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Hardwick JL, Ahern BJ, Franklin SH. Stakeholder perceptions of thoroughbred yearling sales endoscopy in Australia: can we do better? Aust Vet J 2024. [PMID: 38590275 DOI: 10.1111/avj.13332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2023] [Accepted: 03/10/2024] [Indexed: 04/10/2024]
Abstract
OBJECTIVE To identify thoroughbred industry stakeholders' views on the yearling sales endoscopy in Australia. DESIGN Semi-structured qualitative group interviews with equine veterinarians, thoroughbred breeders and yearling purchasers. METHODS Twenty-nine experienced thoroughbred industry stakeholders participated in online focus groups: (1) equine veterinarians involved in yearling endoscopy; (2) thoroughbred breeders; and (3) yearling buyers. The focus groups were audio and video recorded and digital whiteboards were available. Data was transcribed, live-coded and analysed thematically. RESULTS The main themes identified included the uncertainty surrounding the relationship between yearling laryngeal function and future performance, especially the significance of yearlings with grade 3 out of 5 laryngeal function; interobserver variability in the laryngeal function grade assigned by veterinarians to the same endoscopic exam; and the presence of intra-horse variability in laryngeal function over different time points. DISCUSSION Stakeholders raised multiple concerns about the current yearling sales endoscopy process in Australia. Recommendations to address these concerns include further investigation into the race performance of yearlings identified with grade 3 laryngeal function; training of veterinarians to reduce inter-observer variability; and the need to determine the most appropriate grading system to use in yearlings. Future research should evaluate the significance of intra-horse variability in a yearling population.
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Affiliation(s)
- J L Hardwick
- School of Animal and Veterinary Sciences, The University of Adelaide, Roseworthy Campus, Roseworthy, South Australia, 5371, Australia
- School of Veterinary Medicine, Murdoch University, Murdoch, Western Australia, 6150, Australia
| | - B J Ahern
- The University of Queensland, School of Veterinary Science, Equine Specialist Hospital, Gatton, Queensland, 4343, Australia
| | - S H Franklin
- School of Animal and Veterinary Sciences, The University of Adelaide, Roseworthy Campus, Roseworthy, South Australia, 5371, Australia
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2
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Massie SL, Léguillette R. Upper airway endoscopy in exercising horses: Findings in 164 barrel racing horses with respiratory clinical signs and/or poor performance. Vet J 2023; 300-302:106038. [PMID: 37865154 DOI: 10.1016/j.tvjl.2023.106038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 10/12/2023] [Accepted: 10/18/2023] [Indexed: 10/23/2023]
Abstract
Barrel racing involves sprinting through a cloverleaf pattern in under 20 s. The prevalence of upper airway obstructions (UAO) in barrel racers is unknown, thus a retrospective analysis of 164 client-owned horses referred for overground endoscopy (OGE) between 2014 and 2022 was performed. Referring complaints included respiratory noise, cough, epistaxis, behaviour (owner reported stress/anxiety, refusal to enter arena, excessive head shaking), and/or poor performance. Horses performed a standardized exercise test with low and high-speed components. Videoendoscopic recordings were systematically scored by one experienced clinician. Exercising abnormalities included palatal instability (PI), intermittent dorsal displacement of the soft palate (iDDSP), nasopharyngeal collapse (NPC), recurrent laryngeal neuropathy (RLN), ventro-medial luxation of the apex of the corniculate process of the arytenoid (VLAC), medial deviation of the aryepiglottic fold (MDAF), vocal fold collapse (VFC), and cricotracheal ligament collapse. Associations between co-existing UAOs, age and sex were examined (McNemar's test; logistic regression; P < 0.05). During exercise, 24/164 (15%) horses had no UAO. In the remaining 140 horses, 56% had two or more. NPC was observed in 68/140 (49%), PI in 59/140 (42%), iDDSP in 55/140 (39%), VFC in 38/140 (27%), RLN in 27/140 (19%), VLAC in 14/140 (10%), MDAF in 8/140 (6%) and cricotracheal ligament collapse in 8/140 (6%). Nasopharyngeal collapse and RLN were primarily Grade 3 and Grade B, respectively. Associations exist between several co-existing UAOs, but not age or sex. Abnormalities were more frequent at low-speed (55%) than high-speed (22%), highlighting the importance of OGEs at different exercise intensities. Multiple UAOs appear common in barrel racers with clinical presentations.
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Affiliation(s)
- S L Massie
- Faculty of Veterinary Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta T2N4Z6, Canada
| | - R Léguillette
- Faculty of Veterinary Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta T2N4Z6, Canada.
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3
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Fitzharris LE, Hezzell MJ, McConnell AK, Allen KJ. Training the equine respiratory muscles: Ultrasonographic measurement of muscle size. Equine Vet J 2023; 55:295-305. [PMID: 35575148 PMCID: PMC10084327 DOI: 10.1111/evj.13598] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2021] [Accepted: 05/11/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND Limited information exists regarding changes in the size of respiratory and locomotor muscles in response to exercise training in the Thoroughbred racehorse. OBJECTIVES To describe and compare the responses of the respiratory and locomotor muscles to conventional exercise training and inspiratory muscle training (IMT). STUDY DESIGN Prospective randomised controlled trial. METHODS Thoroughbred racehorses, in training for competition in National Hunt races, were recruited from two training establishments. Ultrasonographic images were obtained for selected muscles of the upper airway, diaphragm, accessory respiratory, and locomotor systems and their sizes measured. Examinations were performed at three timepoints: (A) when unfit, (B) following 12 weeks of conventional exercise training and (C) following 10-12 weeks continued training at race fitness. In addition, horses at yard 1 performed IMT, between timepoint B and C, and were randomly assigned into high-load (treatment) or low-load (control) group. Repeated measures models were constructed to compare the change in muscle measurements over time, and to investigate the effects of yard, previous airway surgery and IMT on the change in ultrasonographic size measurements obtained. RESULTS Upper airway muscle size increased in response to conventional race training between timepoints A-C, and B-C. Diaphragm size increased in response to conventional exercise training between timepoints A and B. The diaphragm size of horses that undertook high-load IMT was either maintained or increased, whereas diaphragm size decreased in horses that undertook low-load IMT or no IMT between timepoints B and C. A significant interaction between gluteal muscle size and airway surgery status was observed, with greater gluteal muscle thicknesses measured in horses that had not previously undergone airway surgery (left gluteal 3.9%, p < 0.001; right 4.5%, p = 0.04). MAIN LIMITATIONS Low number of horses underwent IMT. CONCLUSIONS Respiratory and locomotor muscles increase in size in response to conventional exercise training, with a further change in diaphragm size in response to inspiratory muscle training.
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Affiliation(s)
| | | | | | - Kate J Allen
- Bristol Veterinary School, University of Bristol, Bristol, UK
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Upper and Lower Airways Evaluation and Its Relationship with Dynamic Upper Airway Obstruction in Racehorses. Animals (Basel) 2022; 12:ani12121563. [PMID: 35739899 PMCID: PMC9219429 DOI: 10.3390/ani12121563] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 06/15/2022] [Accepted: 06/16/2022] [Indexed: 11/17/2022] Open
Abstract
Dynamic upper airway obstructions (DUAO) are common in racehorses, but their pathogenetic mechanisms have not been completely clarified yet. Multiple studies suggest that alterations of the pharyngo-laryngeal region visible at resting endoscopy may be predictive of the onset of DUAO, and the development of DUAO may be associated with pharyngeal lymphoid hyperplasia (PLH), lower airway inflammation (LAI) and exercise-induced pulmonary hemorrhage (EIPH). The present study aims to investigate the possible relationship between the findings of a complete resting evaluation of the upper and lower airways and DUAO. In this retrospective study, 360 racehorses (Standardbreds and Thoroughbreds) referred for poor performance or abnormal respiratory noises were enrolled and underwent a diagnostic protocol including resting and high-speed treadmill endoscopy, cytological examination of the bronchoalveolar lavage fluid and radiographic assessment of the epiglottis length. In this population, epiglottis flaccidity was associated with dorsal displacement of the soft palate, while no relationship was detected between DUAO and epiglottis length. No associations were detected between DUAO and PLH, LAI or EIPH. In conclusion, it is likely that epiglottis plays a role in upper airway stability, while airways inflammation does not seem to be involved in the pathogenesis of DUAO.
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Almonte H, Schumacher J, Johnson CR, Berk JT, Bell RP. Effect of a combination of butorphanol and detomidine on endoscopic assessment of laryngeal function in Thoroughbred yearlings. Vet Rec 2022; 190:e1483. [DOI: 10.1002/vetr.1483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Revised: 01/24/2022] [Accepted: 02/02/2022] [Indexed: 11/12/2022]
Affiliation(s)
| | - James Schumacher
- Department of Large Animal Clinical Sciences College of Veterinary Medicine University of Tennessee Knoxville Tennessee USA
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Ahern BJ, de Klerk K, Hogg LR, Vallance SA, Bertin FR, Franklin SH. Evaluation of postsale endoscopy as a predictor of future racing performance in an Australian thoroughbred yearling population. Aust Vet J 2022; 100:254-260. [PMID: 35191021 PMCID: PMC9305470 DOI: 10.1111/avj.13155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 01/23/2022] [Accepted: 02/04/2022] [Indexed: 12/02/2022]
Abstract
Introduction Upper airway endoscopy of thoroughbred (TB) yearlings is commonly used in an attempt to predict laryngeal function (LF) and its impact on future race performance. The aim of this study was to determine if different grading systems and laryngeal grades were correlated with future performance. Materials and Methods Postsale endoscopic recordings were obtained from an Australian TB yearling sale during a four‐year period from 2008 to 2011. Horses were included if they had a diagnostic postsale video endoscopic recording and raced within Australia. Recordings were graded using the Havemeyer system and subsequently recategorised according to the Lane scale and two condensed scales. Performance data were sourced from Racing Australia and comparisons were made between groups. Results A total of 1244 horses met the inclusion criteria. There were no significant differences in sex or sales price between groups. There were no significant differences in the number of starts or wins between groups for any grading system. For the condensed Havemeyer scale, horses with intermediate LF were separated into two groups. Significant differences in earnings were found between ‘normal’ and ‘abnormal’ (P = 0.02) and ‘intermediate‐low’ and ‘abnormal’ grades (P = 0.03). There were no significant differences between horses with ‘intermediate‐high’ and ‘abnormal’ grades (P = 0.40). No significant differences were found between the two intermediate grades (P = 0.60) or between horses with normal LF and either ‘intermediate‐low’ or ‘intermediate‐high’ grades (P = 0.99). Discussion Resting LF in Australian yearling TBs assessed using a condensed Havemeyer grading scale had some predictive value for future racing performance. This information should be considered when performing yearling endoscopic examinations.
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Affiliation(s)
- B J Ahern
- The University of Queensland, School of Veterinary Science, Equine Specialist Hospital, Gatton, Queensland, 4343
| | - K de Klerk
- Hawkesbury Equine Veterinary Centre, 226 Hawkesbury Valley Way, Clarendon, New South Wales, 2756, Australia
| | - L R Hogg
- Kangaroo Island Veterinary Clinic, 252 Playford Highway, Kingscote, Kangaroo Island, South Australia, 5223, Australia
| | - S A Vallance
- Advantage Equine, Ascot Vale, Victoria, 3032, Australia
| | - F R Bertin
- The University of Queensland, School of Veterinary Science, Equine Specialist Hospital, Gatton, Queensland, 4343
| | - S H Franklin
- School of Animal and Veterinary Sciences, The University of Adelaide, Roseworthy Campus, Roseworthy, South Australia, 5371, Australia
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7
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Burns JJ, MacMillan KM. Poor performance due to epiglottic retroversion in a Standardbred trotter. EQUINE VET EDUC 2021. [DOI: 10.1111/eve.13429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- J. J. Burns
- Department of Health Management Atlantic Veterinary College University of Prince Edward Island Charlottetown Canada
| | - K. M. MacMillan
- Department of Health Management Atlantic Veterinary College University of Prince Edward Island Charlottetown Canada
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Fitzharris LE, Franklin SH, McConnell AK, Hezzell MJ, Allen KJ. Inspiratory muscle training for the treatment of dynamic upper airway collapse in racehorses: A preliminary investigation. Vet J 2021; 275:105708. [PMID: 34147643 DOI: 10.1016/j.tvjl.2021.105708] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Revised: 05/01/2021] [Accepted: 06/14/2021] [Indexed: 12/13/2022]
Abstract
Exercise-induced upper airway collapse (UAC) probably occurs when the stabilising muscles of the upper airway are unable to withstand the dramatic changes in airflow and pressure that occurs during exercise. In racehorses, the mainstay of treatment is surgical intervention. In human athletes, exercise-induced laryngeal obstruction has been treated successfully with inspiratory muscle training (IMT). The aims of this study were: (1) to assess the feasibility of IMT in racehorses; and (2) describe the exercising endoscopy findings pre- and post-IMT in racehorses diagnosed with dynamic UAC. Horses undergoing IMT wore a mask with an attached threshold-valve to apply an additional load during inspiration, creating a training stimulus with the purpose of increasing upper airway muscle strength. Each horse underwent IMT once daily, while standing in the stable, 5-6 days/week for 10 weeks. Endoscopy recordings were analysed in a blinded manner using an objective grading scheme and subjective pairwise analysis. Seventeen horses successfully completed the IMT protocol, with full information available for 10 horses. Objective grading analysis showed a lower grade of vocal fold collapse (6/9 horses), palatal instability (7/10 horses) and intermittent dorsal displacement of the soft palate (5/7 horses) post-IMT. Pairwise subjective analysis suggested better overall airway function post-IMT in 3/10 horses. The main limitations of this preliminary investigation were the low number of horses examined and lack of a control population. Further research is required to investigate the effects of IMT on upper airway muscle strength and to evaluate its efficacy for prevention and treatment of UAC.
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Affiliation(s)
- L E Fitzharris
- Bristol Veterinary School, University of Bristol, Langford, Bristol, BS40 5DU, UK.
| | - S H Franklin
- University of Adelaide, School of Animal and Veterinary Sciences, Roseworthy Campus, Mudla Wirra Rd, Roseworthy, SA 5371, Australia
| | | | - M J Hezzell
- Bristol Veterinary School, University of Bristol, Langford, Bristol, BS40 5DU, UK
| | - K J Allen
- Bristol Veterinary School, University of Bristol, Langford, Bristol, BS40 5DU, UK
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9
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Vermedal H, O'Leary JM, Fjordbakk CT, McAloon CG, Løkslett H, Stadsnes B, Fretheim-Kelly ZL, Strand E. Outcome analysis of 95 harness racehorses with confirmed dorsal displacement of the soft palate treated with laryngeal tie-forward surgery. Equine Vet J 2021; 54:693-702. [PMID: 34101884 DOI: 10.1111/evj.13479] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 04/27/2021] [Accepted: 05/20/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND The laryngeal tie-forward (LTF) procedure is commonly used to treat intermittent dorsal displacement of the soft palate (iDDSP). There is a wide range in reported efficacy of treating horses with and without a definitive diagnosis of iDDSP. OBJECTIVES To evaluate the racing performance of harness racehorses in which iDDSP had been definitely diagnosed and treated solely with the LTF procedure. STUDY DESIGN Retrospective case series. METHODS Ninety-five harness racehorses were treated with LTF for confirmed iDDSP. A definite diagnosis of iDDSP was made with high-speed treadmill or overground endoscopy. Upper respiratory tract (URT) disorders, short-term complications, and horses returning for recurrence of URT problems were recorded. Performance before and after LTF was assessed by reviewing career race records and comparing performance index (PI), and racing speed marks from the baseline, preoperative, and postoperative periods. The effect of basihyoid-cricoid (BC) net distance shortened on racing performance was assessed. RESULTS Postoperatively, PI increased in 36/54 (67%, 95% CI 54%-79%) of experienced racehorses, and 44/67 (66%, 54%-77%) established or improved their racing speed mark relative to the preoperative period. As a group, PI decreased by a mean (SE) of 0.9 (0.17) points (P < .001) prior to diagnosis/surgery. Postoperatively, PI increased by 0.5 (0.16) points (P = .003), and racing speed improved by 0.83 (0.22) s (P < .001). Twenty-five percent (17%-34%) and 49% (39%-60%) of horses did not demonstrate a decline in PI and racing speed prior to diagnosis, respectively. Net BC distance shortening did not affect performance postoperatively. Twenty of 95 horses (21%, 13%-29%) had confirmed recurrence of iDDSP 46-708 days postoperatively. MAIN LIMITATIONS Not all horses were evaluated with exercising endoscopy postoperatively. Racehorses inevitably develop other racing-related problems which confound studies of this nature. CONCLUSIONS This study provides scientific support for the use of LTF to treat iDDSP in harness racehorses although iDDSP seems to affect harness racehorses differently as individuals.
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Affiliation(s)
- Hanna Vermedal
- Faculty of Veterinary Medicine, Companion Animal Clinical Science, Norwegian University of Life Sciences, Oslo, Norway
- School of Veterinary Medicine, Equine Clinical Studies, University College Dublin, Dublin, Ireland
| | - John Mark O'Leary
- School of Veterinary Medicine, Equine Clinical Studies, University College Dublin, Dublin, Ireland
| | - Cathrine T Fjordbakk
- Faculty of Veterinary Medicine, Companion Animal Clinical Science, Norwegian University of Life Sciences, Oslo, Norway
| | - Conor G McAloon
- School of Veterinary Medicine, Herd Health and Animal Husbandry, University College Dublin, Dublin, Ireland
| | - Hege Løkslett
- Faculty of Veterinary Medicine, Companion Animal Clinical Science, Norwegian University of Life Sciences, Oslo, Norway
| | - Birgitte Stadsnes
- Faculty of Veterinary Medicine, Companion Animal Clinical Science, Norwegian University of Life Sciences, Oslo, Norway
| | - Zoe L Fretheim-Kelly
- Faculty of Veterinary Medicine, Companion Animal Clinical Science, Norwegian University of Life Sciences, Oslo, Norway
| | - Eric Strand
- Faculty of Veterinary Medicine, Companion Animal Clinical Science, Norwegian University of Life Sciences, Oslo, Norway
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Satoh M, Higuchi T, Inoue S, Miyakoshi D, Kajihara A, Gotoh T, Shimizu Y. External transcutaneous ultrasound technique in the equine cricoarytenoideus dorsalis muscle: Assessment of muscle size and echogenicity with resting endoscopy. Equine Vet J 2020; 52:500-508. [PMID: 31736125 DOI: 10.1111/evj.13209] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2018] [Revised: 09/05/2019] [Accepted: 11/08/2019] [Indexed: 11/30/2022]
Abstract
BACKGROUND Recent studies have assessed the cricoarytenoideus dorsalis muscle (CAD) using transoesophageal ultrasonography in equine recurrent laryngeal neuropathy (RLN). We assessed the CAD using the external transcutaneous ultrasound technique, which may constitute an easier method in horses. OBJECTIVES To evaluate ultrasonographic imaging of the left cricoarytenoideus dorsalis muscle (LCAD) and right cricoarytenoideus dorsalis muscle (RCAD) as a diagnostic tool for RLN using the transcutaneous ultrasound technique. STUDY DESIGN Cross-sectional study. METHODS The axial plane thickness, cross-sectional area and echogenicity of the LCAD and RCAD were measured using transcutaneous ultrasonography in 164 horses. Assessments of LCAD were compared with those of RCAD. The LCAD:RCAD ratios in thickness and area were compared between control horses (resting grades 1 and 2) and horses with resting laryngeal grades 3 and 4 using the Havemeyer 4-point grading system with subgrades. RESULTS The LCAD:RCAD ratios for thickness and area were 0.69 and 0.66 in horses with resting grades 3 and 4 respectively; LCAD was more hyperechogenic than RCAD in resting grades 3 and 4. LCAD:RCAD ratios for thickness and area in grades 3.II, 3.III and 4 were significantly lower than those in control horses. Thickness and area of the LCAD were negatively correlated with resting laryngeal grade MAIN LIMITATIONS: Overground endoscopy was not performed in this study. There were some differences in methodology: measurement of the physical thickness of the LCAD and clipping of hair at the laryngeal region were only performed in horses that underwent laryngoplasty. CONCLUSIONS Results of ultrasonographic assessments of the CAD using transcutaneous ultrasonography were similar to those obtained by transoesophageal ultrasonography. This technique enables a simple, noninvasive, direct and easy examination. Assessment of the CAD using transcutaneous ultrasonography may be a useful technique and a potential option for determining whether to perform nerve graft or laryngoplasty.
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Affiliation(s)
- Masato Satoh
- Hokkaido South Agricultural Mutual Aid Association, Mitsuishi Animal Medical Center, Hidaka-gun, Hokkaido, Japan
| | - Tohru Higuchi
- Hokkaido South Agricultural Mutual Aid Association, Mitsuishi Animal Medical Center, Hidaka-gun, Hokkaido, Japan
| | - Satoshi Inoue
- Hokkaido South Agricultural Mutual Aid Association, Mitsuishi Animal Medical Center, Hidaka-gun, Hokkaido, Japan
| | - Daisuke Miyakoshi
- Hokkaido South Agricultural Mutual Aid Association, Mitsuishi Animal Medical Center, Hidaka-gun, Hokkaido, Japan
| | - Ayako Kajihara
- Hokkaido South Agricultural Mutual Aid Association, Mitsuishi Animal Medical Center, Hidaka-gun, Hokkaido, Japan
| | - Tadahiro Gotoh
- Federation of Hokkaido Agricultural Mutual Aid Associations, Large Animal Clinic and Research Center, Ebetsu, Hokkaido, Japan
| | - Yasuhito Shimizu
- Hokkaido South Agricultural Mutual Aid Association, Central Animal Clinic, Niikappu-gun, Hokkaido, Japan
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Koskinen MJ, Virtala AMK, McNally T. Racing performance of National Hunt thoroughbred racehorses after treatment of palatal dysfunction with a laryngeal tie-forward procedure and thermocautery of the soft palate with or without aryepiglottic folds resection. Vet Surg 2019; 49:114-123. [PMID: 31506975 DOI: 10.1111/vsu.13321] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Revised: 05/24/2019] [Accepted: 08/08/2019] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To assess racing performance of National Hunt thoroughbred (NH) racehorses with a definite diagnosis of palatal dysfunction treated with a laryngeal tie-forward procedure (LTF) and soft palate cautery (SPC) with or without transendoscopic laser excision of the aryepiglottic folds (TLEAF) and to determine correlation between performance measures. STUDY DESIGN Retrospective cohort study. ANIMALS National Hunt racehorses treated with LTF, SPC ± TLEAF (n = 44) and nonaffected controls (n = 88). METHODS Performance was evaluated by using Racing Post ratings (RPR), race earnings (RE), and performance index (PIndex). Affected horses were compared with nonaffected horses. The effect of TLEAF and correlations between measures were analyzed. RESULTS Racing Post rating, RE and PIndex improved by 50%, 26%, and 12% in treated, and by 50%, 39%, and 24% in control horses, respectively, when measurements were evaluated for the median of three presurgical and postsurgical races. Lower postsurgical performance was detected when five postsurgical races were compared with two presurgical races (P ≤ .03). The number of postsurgical earnings rated at zero was greater in treated horses than in control horses (P < .05). Race earnings and RPR correlated more strongly (r = 0.634-0.796) than PIndex and other measures (r = 0.378-0.692). CONCLUSION Postsurgical performance of NH racehorses with palatal dysfunction after LTF and SPC ± TLEAF was decreased compared with unaffected controls. The negative effect of TLEAF on performance was detected. CLINICAL SIGNIFICANCE Although LTF is widely performed in NH racehorses, it may not be the most efficient treatment for palatal dysfunction.
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Affiliation(s)
| | - Anna-Maija K Virtala
- Section of Microbiology and Epidemiology, Department of Basic Veterinary Sciences, University of Helsinki, Helsinki, Finland
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12
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Hackett ES, Leise BS. Exercising upper respiratory videoendoscopic findings of 50 competition draught horses with abnormal respiratory noise and/or poor performance. Equine Vet J 2018; 51:370-374. [DOI: 10.1111/evj.13026] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Accepted: 09/21/2018] [Indexed: 12/01/2022]
Affiliation(s)
- E. S. Hackett
- Department of Clinical Sciences Colorado State University Fort Collins Colorado USA
| | - B. S. Leise
- Department of Veterinary Clinical Sciences Louisiana State University Baton Rouge Louisiana USA
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13
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McGivney CL, Sweeney J, Gough KF, Hill EW, Katz LM. Serial evaluation of resting and exercising overground endoscopic examination results in young Thoroughbreds with no treatment intervention. Equine Vet J 2018; 51:192-197. [DOI: 10.1111/evj.12994] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2017] [Accepted: 07/09/2018] [Indexed: 11/30/2022]
Affiliation(s)
- C. L. McGivney
- UCD School of Agriculture and Food Science University College Dublin Belfield, Dublin Ireland
| | - J. Sweeney
- UCD School of Business University College Dublin Belfield, Dublin Ireland
| | - K. F. Gough
- UCD School of Agriculture and Food Science University College Dublin Belfield, Dublin Ireland
| | - E. W. Hill
- UCD School of Agriculture and Food Science University College Dublin Belfield, Dublin Ireland
| | - L. M. Katz
- UCD, School of Veterinary Medicine University College Dublin Belfield, Dublin Ireland
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14
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McGivney CL, Gough KF, McGivney BA, Farries G, Hill EW, Katz LM. Exploratory factor analysis of signalment and conformational measurements in Thoroughbred horses with and without recurrent laryngeal neuropathy. Equine Vet J 2018; 51:179-184. [DOI: 10.1111/evj.12984] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2017] [Accepted: 06/18/2018] [Indexed: 11/30/2022]
Affiliation(s)
- C. L. McGivney
- UCD School of Agriculture and Food Science, University College Dublin Dublin Ireland
| | - K. F. Gough
- UCD School of Agriculture and Food Science, University College Dublin Dublin Ireland
| | - B. A. McGivney
- UCD School of Agriculture and Food Science, University College Dublin Dublin Ireland
| | - G. Farries
- UCD School of Agriculture and Food Science, University College Dublin Dublin Ireland
| | - E. W. Hill
- UCD School of Agriculture and Food Science, University College Dublin Dublin Ireland
| | - L. M. Katz
- UCD School of Veterinary Medicine University College Dublin Dublin Ireland
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15
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Davison JA, Lumsden JM, Boston RC, Ahern BJ. Overground endoscopy in 311 Thoroughbred racehorses: findings and correlation to resting laryngeal function. Aust Vet J 2017; 95:338-342. [DOI: 10.1111/avj.12620] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2016] [Revised: 11/12/2016] [Accepted: 12/12/2016] [Indexed: 11/28/2022]
Affiliation(s)
- JA Davison
- Rossdales Equine Practice, Beaufort Cottage Stables; Newmarket Suffolk CB8 8JS UK
| | - JM Lumsden
- Randwick Equine Centre; Randwick New South Wales Australia
| | - RC Boston
- University of Pennsylvania, New Bolton Center; PA USA
| | - BJ Ahern
- University of Queensland; UQ Gatton Campus Gatton Queensland Australia
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Vidovic A, Delling U. Aryepiglottic fold augmentation as treatment for late-onset dysphagia following surgical treatment of recurrent laryngeal neuropathy. Tierarztl Prax Ausg G Grosstiere Nutztiere 2017; 45:219-225. [PMID: 28745776 DOI: 10.15653/tpg-160712] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Accepted: 01/19/2017] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Coughing and dysphagia have been described following prosthetic laryngoplasty (LP) with or without ventriculectomy/ventriculocordectomy (VE/VCE) for the treatment of recurrent laryngeal neuropathy. All previous case descriptions include patients with acute onset of clinical signs after surgery that persisted. The authors observed a late-onset of dysphagia and coughing months to years after LP ± VE/VCE. The condition was always associated with an abnormality of the aryepiglottic fold (AEF). Treatment options for those patients are limited. We suggest augmentation of the AEF as treatment for affected horses. The goal of the study was two-fold: Firstly, to describe a new condition of late-onset dysphagia in horses following LP ± VE/VCE associated with an abnormal appearance of the AEF, and secondly, to offer a minimally invasive and successful treatment for those patients. MATERIAL AND METHODS Six horses were presented because of dysphagia and coughing with an onset of months to years after LP ± VE/VCE. Endoscopically, the AEF always appeared thinner and more flaccid to a varying degree. The food path was traceable along the AEF into the trachea using dyed molasses. An initial injection of hyaluronic acid (HA) into the AEF led to immediate improvement of the dysphagia. The procedure was performed in the standing sedated horse. The needle was placed through the cricothyroid ligament and the injection performed under endoscopic guidance. RESULTS All horses tolerated the injection well. Injection of HA was successful only in the short term in all cases and repeated injections were needed for permanent resolution using either cross-linked HA, polyacrylamide hydrogel or platelet rich plasma. CONCLUSION AND CLINICAL RELEVANCE Horses may develop dysphagia and coughing months to years after LP ± VE/VCE as a late-onset complication. The condition seems to be associated with an abnormal appearance and function of the AEF. Successful treatment is possible by augmenting the AEF. However, careful patient selection is mandatory.
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Affiliation(s)
- Aleksandar Vidovic
- Dr. Aleksandar Vidovic, Pferdeklinik St. Georg in Trier, Metternichstraße 9, 54292 Trier, Germany,
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Franklin SH, Allen KJ. Assessment of dynamic upper respiratory tract function in the equine athlete. EQUINE VET EDUC 2015. [DOI: 10.1111/eve.12432] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- S. H. Franklin
- School of Animal and Veterinary Sciences; University of Adelaide; Roseworthy Australia
| | - K. J. Allen
- Equine Sports Medicine Centre; University of Bristol; UK
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Barnett TP, Smith LCR, Cheetham J, Barakzai SZ, Southwood L, Marr CM. A call for consensus on upper airway terminology. Equine Vet J 2015; 47:505-7. [DOI: 10.1111/evj.12468] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | | | | | | | | | - C. M. Marr
- EVJ Editorial Office; Ely Cambridgeshire UK
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Allen KJ, van Erck-Westergren E, Franklin SH. Exercise testing in the equine athlete. EQUINE VET EDUC 2015. [DOI: 10.1111/eve.12410] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- K. J. Allen
- Equine Sports Medicine Centre; University of Bristol; Langford UK
| | | | - S. H. Franklin
- School of Animal and Veterinary Sciences; University of Adelaide; Roseworthy South Australia Australia
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Abstract
Evaluation of the upper and lower respiratory tract of horses requires strategic selection of possible diagnostic tests based on location of suspected pathologic lesions and purpose of testing and must also include consideration of patient status. This article discusses the various diagnostic modalities that may be applied to the respiratory system of horses under field conditions, indications for use, and aspects of sample collection, handling, and laboratory processing that can impact test results and ultimately a successful diagnosis in cases of respiratory disease.
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Chesen AB, Whitfield-Cargile C. Update on Diseases and Treatment of the Pharynx. Vet Clin North Am Equine Pract 2015; 31:1-11. [DOI: 10.1016/j.cveq.2014.11.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Affiliation(s)
- G D Trope
- School of Animal and Veterinary Sciences, Charles Sturt University, Locked Bag 588, Wagga Wagga, NSW 2678, Australia
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Cook WR. A hypothetical, aetiological relationship between the horse's bit, nasopharyngeal asphyxia and negative pressure pulmonary oedema. EQUINE VET EDUC 2014. [DOI: 10.1111/eve.12196] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- W. R. Cook
- Clinical Sciences; Cummings School of Veterinary Medicine; Tufts University; Maryland USA
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