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Transendoscopic correction of epiglottic entrapment with a silicone-covered laser guide and diode laser in 29 horses
Karen J Beste1, Kyla F Ortved2, Fabrice Rossignol3
1Department of Large Animal Clinical Sciences, Texas A&M University, College Station, Texas.
Objective:
To describe the use of a silicone-covered laser guide and diode laser for surgical correction of epiglottic entrapment and report postoperative outcomes in horses with epiglottic entrapment.
Study Design:
Retrospective case series.
Animals:
Thoroughbred and standardbred racehorses (n = 29) with epiglottic entrapment.
Methods:
A silicone-covered laser guide was placed endoscopically to direct the diode laser cutting action during transection of the entrapping subepiglottic membrane and to act as a physical barrier between the membrane and the epiglottic cartilage. Postoperative complications and trainer satisfaction were recorded via use of a follow-up questionnaire. Race records were reviewed to determine return to racing and detect differences in the number of starts, wins, or earnings before and after surgery.
Results:
The entrapping membrane was successfully released in all horses. Mild postoperative complications such as swelling of the surgical site (12 horses) and coughing or mild nasal discharge (5 horses) were recorded during the first few days after surgery. Ninety-six percent of trainers were satisfied with the outcome of the procedure; 93% of horses returned to racing.
Conclusion:
Laser guide-assisted transection of the subepiglottic membrane corrected epiglottic entrapment in standing horses.
Clinical Significance:
Ease of surgical technique, mild postoperative complications, and a good prognosis to return to racing make this a suitable alternative to the traditional laser procedure.
