Attempted reinnervation of the equine larynx using a muscle pedicle graft.

Laryngeal hemiplegia was induced in 4 ponies via a left recurrent laryngeal neurectomy. Reinnervation of the denervated left cricoarytenoideus dorsalis muscle was then attempted using a muscle pedicle graft from the right cricoarytenoideus dorsalis muscle. In 3 ponies there was no return of abductor function and failure of graft survival. In the fourth pony there was return of abductor function along with survival of the muscle bridge, however, there was evidence of reinnervation across the neurectomy site. Muscle-to-muscle neurotization of the paralyzed equine larynx, utilizing the cricoarytenoideus dorsalis muscle, does not appear to be a clinically useful technique.

Single photon absorptiometry for the measurement of bone mineral content in horses.

A safe, non-invasive method for the accurate measurement of bone mineral content in the third metacarpal bone of the horse is described. The technique involves scanning the bone with a single photon beam from an Americium-241 source. Data were obtained from the excised metacarpal bones from both forelimbs of 50 normal and seven lame horses. Measurements were made in vivo on eight normal and seven lame horses and on one experimental horse with osteopenia induced by partial weightlessness in a flotation tank. In the normal horses bone mineral content altered with age, particularly in the first six months of life. There were also differences according to the site of scanning on the metacarpus. The contribution of the splint bones to the total bone mineral content was less than 2 per cent distal to the mid-point of the metacarpus, but in the proximal shaft it increased to 12 per cent. No significant differences were noted either between right and left limbs, or between male and female animals. A reduction in bone mineral content was demonstrated in the affected leg of horses with chronic lameness and with osteopenia induced by weightlessness. The bone mineral content (g/cm) correlated well with the ash content (mg/100 mg dry bone weight), the specific gravity and the apparent transverse velocity of ultrasound (m/sec) through the bone. A measure of bone mineral density (g/cm3) was calculated from the bone mineral content and cross sectional area of the bone to overcome the individual differences in size of the metacarpus.

Assessment of prognosis for racing after carpal surgery in 210 Thoroughbreds.

The efficacy of treating carpal lesions by arthrotomy was evaluated in 210 Thoroughbred racehorses, using survival analysis to compare their racing performances and earnings with those of 840 control horses. The treated horses were significantly inferior with respect to races contested, and wins plus places (P less than 0.001) and races won (P less than 0.01). There was no difference with respect to earnings (P less than 0.1); after adjusting for other factors, arthritis, site of fracture and presence of a displaced chip had no effect on racing performance in horses with a single-site lesion involving a chip.

Assessment of the efficacy of an abductor muscle prosthesis for treatment of laryngeal hemiplegia in horses.

Four variations of abductor muscle prosthesis for treating laryngeal hemiplegia were evaluated in 153 horses by questionnaire, and in the 100 Thoroughbred racehorses in this group survival analysis was used to compare their racing performances and earnings with those of 400 control horses. The questionnaire indicated that the technique which included a ventriculectomy and 2 prostheses was regarded as being the most successful (P less than 0.01) and resulted in the least residual stertor (P less than 0.001). Survival analysis showed that there was no significant difference between the treated group of horses and the control horses (P greater than 0.05).

Pulmonary haemorrhage in standardbred horses after racing.

Endoscopic examinations of the upper respiratory tract were done on 92 of 314 Standardbred horses that raced one or more times at 4 consecutive, weekly race meetings. Although participation was voluntary, the characteristics of the population of horses examined were not statistically different from those of all horses that raced. No horse showed epistaxis, but 34 (32.4%) examinations of the trachea revealed blood that ranged from a trace in the tracheal mucus to large amounts scattered over the tracheal walls. Forty-four horses exhibited minor degrees of pharyngeal lymphoid hyperplasia, 2 had asynchronous movement of the left arytenoid cartilage and 15 had grains of sand in the respiratory tract. There was no association between bleeding and age, sex, distance of race, place in race or date of race. Mucus and mucopurulent material occurred less often after longer races and more often on the last 3 race nights.

Treatment of hygromata in horses.

A surgical technique of open drainage, using penrose drains and pressure bandages, was used for the treatment of hygromata in four horses. In 3 cases with hygroma of the carpus, one with a secondary infection, there was complete resolution of the condition whereas in the one case with hygroma of the elbow resolution was more protracted because of difficulties in bandaging. The cosmetic and functional results after operation were most satisfactory.

Obstruction of the small colon by intramural haematoma in three horses.

Three cases of intramural haematoma of the small colon of horses are presented. In all cases the haematoma obstructed the lumen and caused an accumulation of faeces and gas. The horses were in shock and had acute abdominal pain. Exploratory abdominal surgery revealed the haematomas and showed them to be associated with chronic infection and terminal rupture in one animal which was subsequently killed, and an iatrogenic perforation of the terminal small colon in another which survived after intestinal resection. In the remaining horse, which died without recovering after intestinal resection, no cause was found.

The management of rectal tears in horses.

Rectal trauma in horses is usually iatrogenic and carries a high mortality. Partial thickness tears heal without surgical assistance. Full thickness tears require surgical repair through the anus or a ventral laparotomy or, if these are not possible because of difficulty in gaining access to the tear in its usual site at the pelvic inlet, a diverting colostomy to allow the rectum to heal is necessary. This paper describes the management of 15 cases of rectal injury, only 3 of which survived. Two of these were partial thickness tears not treated surgically and the third had a temporary diverting colostomy.

Dorsal displacement of the left ventral and dorsal colon in two horses.

This paper describes the clinical signs and surgical treatment of 2 cases of dorsal displacement of the left ventral and dorsal colon. The condition, in which the colon becomes enclosed in the space bounded by the base of the spleen, the dorsal aspect of the suspensory ligament of the spleen (phrenicosplenic ligament), the left kidney and the adjacent body wall, is characterised by moderate to severe pain, minimal signs of shock, no response to medical therapy and a tendency for a ventral midline abdominal paracentesis to enter the spleen. Both horses recovered after surgical replacement of the colon, one case requiring a second laparotomy because of a recurrence of the displacement.

Foreign body obstruction of the small colon in six horses.

Six horses, which had a foreign body obstruction of the small colon showed abdominal pain of progressing severity and intestinal tympany. On rectal examination the caecum and large colon were distended with ingesta and gas but the obstructing mass could be palpated in only 3 cases. All horses had elevated indirect blood pressure and in 3 there was also fluid distension of the stomach. Only one horse had known access to foreign material in the diet, but a further 3 were related to an exceptionally dry climate period. Five of the 6 horses recovered following surgery.

Surgical repair of cleft soft palate in the horse.

A technique for the surgical repair of a cleft soft palate in the horse is described. A symphysiotomy approach was employed to repair the anterior end of the cleft palate, and the posterior part was approached via a pharyingotomy incision.

Successful repair of a diaphragmatic hernia in a foal.

The diagnosis and successful surgical treatment of a diaphragmatic hernia in a 12 weeks old standardbred foal are described. The clinical syndrome in horses generally is contrasted with that seen in the foal described in this paper. Some of the factors contributing to the clinical signs are discussed.