Coleridge Matthew O D, DiGiovanni Daria L, Rodgerson Dwayne H, Spirito Michael A
Texas A&M Department of Large Animal Clinical Sciences, College Station, Texas.
Vet Surg. 2015 Apr;44(3):348-51. doi: 10.1111/j.1532-950X.2014.12280.x. Epub 2014 Oct 7.
To describe the use of a wire snare technique for epiglottic entrapment.
Case series.
Eight adult horses.
Under general anesthesia, a modified mouth gag was placed in the oropharynx. An endoscope was passed through the gag until there was adequate visualization of the entrapped epiglottis. The entrapping mucosa was grasped with bronchoesophageal forceps and pulled rostrally, releasing the epiglottis. A custom snare was passed down the bronchoesophageal forceps to encircle the redundant subepiglottic mucosa. Tension was applied to the entrapping mucosa via the forceps as the obstetric wire was tightened at the base and the redundant mucosa (aryepiglottic fold) was excised.
The procedure was performed on 8 adult thoroughbred horses. Re-evaluation by endoscopy did not show entrapment in any horse and no horse developed complications or has had problems with performance.
This technique is a minimally invasive, competitively priced and straightforward method for resection of entrapping subepiglottic mucosa in adult horses.
描述一种用于会厌嵌顿的钢丝圈套技术的应用。
病例系列。
8匹成年马。
在全身麻醉下，将改良的开口器置于口咽部。将内窥镜通过开口器插入，直至能充分观察到嵌顿的会厌。用支气管食管钳抓住嵌顿的黏膜并向前牵拉，将会厌松开。将定制的圈套器经支气管食管钳向下推送，环绕多余的会厌下黏膜。当产科钢丝在底部收紧时，通过钳子对嵌顿的黏膜施加张力，切除多余的黏膜（杓会厌襞）。
该手术在8匹成年纯种马身上进行。内镜复查显示，所有马匹均未出现嵌顿，且无马匹出现并发症或性能问题。
该技术是一种微创、价格合理且操作简单的方法，用于切除成年马嵌顿的会厌下黏膜。
