Peer-reviewed veterinary case report
Congenital branchial apparatus malformation in a Haflinger colt.
- Journal:
- Veterinary surgery : VS
- Year:
- 2008
- Authors:
- David, Florent et al.
- Affiliation:
- Dé · Canada
- Species:
- horse
Plain-English summary
A 6-day-old Haflinger foal was found to have a cystic mass in its throat area that changed shape when it drank milk. After using various imaging techniques to understand the problem, veterinarians discovered a connection between the cyst and the throat. They surgically removed the cyst and closed the connection, while managing a related jaw deformity without surgery. Two years later, the foal showed no signs of jaw issues, and the surgery was successful, leading to a great recovery.
Abstract
OBJECTIVE: To report the diagnosis and treatment of a branchial apparatus anomaly (BAA) associated with a mandibular malformation in a foal. DESIGN: Clinical report. ANIMAL: Haflinger foal. METHODS: A 6-day-old foal had a fluctuating cystic mass in the pharyngeal (throatlatch) region, which changed in appearance after ingestion of milk. Upper airway endoscopy and diagnostic imaging (ultrasonography, radiography, computed tomography) permitted identification of the anatomic location of a communicating tract between the lumen of the cystic mass and the pharynx. The mass was surgically removed and communication with the pharynx ligated. Histologic appearance of this mass was consistent with a branchial cyst or sinus. The mandibular malformation was managed conservatively. RESULTS: Surgical resection of a third branchial sinus resulted in an excellent functional and cosmetic outcome. There was no evidence of any mandibular deformity 2 years later. CONCLUSION: BAA may induce secondary mandibular deformation in utero and may cause respiratory compromise postpartum. Careful surgical dissection and removal of BAA resulted in an excellent outcome. CLINICAL RELEVANCE: BAAs should be included in the differential diagnosis of a throatlatch region mass in equine neonates. Complete surgical excision is recommended and full recovery of any associated mandibular deformity may be anticipated without additional treatment in very young patients.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/18199051/