Timothy P Barnett, Victoria A Colgate, Natalie Robinson, Lewis C R Smith, Lorraine Palmer, Safia Z Barakzai
{"title":"对软腭背侧移位的马匹进行喉系带前移术后的地面内窥镜检查。","authors":"Timothy P Barnett, Victoria A Colgate, Natalie Robinson, Lewis C R Smith, Lorraine Palmer, Safia Z Barakzai","doi":"10.1111/vsu.14245","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To compare overground endoscopy (OGE) findings and racing performance in horses before and after laryngeal tie-forward (LTF) surgery for the treatment of intermittent dorsal displacement of the soft palate (iDDSP).</p><p><strong>Study design: </strong>Retrospective case series with follow up.</p><p><strong>Animals: </strong>A total of 56 horses met the inclusion criteria.</p><p><strong>Methods: </strong>Clinical record review of all horses definitively diagnosed with iDDSP, treated with LTF surgery, and evaluated with a single OGE examination postoperatively. In addition to LTF, some horses underwent bilateral aryepiglottic fold resection (AEFR) and/or soft palate thermocautery (SPTC). Overground endoscopy findings and racing performance metrics were compared preoperatively and postoperatively.</p><p><strong>Results: </strong>There was a 75% reduction (p < .001, 95% CI: 64% to 86%) in the presence of iDDSP and a 23% reduction (p = .002, 95% CI: 10% to 36%) in the presence of palatal instability (PI) on OGE after LTF. Soft palate thermocautery was performed concurrently with LTF in 16 horses but they showed no additional reduction in prevalence of iDDSP after surgery. There was a 22% increase (p = .01, 95% CI: 5% to 38%) in the number of horses that raced and an 18% increase (p = .05, 95% CI: 1% to 35%) in those that were placed postsurgery. Horses reported to have suspected upper airway impairment postoperatively had higher odds of iDDSP on repeat OGE (OR: 11, 95% CI: 2-55).</p><p><strong>Conclusion: </strong>Seventy five percent of horses undergoing LTF had no evidence of iDDSP on postoperative OGE, and SPTC did not reduce the incidence further. Horses with reported suspected upper airway impairment postoperatively were more likely to have continued iDDSP.</p><p><strong>Clinical significance: </strong>Laryngeal tie-forward surgery is a successful treatment option for iDDSP in horses. Soft palate thermocautery does not appear to offer additional benefits. Reports of suspected ongoing upper airway impairment would warrant repeat OGE.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Overground endoscopic examination following laryngeal tie-forward in horses with dorsal displacement of the soft palate.\",\"authors\":\"Timothy P Barnett, Victoria A Colgate, Natalie Robinson, Lewis C R Smith, Lorraine Palmer, Safia Z Barakzai\",\"doi\":\"10.1111/vsu.14245\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To compare overground endoscopy (OGE) findings and racing performance in horses before and after laryngeal tie-forward (LTF) surgery for the treatment of intermittent dorsal displacement of the soft palate (iDDSP).</p><p><strong>Study design: </strong>Retrospective case series with follow up.</p><p><strong>Animals: </strong>A total of 56 horses met the inclusion criteria.</p><p><strong>Methods: </strong>Clinical record review of all horses definitively diagnosed with iDDSP, treated with LTF surgery, and evaluated with a single OGE examination postoperatively. In addition to LTF, some horses underwent bilateral aryepiglottic fold resection (AEFR) and/or soft palate thermocautery (SPTC). Overground endoscopy findings and racing performance metrics were compared preoperatively and postoperatively.</p><p><strong>Results: </strong>There was a 75% reduction (p < .001, 95% CI: 64% to 86%) in the presence of iDDSP and a 23% reduction (p = .002, 95% CI: 10% to 36%) in the presence of palatal instability (PI) on OGE after LTF. Soft palate thermocautery was performed concurrently with LTF in 16 horses but they showed no additional reduction in prevalence of iDDSP after surgery. There was a 22% increase (p = .01, 95% CI: 5% to 38%) in the number of horses that raced and an 18% increase (p = .05, 95% CI: 1% to 35%) in those that were placed postsurgery. Horses reported to have suspected upper airway impairment postoperatively had higher odds of iDDSP on repeat OGE (OR: 11, 95% CI: 2-55).</p><p><strong>Conclusion: </strong>Seventy five percent of horses undergoing LTF had no evidence of iDDSP on postoperative OGE, and SPTC did not reduce the incidence further. Horses with reported suspected upper airway impairment postoperatively were more likely to have continued iDDSP.</p><p><strong>Clinical significance: </strong>Laryngeal tie-forward surgery is a successful treatment option for iDDSP in horses. Soft palate thermocautery does not appear to offer additional benefits. Reports of suspected ongoing upper airway impairment would warrant repeat OGE.</p>\",\"PeriodicalId\":23667,\"journal\":{\"name\":\"Veterinary Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-03-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Veterinary Surgery\",\"FirstCategoryId\":\"97\",\"ListUrlMain\":\"https://doi.org/10.1111/vsu.14245\",\"RegionNum\":2,\"RegionCategory\":\"农林科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"VETERINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Veterinary Surgery","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1111/vsu.14245","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
Overground endoscopic examination following laryngeal tie-forward in horses with dorsal displacement of the soft palate.
Objectives: To compare overground endoscopy (OGE) findings and racing performance in horses before and after laryngeal tie-forward (LTF) surgery for the treatment of intermittent dorsal displacement of the soft palate (iDDSP).
Study design: Retrospective case series with follow up.
Animals: A total of 56 horses met the inclusion criteria.
Methods: Clinical record review of all horses definitively diagnosed with iDDSP, treated with LTF surgery, and evaluated with a single OGE examination postoperatively. In addition to LTF, some horses underwent bilateral aryepiglottic fold resection (AEFR) and/or soft palate thermocautery (SPTC). Overground endoscopy findings and racing performance metrics were compared preoperatively and postoperatively.
Results: There was a 75% reduction (p < .001, 95% CI: 64% to 86%) in the presence of iDDSP and a 23% reduction (p = .002, 95% CI: 10% to 36%) in the presence of palatal instability (PI) on OGE after LTF. Soft palate thermocautery was performed concurrently with LTF in 16 horses but they showed no additional reduction in prevalence of iDDSP after surgery. There was a 22% increase (p = .01, 95% CI: 5% to 38%) in the number of horses that raced and an 18% increase (p = .05, 95% CI: 1% to 35%) in those that were placed postsurgery. Horses reported to have suspected upper airway impairment postoperatively had higher odds of iDDSP on repeat OGE (OR: 11, 95% CI: 2-55).
Conclusion: Seventy five percent of horses undergoing LTF had no evidence of iDDSP on postoperative OGE, and SPTC did not reduce the incidence further. Horses with reported suspected upper airway impairment postoperatively were more likely to have continued iDDSP.
Clinical significance: Laryngeal tie-forward surgery is a successful treatment option for iDDSP in horses. Soft palate thermocautery does not appear to offer additional benefits. Reports of suspected ongoing upper airway impairment would warrant repeat OGE.
期刊介绍：
Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations.
It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.
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