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Tracheal Resection and Anastomosis After Traumatic Tracheal Stenosis in a Horse
Author(s) -
Barnett Timothy P.,
Hawkes Claire S.,
Dixon Padraic M.
Publication year - 2015
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2014.12270.x
Subject(s) - medicine , anastomosis , tracheal stenosis , surgery , stenosis , warmblood , horse , laryngoplasty , lumen (anatomy) , endoscopy , radiology , larynx , paleontology , biology
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.