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Sinus disease.

David E Freeman1

  • 1University of Illinois College of Veterinary Medicine, 1008 West Hazelwood Drive, Urbana, IL 61802, USA. dfreeman@cvm.uiuc.edu

The Veterinary Clinics of North America. Equine Practice
|May 16, 2003
PubMed
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Diagnosing and treating equine sinonasal diseases is challenging due to complex anatomy and late detection. Advanced imaging and endoscopic surgical techniques improve diagnosis and treatment outcomes for horses.

Area of Science:

  • Veterinary Medicine
  • Equine Surgery
  • Diagnostic Imaging

Background:

  • Diseases of the paranasal sinuses and conchae in horses present diagnostic and therapeutic challenges.
  • The large size, complex anatomy, and limited access complicate early disease detection and intervention.
  • Many equine sinonasal diseases are diagnosed at advanced stages, hindering effective treatment.

Purpose of the Study:

  • To review and highlight advancements in the diagnosis and treatment of equine sinonasal diseases.
  • To discuss the utility of improved diagnostic modalities and surgical approaches.

Main Methods:

  • Review of current literature on equine sinonasal disease diagnosis and treatment.
  • Discussion of advanced diagnostic techniques including nuclear scintigraphy, computed tomography, and endoscopy.

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  • Evaluation of surgical interventions such as direct sinus endoscopy, frontal bone flaps, and standing surgery.

    • Main Results:

    • Nuclear scintigraphy, computed tomography, and endoscopy offer improved diagnostic capabilities for equine sinonasal conditions.
    • Direct sinus endoscopy facilitates focal lesion treatment.
    • Frontal bone flaps and standing surgery provide enhanced access for diffuse lesions and various disorders.
    • Intralesional formalin is an effective treatment for progressive ethmoidal hematomas.

    Conclusions:

    • Modern diagnostic tools significantly improve the identification of equine sinonasal diseases.
    • Advanced surgical techniques, including endoscopy and specialized flap procedures, enhance treatment efficacy.
    • These advancements offer better management options for complex equine sinonasal conditions.