocordectomy on upper airway noise in draught horses with recurrent laryngeal neuropathy

Cramp, P.; Derksen, F. J.; Stick, John A.; Nickels, Frank A.; Brown, K. E.; Robinson, Paul D.; Robinson, N. E.

doi:10.2746/042516409x434099

Cited by 28 publications

(47 citation statements)

References 16 publications

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“…), a complication reported to occur in up to 6.6% of horses with a laryngotomy left to heal by second intention (Cramp et al . ). However, as this complication reported during healing of wounds by second intention was not observed in any of the 180 horses included in the present study, the argument seems to be of minor significance ( Figs a–f ).…”

Section: Discussionmentioning

confidence: 97%

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Primary closure of equine laryngotomy incisions: Healing characteristics and complications of 180 cases

Lindegaard

Karlsson

Ekstrøm

et al. 2016

Equine Veterinary Education

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Summary The objective was to report healing characteristics and complications after primary closure of equine laryngotomies and analyse factors potentially associated with complications. This retrospective case series of the medical records of horses (n = 180) undergoing laryngoplasty and laryngotomy incision between January 1995 and June 2012 were reviewed. Horses with a laryngotomy incision closed in three layers for primary healing were included. Descriptive data on healing characteristics and complications of laryngotomy wounds were collected from the medical records and via follow‐up questionnaires sent to the owners. During hospitalisation 6.1% of the laryngotomy wounds became infected. In addition, 3.3% had oedema around the wound and 3.3% had subcutaneous emphysema after surgery. Neither oedema nor emphysema required additional treatment. No signs of respiratory distress, need of a tracheotomy or need for a reopening of the laryngotomy was observed in any horse. Infection of the laryngoplasty wound occurred in one horse. A total of 96 questionnaires were answered. Prolonged healing of the incision after discharge from the hospital was reported in four horses (4.2%). Laryngotomy infections were confined to the subcutaneous tissues; none led to complete dehiscence and all healed within 4 weeks. Regression analysis showed that closure of the skin with suture carried significantly higher odds of infection than skin staples (OR = 7.93 [95% CI: 2.55–24.67]; P = 0.032). Complications after primary closure of equine laryngotomy incisions are infrequent and considered of minimal severity and can be performed safely when paying careful attention to the closure of the cricothyroid membrane.

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Section: Discussionmentioning

confidence: 97%

“…; Cramp et al . ). These experiences with both primary and second intention healing, as well as the classification of the wound as clean‐contaminated, have probably led to the common impression that primary closure of the laryngotomy incision will lead to infection and ‘increase morbidity unnecessarily’ (Ducharme ).…”

Section: Introductionmentioning

confidence: 97%

Primary closure of equine laryngotomy incisions: Healing characteristics and complications of 180 cases

Lindegaard

Karlsson

Ekstrøm

et al. 2016

Equine Veterinary Education

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show abstract

“…; Cramp et al . ). For LP, the same research group reported that inspiratory sound level improved significantly from laryngeal hemiplegia values, but did not return to baseline (preneurectomy state), however VEC was not performed concurrently in this study (Brown et al .…”

Section: Quantity and Quality Of Evidence Presentedmentioning

confidence: 97%

“…Ventriculocordectomy alone appears to yield a high rate of owner satisfaction in draught breeds (Cramp et al . ).…”

Section: Quantity and Quality Of Evidence Presentedmentioning

confidence: 99%

When is ventriculocordectomy all that is required?

Barakzai¹

2015

Equine Veterinary Education

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“…Until recently, little was known about the efficacy of ventriculectomy or ventriculocordectomy in draft horses, although a single study of draft horse owner satisfaction suggests that RLN can be treated successfully by unilateral ventriculectomy without prosthetic laryngoplasty (Bohanon et al 1990). We found that both bilateral ventriculectomy and ventriculocordectomy significantly reduce upper airway noise but that ventriculocordectomy was more effective than ventriculectomy (Cramp et al 2009b). Furthermore, the procedure had few postoperati-J.…”

Section: Draft Horses With Rlnmentioning

confidence: 99%

The impact of technology on the study of equine upper airway surgery

Stick¹,

Derksen²

2010

PHK

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Effect of ventriculectomy versus ventriculocordectomy on upper airway noise in draught horses with recurrent laryngeal neuropathy

Abstract: VCE is recommended as the preferred treatment for RLN in draught horses. Further studies are required to evaluate the longevity of the procedure's results.

Cited by 28 publications

References 16 publications

Primary closure of equine laryngotomy incisions: Healing characteristics and complications of 180 cases

Primary closure of equine laryngotomy incisions: Healing characteristics and complications of 180 cases

When is ventriculocordectomy all that is required?

The impact of technology on the study of equine upper airway surgery

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