Equine osteosarcoma: a series of 8 cases

In horses, osteosarcoma is a rare tumor, with the majority of reported cases occurring in the head, and, more specifically, in the mandible of young horses. The following report documents 8 cases of equine osteosarcoma, the majority occurring in male horses aged 7 years or older with a lack of metastasis identified in any horse. Six arose in the maxilla or mandible and one in the proximal tibia. The predominant subtype was fibroblastic osteosarcoma with fewer osteoblastic type tumors. All had osteoid and most had a chondromucinous matrix. Surgical excision was attempted in the majority of cases. An inability to completely excise the tumor and progressive disease typically resulted in euthanasia. To the authors' knowledge, this case series also documents the first report of an equine extraosseous osteosarcoma within the subcutaneous tissue caudal to the shoulder. Surgical excision appears successful with no recurrence of disease 14 months later. Further investigations of equine osteosarcoma and various chemotherapeutic agents are warranted to present additional treatment options.     

Effect of dental floating on the rostrocaudal mobility of the mandible of horses

OBJECTIVE: To evaluate the effect of dental floating on the position of the mandible relative to the maxilla (a measure of rostrocaudal mobility [RCM] of the mandible) during extension and flexion of the head of horses. DESIGN: Randomized controlled blinded trial. ANIMALS: 59 horses housed in 1 barn. PROCEDURE: Horses were formally randomized into a treatment (n = 33) or control (26) group. All horses were sedated, and the distance between rostral portions of the upper and lower incisor arcades were determined with the head fully extended and flexed at the poll (the difference in measurements represented the RCM of the mandible). The oral cavity was examined. For the treatment group, dental floating was performed, and the incisor arcade measurements were repeated. RESULTS: Dental correction resulted in a significant increase in RCM of the mandible in 31 of 33 horses. The mobility was greater in heavy horses than that detected in other breed classifications. Age and number of dental lesions did not significantly affect mobility before or after dental floating. CONCLUSIONS AND CLINICAL RELEVANCE: Dental floating increased RCM of the mandible, but measurement of this variable was not an indicator of the number or extent of dental lesions, and no specific dental abnormality appeared to significantly affect RCM of the mandible in horses. In horses, measurement of RCM of the mandible can be used as a guide to determine whether dental correction is necessary; after dental floating, it can be used to ensure that irregularities of the occlusal surface have been corrected.     

Fractures of the rostral portion of the mandible and maxilla in horses: 89 cases (1979-1997).

OBJECTIVE: To compare fracture locations, repair methods, complications, and outcomes of horses with fractures of the rostral portions of the mandible and maxilla. DESIGN: Retrospective study. ANIMALS: 89 horses with fractures of the rostral portions of the mandible and maxilla. PROCEDURE: Medical records and radiographs were reviewed. Fractures were categorized by fracture location and stability. Postoperative complications and long-term outcome were determined by clinical examination and telephone interviews with horse owners. RESULTS: 4 fracture types were recognized. Fractures involving just the alveolar plate (33%) and those involving the alveolar plate and the body of the bone (32%) were most common and were often repaired by interdental wiring. Unilateral fractures of the mandible (11%) were managed without surgery if stable. Unstable fractures were repaired with wires, a U-shaped bar (U-bar), or a bone plate. Bilateral fractures (24%) were often repaired with orthopedic wires in foals or with a U-bar, acrylic splint, wires, or bone plate in adult horses. In 2 horses, bilateral fractures were managed conservatively. Short-term complications developed in 24 of 89 (27%) horses. Soft tissue infections and wire loosening or failure were the most common short-term and long-term complications. Wire replacement was not required in any horses after release from hospital. Persistent draining tracts were most often associated with bone sequestration. Long-term functional and cosmetic outcomes were favorable for all fracture types and repair methods. CLINICAL IMPLICATIONS: Although complications in horses with fractures of the mandible and maxilla are common, long-term prognoses for functional and cosmetic outcome are favorable.     

Light and scanning electron microscopic studies of the nasal turbinates of the horse

The nasal turbinates of 5 young horses were studied by light and scanning electron-microscopy. Stratified cuboidal epithelium lined the rostral part of the dorsal and ventral nasal turbinates of the vestibular region. The polyangular microvillus cells of this region were separated by linear depressions. The mid and caudal parts of the dorsal and ventral nasal turbinates and the rostral part of the ethmoturbinates were lined by pseudostratified columnar ciliated respiratory epithelium. Numerous cilia with dilated blebs on the ciliated cells concealed adjacent non-ciliated supporting cells and goblet cells. The olfactory zone consisting of the olfactory vesicle and a dense network of olfactory cilia localized to the caudal part of the ethmoturbinates. The three regions were delineated from each other by transitional zones.     

Successful treatment of mandibular squamous cell carcinoma in a Malayan sun bear (Helarctos malayanus).

An adult, female Malayan sun bear (Helarctos malayanus) was diagnosed with squamous cell carcinoma of the rostral mandible. Initial treatment included bilateral mandibulectomy rostral to the lingual frenulum followed by intra- and perilesional cisplatin injections. Recovery after the procedure was uneventful and the Malayan sun bear adapted well to a shortened mandible. Histopathology indicated incomplete surgical excision of the tumor; therefore, radiation therapy was instituted weekly for four treatments at 2 Gy in parallel opposed fields (total 4 Gy each treatment) with one additional cisplatin treatment. Two years after initial presentation, the animal showed no recurrence of neoplasia.     

Multilobular tumor of bone in the mandible of a dog

An 8-year-old Siberian husky dog was presented for a mass involving the rostral mandible. Intraoral radiographs demonstrated diffusely irregular bone and displacement of all mandibular incisor teeth. The mass was diagnosed as a grade I multilobular tumor of bone based on incisional biopsy. A bilateral rostral mandibulectomy was performed with tumor negative margins. Oral examination at 14-months following surgery indicated normal healing with minimal side effects and no evidence of tumor recurrence.     

Ossifying fibroma in a miniature rex rabbit (Oryctolagus cuniculus)

In humans and animals, ossifying fibroma is a benign neoplasm that most frequently affects the mandible, often resulting in cosmetic deformities and malocclusion. It is considered rare in animals and most frequently affects young horses. A surgical biopsy of a solitary mass located beneath the gingiva in the right maxillary region, which had overgrown teeth and expanded the adjacent hard palate from a 6-year-old miniature Rex rabbit was submitted for light microscopic examination. The submitted incisional biopsy specimen was pale pink, firm, and nodular. Histopathologically, the neoplasm was composed of fibroblastic cells separated by abundant collagen. The neoplastic cells were interwoven with osteoblasts surrounding islands of mineralized, bony matrix containing few, widely spaced, often empty, lacunae. Minimal inflammation was present. Based on the histopathologic features, the tumor was diagnosed as an ossifying fibroma. To our knowledge, this is the first report of an ossifying fibroma in a rabbit.     

Diaphragmatic Hernia Repair in Three Young Horses

Objective- This clinical report describes surgical correction of diaphragmatic hernia in three young horses.
Study Design- Retrospective investigation of medical records and subsequent racing performance.
Animals- Three young horses with diaphragmatic hernia.
Results- Three young horses with signs of abdominal pain had diaphragmatic hernia causing small intestinal strangulation. The strangulated small intestine was resected and an end-to-end jejuno-jejunal (two horses) or a side-to-side jejuno-cecal anastomosis (one horse) was performed. Diaphragmatic hernias were closed with a continuous suture pattern. All horses recovered and raced. No difference in race records was found between the subject horses and their siblings. One subject horse died of colic at 5 years of age, but the cause of the colic was undetermined. The remaining two horses are in use as broodmares and have produced multiple foals without recurrence of signs of diaphragmatic hernia
Conclusions- Diaphragmatic hernias can be repaired in horses. These horses can achieve race records similar to their siblings and can produce foals without recurrence of signs of diaphragmatic hernia.     

Effect of rostrocaudal mobility of the mandible on feed digestibility and fecal particle size in horses

OBJECTIVE: To evaluate the effect of rostrocaudal mobility (RCM) of the mandible during extension and flexion of the atlanto-occipital joint on weight gain, feed digestibility, and fecal particle size in horses. DESIGN: Randomized controlled trial. ANIMALS: 34 pregnant mares housed in 1 barn. PROCEDURES: Horses were randomized into a treatment (n = 17) or control (17) group. All horses were sedated, and the distance between the rostral portions of the upper and lower incisor arcades was determined during extension and flexion of the atlanto-occipital joint; mandibular RCM was calculated as the difference between these values. In the treatment group, measurements were made after dental floating. Body weight was recorded 1 day before dental floating and at intervals after mandibular RCM determination for a period of 24 weeks. Feces were collected from each horse during two 5-day periods. Samples of feed and feces were analyzed to determine feed digestibility; particle size analysis was performed on dried fecal samples. RESULTS: Data obtained from each group of horses revealed that RCM of the mandible did not affect weight gain, feed digestibility, or particle size in feces; there were no differences among breeds. Controlling for age and number of dental lesions did not significantly affect results. CONCLUSIONS AND CLINICAL RELEVANCE: In horses, RCM of the mandible did not appear to affect weight gain, feed digestibility, or fecal particle size. On the basis of these and other published data, the assumption that dental abnormalities affect digestion detrimentally in horses needs to be reevaluated.     

Treatment of maxillary cheek teeth apical infection caused by patent infundibula in six horses (2007–2013)

Six young horses presented with clinical signs of maxillary cheek teeth apical infection (bilateral in 2 horses) that included the presence of rostral maxillary swellings with discharging sinus tracts and were unexpectedly found to have no evidence of endodontic infection in 7 affected teeth. The apical infection of these teeth was attributed to infundibular dysplasia that allowed inoculation of the periapical tissue with contaminated oral contents. Treatment was by debridement and obturation of affected infundibula from their occlusal aspect using techniques normally used for endodontic therapy. Five out of 6 cases showed resolution of clinical signs over a mean follow‐up period of 19 months (range 6–48 months). These cases demonstrate that patency of the infundibular apex is a potential cause of cheek teeth apical infection in young horses, which can be successfully treated by debridement and subsequent infundibular restoration.     

Surgical treatment of a mandibular ameloblastic carcinoma with metastases to the mandibular lymph nodes in a pony

A 4-year-old Connemara filly was presented with a rapidly growing oral mass on the right rostrolateral mandible and a right mandibular lymphadenopathy. Radiographs of the rostral mandible revealed a lytic, infiltrative mass consistent with soft tissue and mineralised material, and displacement of tooth 403. A biopsy showed characteristic histopathological features of an ameloblastic carcinoma. Subsequent FNA of the right abnormally firm and enlarged mandibular lymph node confirmed the metastatic spread. Computed tomography of the head was performed for surgical planning, including sentinel lymph node mapping to rule out other lymph node involvement. An aggressive lesion, consistent with soft tissue of the rostral right mandible was identified with intralesional contrast injection showing drainage of contrast within the right mandibular lymph nodes (Sentinel node). Based on the infiltrative and destructive nature reported in ameloblastic carcinoma in humans, a rostral mandibulectomy was performed, along with complete mandibular lymphadenectomy. The horse recovered uneventfully from surgery. In the early post-operative period marked lymphoedema of the ventral mandibular region was observed, which resolved 4–5 days post-operatively. Optimal cosmesis was maintained post-operatively, and no recurrence has been observed to date – 12 months post-surgery.     

Healing of Mandibular Body Osteotomies after Plate and Intramedullary Pin Fixation

Osteotomies were created in the left body of the mandible of nine dogs and immediately stabilized with either a six hole dynamic compression bone plate or an intramedullary pin. Cortical bone healing and vascular supply were evaluated at weeks 2, 5, and 10 by microradiography, microangiography, and correlated histology of selected mandibular slices. Perforating arterioles from the buccal mucosa maintained vascular supply to rostral mandibular segments. The mandibular body rostral to the osteotomy site and caudal to the canine tooth suffered an interruption of vascular supply that was replaced by a temporary extraosseous supply during healing of the osteotomy. Intramedullary pin placement resulted in destruction of rostral teeth. There was an inflammatory response around the rostral portion of all intramedullary pins. Osteotomy sites involving tooth roots resulted in no disruption of the normal vascular or neural structures of the tooth pulp.     

Coronoidectomy as a treatment for mandibular immobility caused by fracture of the coronoid process in three horses

This report describes the history, clinical signs and treatment of three horses suffering from deviation and immobility of the mandible resulting from fracture of a coronoid process of the mandible. Deviation and immobility resulted from impingement of a callus between the temporal bone and zygomatic arch. Fracture of the coronoid process was identified by using radiography, ultrasonography, computed tomography or a combination of two or more of these imaging modalities. Osteoarthritis of the ipsilateral temporomandibular joint of two horses was identified. All horses were treated by excising the fractured coronoid process, and two were also treated by excising the diseased ipsilateral mandibular condyle. All horses were able to open their mouth more widely immediately after surgery. One horse experienced moderate post-operative haemorrhage, and all had severe shear mouth. Shear mouth was ameliorated gradually over many months by rasping dental overgrowths. Mandibular movement of all horses improved, allowing efficient mastication of feed. One horse was able to be used as a showjumper, one horse was sold at Thoroughbred yearling sales and was lost to follow-up, and one horse died from an unrelated gastrointestinal disease 10 months after mandibular coronoidectomy and condylectomy.     

Arthroscopic Anatomy of the Equine Temporomandibular Joint

OBJECTIVE: To develop an arthroscopic approach to, and describe the arthroscopic anatomy of, the equine temporomandibular joint (TMJ). STUDY DESIGN: Cadaveric study, after which the technique was tested in horses. ANIMALS OR SAMPLE POPULATION: Ten cadaveric equine heads and 5 normal horses (age, 5-13 years; weight, 425-545 kg). METHODS: Specimens or horses were positioned in right lateral recumbency. After fluid distention of the TMJ, arthroscopic portals were made in the dorsal compartment over the most prominent portion of the joint outpouching (caudodorsal approach) and in rostral and intermediate locations. The joint was explored and photographed. Positional changes in the mandible were made to determine if observation of the joint could be improved. Instrument portals were created to assess the feasibility of surgical arthroscopy. Cadaveric heads were dissected to assess iatrogenic damage, whereas experimental horses were observed for postoperative complications for 30 days. RESULTS: A caudodorsal arthroscopic approach provided the best evaluation of the dorsal compartment of the TMJ. The approach allowed observation of the rostral and caudal synovial pouches and the lateral aspect of the joint including the articular disc. Examination of the medial aspect of the joint was limited to the most rostral and caudal aspects. Access to the lateral aspect of the ventral compartment of the TMJ was precluded by the position of the transverse facial artery and vein. In specimens, iatrogenic damage was minimal and limited to the articular fibrocartilage, articular disc, and penetration of the parotid salivary gland. If the latter also occurred in horses, no adverse effects were noted. In horses, mild fluid extravasation occurred and resolved within 1 day. All horses ate normally after surgery but had periarticular swelling and mild pain upon palpation of the TMJ for 2 days. CONCLUSIONS: A caudodorsal arthroscopic approach to the TMJ allowed adequate observation of the lateral aspect of the dorsal compartment of the joint. Access to the ventral compartment was precluded by the location of the transverse facial artery and vein. CLINICAL RELEVANCE: Conditions affecting the lateral and caudal aspects of the dorsal compartment of the TMJ should be visible by arthroscopy.     

Differential distribution of cathepsins B and L in articular cartilage during skeletal development in the horse

REASONS FOR PERFORMING STUDY: This study was designed to examine a new role for cysteine proteinases in the process of endochondral ossification. OBJECTIVES: The aim of the present study was to investigate the presence and distribution of cathepsin B and cathepsin L in equine articular cartilage during development. METHODS: Full-depth cartilage samples from a total of 40 horses (age range: 4 month fetuses to 2 years) were examined and enzymes detected by immunocytochemical localisation. RESULTS: Observations on the presence of cathepsins B and L revealed significant age-related differences, resulting in clear division of the animals into 2 age groups: i) fetuses and neonates; ii) young growing horses (age 4 weeks to 2 years). Cathepsin B was not detected in cartilage from the majority of fetuses and neonates but was located characteristically in chondrocytes at the articular surface and hypertrophic zone in all growing horses. In contrast, cathepsin L was predominantly present in fetal and neonatal cartilage, located primarily in proliferating chondrocytes. CONCLUSIONS: This study is the first to demonstrate differential and site-specific roles for cathepsin B and cathepsin L in skeletal development in the horse. Potential relevance: The demonstrated involvement of cathepsins B and L in endochondral ossification is of relevance to developmental orthopaedic diseases such as osteochondrosis in which there is a focal failure of bone formation.     

Nasal Septum Resection in the Horse

The nasal septum was surgically removed from 22 horses with upper airway obstruction caused by thickening and/or deviation of the septum. The most common presenting complaints were a low-pitched, snoring, respiratory noise and respiratory difficulty during exercise, which usually occurs in young horses. Abnormalities of the septum were most commonly congenital defects or caused by trauma or inflammation secondary to severe respiratory infection.
Diagnosis was made based on history, clinical signs, and results of physical examination. Radiography and endoscopy were useful adjuncts in some horses.
Under general anesthesia, the septum was removed by scalpel and osteotome (19 horses) or by obstetrical wire and osteotome (1 horse). In two horses, the rostral one third of the septum was removed by scalpel alone.
In three horses, the alar folds and floor of the nasal diverticula were removed in an attempt to relieve airway obstruction caused by flattening of the bridge of the nose following removal of the nasal septum.
Follow-up was obtained on 18 horses: persistent noise during exercise continued in 90%; however, 50% returned to usefulness.     

A scanning electron microscopic study of the equine upper respiratory tract

The surface features of the upper respiratory tract of 20 clinically normal horses of various ages and types were studied with scanning electron microscopy. In the rostral part of the nasal cavity, there was a wide zone of non-ciliated epithelium whereas, caudally, the surface was well ciliated. This latter type of epithelium extended into the nasopharynx and guttural pouches although scattered areas of non-ciliated microvillous cells were also found.     

Rostral Mandibulectomy Three Case Reports in Dogs

A rostral mandibulectomy was performed on three dogs with mandibular neopiasia. The technique involves stabilization of the mandibular rami, excision of the mandible rostral to the frenulum of the tongue, and cosmetic closure of the wound. Two patients were living 11 months postoperatively. This technique is effective in treating some malignant neoplasms of the rostral mandible.     

Enterocutaneous Fistulae in Horses: 18 Cases (1964 to 1992)

Enterocutaneous fistulae are rare in horses and occur most commonly as a complication of umbilical hernias or their treatment. Horses with enterocutaneous fistulae may be successfully treated by en bloc resection of the body wall and intestine or by allowing second intention healing. Complications associated with surgical intervention include fever, colic, incisional problems, and recurrence of the fistula. Nonsurgical management of two horses with presumptive large colon fistulae resulted in resolution of the fistulae without complications.