Peer-reviewed veterinary case report
Tracheal resection and anastomosis after traumatic tracheal stenosis in a horse.
- Journal:
- Veterinary surgery : VS
- Year:
- 2015
- Authors:
- Barnett, Timothy P et al.
- Affiliation:
- Rossdales Equine Hospital and Diagnostic Centre · United Kingdom
- Species:
- horse
Plain-English summary
A 9-year-old Warmblood gelding had a problem with a narrowed section of his windpipe due to trauma. To fix this, veterinarians used a technique where they removed the damaged part of the windpipe and stitched the healthy ends back together. Although the surgery went well and the horse healed, there was a complication where a nerve was injured, leading to a temporary issue with his voice box. This was later treated successfully, and the horse was able to return to his normal level of work. Overall, the treatment worked well, allowing the horse to breathe freely and perform athletically again.
Abstract
OBJECTIVES: To report a resection and anastomosis technique to treat trauma-induced tracheal stenosis. STUDY DESIGN: Case report. ANIMALS: A 9-year-old Warmblood gelding. METHODS: Endoscopy, radiography, and ultrasonography were used to diagnose a single ring tracheal stenosis; the stenotic region was resected and adjacent tracheal rings anastomosed with an end-to-end technique. RESULTS: The anastomosis healed completely despite formation of a unilateral partial mucosal stenosis "web," which was subsequently removed by transendoscopic laser surgery. During tracheal anastomosis, the left recurrent laryngeal nerve was damaged, causing laryngeal hemiplegia, later treated successfully by laryngoplasty. The horse returned to its previous level of work. CONCLUSIONS: This tracheal resection and anastomosis technique successfully provided the horse with a large tracheal lumen, and despite major complications, allowed a return to full athletic work.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/25209464/