Resolution of Distal Tracheal Obstruction Using Endoscopic-Guided Holmium:Yttrium-Aluminium-Garnet Laser Ablation in a Blue and Gold Macaw (Ara ararauna).

IF 0.5 4区 农林科学 Q3 VETERINARY SCIENCES
Orr Cohen, Melinda Lee Cowan, Emma Johnson, Julia P Sumner, Michelle Lau
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引用次数: 0

Abstract

A 2-year-old, female, blue and gold macaw (Ara ararauna) presented with respiratory distress following a 1-week history of altered vocalization. The bird was anesthetized for a computed tomography scan, air sac cannulation, and tracheoscopy. The bird was diagnosed with a distal tracheal obstruction, occupying more than 80% of the tracheal lumen. Initial attempts at biopsy and resection were unsuccessful because of limited access to the obstruction. The bird was managed medically for 1 week with a combination of an oral antifungal medication, antibiotic drugs, a nonsteroidal anti-inflammatory agent, and daily intratracheal antifungal therapy. Tracheal endoscopic-guided Holmium:yttrium-aluminium-garnet laser ablation of the tracheal lesion allowed for complete removal of the mass, and the bird could vocalize within a few days of the procedure. On repeat tracheoscopy and computed tomographic examination 6 weeks postlaser ablation, there was no evidence of inflammation, recurrence of the mass, or stricture formation. Holmium:yttrium-aluminium-garnet laser ablation may be a valuable and minimally invasive tool for managing tracheal obstructions such as tracheal granulomas and strictures in birds.

内窥镜引导下钬钇铝石榴石激光消融治疗蓝金金刚鹦鹉远端气管阻塞。
一只2岁的雌性蓝金金刚鹦鹉(Ara ararauna)在发声改变1周后出现呼吸窘迫。这只鸟被麻醉以进行计算机断层扫描、气囊插管和气管镜检查。这只鸟被诊断为气管远端梗阻,占气管管腔的80%以上。由于进入梗阻的通道有限,最初的活检和切除尝试均未成功。采用口服抗真菌药物、抗生素药物、非甾体抗炎药和每日气管内抗真菌治疗联合用药1周。气管内窥镜引导下钬:钇铝石榴石激光消融气管病变,使肿块完全切除,手术后几天内,这只鸟就能发声了。激光消融6周后复查气管镜和计算机断层检查,无炎症、肿块复发或狭窄形成的证据。钬:钇铝石榴石激光消融术可能是治疗鸟类气管肉芽肿和狭窄等气管阻塞的一种有价值的微创工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Avian Medicine and Surgery
Journal of Avian Medicine and Surgery 农林科学-兽医学
CiteScore
0.90
自引率
0.00%
发文量
52
审稿时长
>36 weeks
期刊介绍: The Journal of Avian Medicine and Surgery is an international journal of the medicine and surgery of both captive and wild birds. Published materials include scientific articles, case reports, editorials, abstracts, new research, and book reviews.
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