The effect of double bridles and jaw-clamping crank nosebands on temperature of eyes and facial skin of horses

Any apparatus that restricts a horse’s movement can compromise welfare. Eye temperature as measured remotely using infrared thermography is emerging as a correlate of salivary cortisol concentrations in horses. This article explores the effect on the temperature of the eyes and facial skin of horses wearing devices that restrict jaw movements. In certain equestrian disciplines, unacceptable equine oral activity, such as gaping of the mouth, is penalized because it reflects poor training and lack of compliance. This explains the wide range of nosebands and flash straps designed to prevent the mouth opening. Some of these nosebands are banned from higher-level dressage competitions in which double bridles are mandatory, possibly because they are regarded as restrictive. Nevertheless, the current international rules overlook the possibility that noseband can appear innocuous even though some designs, such as the so-called crank noseband, can be ratcheted shut to clamp the jaws together. Some equestrian manuals and competition rule books propose that “two-fingers” be used as a spacer to guard against overtightening of nosebands but fail to specify where this gauge should be applied. The vagueness of this directive prompted us to undertake a small random survey of the finger dimensions of adult men (n = 10) and women (n = 10). There were significant sex differences in the measurements of fingers of adults (P < 0.001), thus illustrating that the “two-finger rule” is not a reliable guide for standardized noseband fastening. Infrared thermography was used to measure the temperature of facial skin and eyes of adult horses (n = 5) wearing a double bridle with and without a cavesson noseband. A taper gauge was developed based on the mean circumference of adult index and middle fingers (9.89 ± 0.21 cm), and this was used as a spacer at the nasal planum or beside the mandible when tightening the noseband. The nosebands were fastened significantly tighter when the taper gauge was used beside the mandible than at the nasal planum (P = 0.02). Wearing double bridles and nosebands that had been tightened with and without the taper gauge caused an increase in eye temperature compared with baseline values (P = 0.012), and the tighter the noseband was fastened, the cooler the facial skin of the horse (and, presumably, the greater the impairment of vascular perfusion) when compared with baseline values (P = 0.016). This study suggests that horses wearing double bridles and tight nosebands undergo a physiological stress response and may have compromised vascular perfusion. Consequently, on welfare grounds, the use of nosebands that cause any constriction of jaw movement should be reviewed as soon as possible.     

Gait abnormalities and ridden horse behaviour in a convenience sample of the United Kingdom ridden sports horse and leisure horse population

The objectives of this study were to compare horses’ gaits in hand and when ridden; to assess static and dynamic saddle fit for each horse and rider; to apply the Ridden Horse Pain Ethogram (RHpE) and relate the findings to gait abnormalities consistent with musculoskeletal pain, rider position and balance and saddle fit; and to document noseband use and its relationship with mouth opening during ridden exercise. Data were acquired prospectively from a convenience sample of horses believed by their owners to be working comfortably. All assessments were subjective. Gait in hand and when ridden were evaluated independently, by two assessors, and compared using McNemar’s test. Static tack fit and noseband type were recorded. Movement of the saddle during ridden exercise, rider position, balance and size relative to the saddle was documented. RHpE scores were based on assessment of video recordings. Multivariable Poisson regression analysis was used to determine factors which influenced the RHpE scores. Of 148 horses, 28.4% were lame in hand, whereas 62.2% were lame ridden (P<0.001). Sixty per cent of horses showed gait abnormalities in canter. The median RHpE score was 8/24 (interquartile range 5, 9; range 0, 15). There was a positive association between lameness and the RHpE score (P<0.001). Riding School horses had higher RHpE scores compared with General Purpose horses (P = 0.001). Saddles with tight tree points (P = 0.001) and riders seated at the back of the saddle rather than the middle (P = 0.001) were associated with higher RHpE scores. Horses wearing crank cavesson compared with cavesson nosebands had higher RHpE scores (P = 0.006). There was no difference in mouth opening, as defined by the RHpE, in horses with a noseband with the potential to restrict mouth opening, compared with a correctly fitted cavesson noseband, or no noseband. It was concluded that lameness or gait abnormalities in canter may be missed unless horses are assessed ridden.     

Management of apposing,full‐thickness tracheal perforations in two horses

Two horses, one 15‐year‐old Arabian gelding and one 10‐year‐old Quarter Horse gelding, presented with a history of marked subcutaneous emphysema. The first case exhibited no external wound, although there was a depression noted on the ventral neck. The second case had a laceration on the ventral aspect of the neck over the trachea. Endoscopic examination revealed both horses to have concurrent dorsal and ventral perforations of the trachea. The horses were managed by placing a short, cuffed, J‐shaped tracheostomy tube in the ventral perforation, while the dorsal perforation healed. The dorsal perforation in the first horse was allowed to heal by second intention, whereas sutures were placed in the dorsal perforation in the second case to reduce the healing time. Both horses were maintained on oral antimicrobial and nonsteroidal anti‐inflammatory medications throughout treatment. The dorsal perforation healed after 13 days in the first horse, and 22 days in the second horse. The ventral perforation healed in both horses by second intention following tracheostomy removal, giving a cosmetically acceptable result. In addition to facilitating tracheal healing, the tracheostomy tubes prevented the progression of subcutaneous emphysema, and promoted its resolution.     

Riders' application of rein tension for walk-to-halt transitions on a model horse

Rein cues have been used for millennia when controlling horses. Recent research has quantified the range of tensions exerted on the horse's mouth by bit and rein apparatus under a variety of conditions and investigating the tension horses will freely tolerate. Given the importance of rein tension in terms of controlling horses and the potential for welfare issues arising from use of apparatus in the horse's mouth, this study the tensions created by riders (n = 12) performing walk to halt gait transitions on a model horse. The mean tension when applying the deceleration cue of the left rein (mean tension, 8.58 N; standard deviation = 5.15; range = 3.14-28.92 N) was greater than the right rein (mean tension, 6.24 N; standard deviation = 4.1; range = 2.27-16.17 N). Little correlation was found between rider morphometry and rein tension. Although the deceleration cue was significantly higher than the resting tension by 51% for the right rein (P < 0.001) and by 59% for the left rein (P < 0.001), there was large variation between and within riders. These findings suggest the need for greater awareness of the potential for rein tensions to vary from principles of good horse welfare and training principles.     

Dominance and Leadership: Useful Concepts in Human–Horse Interactions?

Dominance hierarchies in horses primarily influence priority access to limited resources of any kind, resulting in predictable contest outcomes that potentially minimize aggressive encounters and associated risk of injury. Levels of aggression in group-kept horses under domestic conditions have been reported to be higher than in their feral counterparts but can often be attributed to suboptimal management. Horse owners often express concerns about the risk of injuries occurring in group-kept horses, but these concerns have not been substantiated by empirical investigations. What has not yet been sufficiently addressed are human safety aspects related to approaching and handling group-kept horses. Given horse's natural tendency to synchronize activity to promote group cohesion, questions remain about how group dynamics influence human–horse interactions. Group dynamics influence a variety of management scenarios, ranging from taking a horse out of its social group to the prospect of humans mimicking the horse's social system by taking a putative leadership role and seeking after an alpha position in the dominance hierarchy to achieve compliance. Yet, there is considerable debate about whether the roles horses attain in their social group are of any relevance in their reactions to humans. This article reviews the empirical data on social dynamics in horses, focusing on dominance and leadership theories and the merits of incorporating those concepts into the human–horse context. This will provide a constructive framework for informed debate and valuable guidance for owners managing group-kept horses and for optimizing human–horse interactions.     

Comparison of direct and indirect methods of intra‐abdominal pressure measurement in normal horses

Objectives – To develop a direct method for measuring intra‐abdominal pressures in the standing horse, identify a reference interval for direct intra‐abdominal pressures, compare these pressures to indirect intra‐abdominal pressures measured from the bladder, and determine the optimal bladder infusion volume for indirect pressure measurement. Design – Prospective, experimental study. Setting – A university‐based equine research facility. Animals – Ten healthy adult horses, 5 males and 5 females. Interventions – Direct intra‐abdominal pressures were measured through an intraperitoneal cannula and zeroed at the height midway between the height of the tuber ishii and point of the shoulder. Indirect measurements of intra‐abdominal pressure were performed by measuring intravesicular pressures through a transurethral catheter zeroed at the tuber ishii. Measurements and Main Results – Direct pressure measurements obtained in the standing horse were subatmospheric (mean, ?1.80 cm H₂O; SD, 1.61 cm H₂O; 95% CI, ?2.80 to ?0.80) and were shown to decrease as the horse's weight increased (Pearson's r=?0.67, P=0.04), with no effect of head position (P=0.15). Mean baseline indirect pressure measurements (mean, ?8.63 cm H₂O; SD, 4.37 cm H₂O; 95% CI, ?13.05 to ?4.21) were significantly different from the pressures measured directly from the abdomen (P<0.001). Indirect pressure measurements were noted to increase with increasing volumes infused into the bladder, and were statistically different at a volume of 100 mL (P=0.004). There was low to moderate correlation between direct and indirect pressure measurements of intra‐abdominal pressure over a range of fluid volumes infused into the bladder (Pearson's correlation range ?0.38 to 0.58). Conclusion – Pressures measured directly in the standing horse were subatmospheric, and increased as the horse's weight increased. Indirect pressures measured were altered by increasing volumes infused in the bladder. There was no significant correlation between the 2 methods of intra‐abdominal pressure measurement.     

Extensive nasal septum resection in horses using a 3-wire method

OBJECTIVE: To describe a surgical technique for, and report outcome after, extensive nasal septum resection in horses with congenital or acquired septal diseases. STUDY DESIGN: Retrospective study. ANIMALS: Horses (5) with nasal septal deformity. METHODS: Under general anesthesia, obstetrical wires were preplaced around the ventral, caudal, and dorsal aspects of the nasal septum by combinations of manual guidance (ventral and caudal wires) and use of a trephine hole on the dorsal mid-line (dorsal and caudal wires). The rostral part of the septum was incised with a scalpel and the ventral, dorsal, and caudal septal incisions were made with the preplaced wires. After septum removal, the nasal cavity packed with a tampon and a temporary tracheotomy was performed. RESULTS: The diseased nasal septum was completely removed in all horses. It was possible to direct the caudal cut at a sufficient angle so that the remaining stump was in a wide part of the nasal passage, where it would have minimal effect on airflow. Four horses healed, and returned to intended use but continued to make a slight respiratory noise during exercise. At 13 months after surgery, 1 horse with a concurrent wry nose was retired from race training after 2 additional surgeries failed to relieve exercise intolerance at high speed. CONCLUSIONS: The 3 wire-cut method of nasal septum resection was technically easy to perform and safe, allowed return to function in most horses, and produced an excellent cosmetic appearance. CLINICAL RELEVANCE: This technique for nasal septum resection allows removal of a large portion of the nasal septum and provides a safe alternative to conventional techniques of nasal septum resection in the horse.     

Effects of Large Saddle Panels on the Biomechanics of the Equine Back During Rising Trot: Preliminary Results

The saddle panels, directly in contact with the horse's back, are likely an important element to optimize the fitting of the saddle, the comfort of the horse, and subsequently, the pain management in dorsalgic horses. The aim of this study was to better understand the effect of the saddle panels on the horse's back, by evaluating a prototype saddle (comfort panels: CP) compared to a standard saddle (STD). The horse's back movements were measured using inertial measurement units (IMUs) fixed at the levels of thoracic vertebrae T6, T12, T16 (under the saddle) and lumbar vertebrae L2 and L5. The centers of mass (COMs) of the horse and the rider and limb's protraction-retraction angles, pressure between saddle and horse's back, and force on the stirrups were measured using respectively 2D motion capture, pressure mat and force sensors in the stirrup leather. Three horses were trotted at the rising trot (sitting: left diagonal-rider seated; standing: right diagonal-rider standing) by the same rider. To compare saddles, linear mixed-effects regression models were used. The estimated means (SE) were calculated. During sitting phase, pressure in the cranial and middle areas of the saddle significantly increased for CP compared to STD (+0.9 (0.2) kPa and +1.0 (0.1) kPa, respectively) whereas caudal pressure decreased (−1.8 (0.4) kPa). Concurrently, the range of motion of angles T12-T16 and T16-L2 under the saddle significantly increased (+1.8 (0.2)° and +2.3 (0.3)°, respectively). The results showed that modifications of the panels' shape not only affect the pressure distribution but also the kinematics of the thoracic and lumbar regions of the equine back.     

A retrospective survey of riders' opinions of the use of saddle pads in horses

Horse riders have used layers between saddles and their horse's back since ancient times. Despite the apparent common usage of such layers, most research regarding pressures under horses' saddles seems to have been conducted without such layers present. An online survey of equestrian riders was conducted to quantify the use of such layers and how the layers behaved during use. This produced 1,011 responses from participants in 16 equestrian activities. More than 98% of respondents reported they used some form of layer between their horse's back and the saddle. Differences in layer usage were associated with the respondent's preferred riding discipline and the wither type of their horse. Compensation for perceived saddle fit problems was commonly cited as a reason for using layers. Although horse comfort was nominated by 87.5% of respondents as a reason for using a layer between saddle and the horse's back, many respondents (45%) reported using more than 1 layer. This often resulted in layers thicker than 1 cm, which paradoxically could compromise horse welfare. Half of the respondents reported that the layer between the saddle and the horse's back slipped during riding. Although some significant risk factors for this slippage were identified, they are deemed not to be definitive because of similar factors being identified by the group who did not report layer slippage. These results suggest that incorrect usage of layer between saddles and horses' backs can sabotage good saddle design and compromise equine welfare. Future research on the layers used between the saddles and horses' back is warranted. The question of whether using thicker layers can create greater pressure under saddles or improve rider–horse communication also needs to be investigated.     

Comparison of the Head and Neck Positions in Ridden Horses Advertised in an Australian Horse Sales Magazine: 2005 Versus 2018

The impact of head and neck position (HNP) on horse welfare has received much attention in the scientific literature within the last two decades. Studies have identified physiological and behavioral signs of distress in horses ridden for prolonged time in an HNP with their noseline behind the vertical (BTV), which may compromise their welfare. The objective of this study was to compare potential differences of HNPs shown in horse sales photographs advertised in an Australian horse sales magazine (Horse Deals) from the years 2005 and 2018. In addition, factors potentially impacting HNPs, such as type of tack presented in (e.g., noseband type), riding discipline, and competition experience of the horse, were investigated. The sample population (n = 570) comprised horses ridden with headgear and bit in walk, trot, or canter/gallop, advertised in an Australian horse sales magazine. Issues from April 2005 and October/November 2018 were selected. Head and neck position was categorized as BTV, on the vertical (OV), slightly in front of the vertical (IFV), or extremely in front of the vertical (EIFV; any HNP >30° IFV). Data were analyzed using the chi-squared test and post hoc testing via a multiple regression approach through SPSS and test of proportions via the Z-score calculator for two independent population proportions. Analysis of combined data from years 2005 and 2018 showed 47.0% (n = 570) of the horse sample population were advertised with HNPs BTV. Behind-the-vertical HNP was observed as the predominant HNP (57.8%; n = 268) in the warmblood/eventers/show/performance (WESP) category (P < .0005). In 2005, 53.4% (n = 303) of the sample population were ridden BTV compared with 39.7% (n = 267) in 2018 (P < .001), 12.9% (n = 303) were OV in 2005 compared with 15.0% (n = 267) in 2018 (P > .05), and 10.9% (n = 303) were IFV in 2005 compared with 27.3% (n = 267) in 2018 (P < .0004). These results suggest a positive development with fewer vendors/riders selecting images where the horse’s nose was BTV. However, this may be explained by the larger proportion of horses advertised in the WESP category in 2005 (63.0%; n = 303) versus 2018 (28.5%; n = 267), and the WESP category predominantly comprised of dressage, jumper, and eventing horses. In addition, the reduction of HNPs BTV from 53.4% (n = 303) in 2005 to 39.7% (n = 267) in 2018 could be attributed to the observation that in 2018, a larger proportion of horses were listed in categories that do not require the horses to be worked with a flexed HNP referred to as “on-the-bit” (e.g., western, endurance, Australian sStock horses). The HNP BTV remains preferential by a substantial proportion of the horse-owning public when advertising horses for sale, particularly in disciplines where the horse is worked in a flexed HNP or “on-the-bit.”     

Modelling genetic evaluation for dressage in Pura Raza Español horses with focus on the rider effect

The most popular use of the Pura Raza Español horse in sport is for dressage competitions. Tests on young sport horses were first established in 2004 in Spain to collect data for the genetic evaluation of this breed's suitability for dressage. The aim of this study was to compare eight different models to find out the most appropriate way to include the rider in the genetic evaluation of dressage. A progressive removal of systematic effects from model was also analysed. A total of 8867 performance records collected between 2004 and 2011 from 1234 horses aged between 4 and 6 years old were used. The final score in the dressage test was used as the performance trait. The pedigree matrix contained 8487 individuals. A BLUP animal model was applied using a Bayesian approach with TM software. The horse's age, gender, travelling time, training level, stud of birth and event were included as systematic effects in all the models. Apart from the animal and residual effects that were present in all models, different models were compared combining random effects such as the rider, match (i.e. rider–horse interaction) and permanent environmental effects. A cross‐validation approach was used to evaluate the models' prediction ability. The best model included the permanent environmental, rider and match random effects. As far as systematic effects are concerned, the event or the stud of birth was essential effects needed to fit the data.     

Habronemiasis: Biology,Signs, and Diagnosis,and Treatment and Prevention of the Nematodes and Vector Flies

Habronemiasis is a parasitic disease of horses and other equids which is caused by the invasion of Draschia megastoma, Habronema majus, and H. muscae nematodes and is transmitted by house flies, face flies, and stable flies. The adult nematodes live in the horse's stomach, laying eggs, which pass out in the horse's feces. The carrier flies lay eggs in the horse's manure, which becomes infested with larvae while the flies feed in the manure. The nematode larvae molt while in the fly larvae and develop into infective L3 larvae by the time the adult flies emerge from their pupal stage. The infective larvae are then transmitted to the horse when flies feed on secretions or discharges from hosts' eyes, nostrils, mouths, wounds, and other openings. The L3 larvae are ingested by the horse and are then able to complete their lifecycle. The most common aberrant forms (conjunctival and cutaneous habronemiasis) are associated with the nematode larvae being deposited in these areas, not completing its life cycle, with resultant signs probably associated with local hypersensitivity. This article details the biology of nematode parasites, diagnosis and treatment of this condition, and methods of prevention and control of the transmitting flies.     

Relationship between the forces acting on the horse's back and the movements of rider and horse while walking on a treadmill

Reasons for performing study: The exact relationship between the saddle pressure pattern during one stride cycle and the movements of horse and rider at the walk are poorly understood and have never been investigated in detail. Hypothesis: The movements of rider and horse account for the force distribution pattern under the saddle. Method: Vertical ground reaction forces (GRF), kinematics of horse and rider as well as saddle forces (FS) were measured synchronously in 7 high level dressage horses while being ridden on an instrumented treadmill at walk. Discrete values of the total saddle forces (FStot) were determined for each stride and related to kinematics and GRF. The pressure sensitive mat was divided into halves and sixths to assess the force distribution over the horse's back in more detail. Differences were tested using a one sample t test (P<0.05). Results: FStot of all the horses showed 3 peaks (P1‐P3) and 3 minima (M1‐M3) in each half‐cycle, which were systematically related to the footfall sequence of the walk. Looking at the halves of the mat, force curves were 50% phase‐shifted. The analysis of the FS of the 6 sections showed a clear association to the rider's and horse's movements. Conclusion: The saddle force distribution during an entire stride cycle has a distinct pattern although the force fluctuations of the FStot are small. The forces in the front thirds were clearly related to the movement of the front limbs, those in the mid part to the lateral flexion of the horse's spine and the loading of the hind part was mainly influenced by the axial rotation and lateral bending of the back. Potential relevance: These data can be used as a reference for comparing different types of saddle fit.     

A study of measurement of noninvasive blood pressure with the oscillometric device,Sentinel, in isoflurane‐anaesthetized horses

ObjectiveTo assess accuracy of noninvasive blood pressure (NIBP) measured by oscillometric device Sentinel compared to invasive blood pressure (IBP) in anaesthetized horses undergoing surgery. To assess if differences between the NIBP measured by the Sentinel and IBP are associated with recumbency, cuff placement, weight of the horse or acepromazine premedication and to describe usefulness of the Sentinel.Study designProspective study examining replicates of simultaneous NIBP and IBP measurements.AnimalsTwenty-nine horses.MethodsInvasive blood pressure was measured via a catheter in the facial artery, transverse facial artery or metatarsal artery. NIBP was measured using appropriate size cuffs placed on one of two metacarpal or metatarsal bones or the tail in random order. With both techniques systolic (SAP), mean (MAP), and diastolic (DAP) arterial blood pressures and heart rates (HR) were recorded. A mixed effects model compared the IBP to the NIBP values and assessed potential effects of catheter placement, localisation of the cuffs in combination with recumbency, weight of the horse or acepromazine premedication.ResultsNoninvasive blood pressure yielded higher measurements than IBP. Agreement varied with recumbency and cuff position. Estimated mean differences between the two methods decreased from SAP (lateral recumbency: range -5.3 to -56.0 mmHg; dorsal recumbency: range 0.8 to -20.7 mmHg), to MAP (lateral recumbency: range -1.8 to -19.0 mmHg; dorsal recumbency: range 13.9 to -16.4 mmHg) to DAP (lateral recumbency: range 0.5 to -6.6 mmHg; dorsal recumbency: range 21.0 to -15.5 mmHg). NIBP measurement was approximately two times more variable than IBP measurement. No significant difference between IBP and NIBP due to horse's weight or acepromazine premedication was found. In 227 of 1047 (21.7%) measurements the Sentinel did not deliver a result.Conclusion and clinical relevanceAccording to the high variability of NIBP compared to IBP, NIBP measurements as measured by the Sentinel in the manner described here are not considered as an appropriate alternative to IBP to measure blood pressure in anaesthetized horses.     

Intervertebral disk prolapse and diskospondylitis in a horse

Intervertebral disk prolapse was diagnosed in a mature horse with clinical signs of caudal ataxia. Radiography and myelography demonstrated a collapsed intervertebral space and loss of the dorsal and ventral dye columns. Results of CSF analysis were normal, as were a CBC and serum biochemical profile. High CSF WBC count and high CSF creatine kinase activity were noticed following acute neurologic deterioration. While common in certain breeds of dogs, intervertebral disk prolapse is rarely reported in horses. It should be considered in the differential diagnosis of horses with caudal ataxia.     

Partial gastrectomy and total splenectomy for the treatment of a gastric mass in a horse

A 9-year-old cob mare with a history of recurrent colic presented during an acute colic episode. Ultrasonography revealed a mass emanating from the greater curvature of the stomach and was tightly adhered to the cranial edge of the spleen. Partial gastrectomy and total splenectomy were performed via a midline celiotomy incision. The mass was subsequently confirmed to be granulomatous inflammation, postulated to be secondary to a penetrating injury to the stomach. Post-operatively, the mare had episodes of recurrent colic that were successfully managed with optimisation of the horse's diet and feeding regime. At 10 months’ post-operatively the mare was managed on full turn out, with no evidence of colic and had returned to the previous level of ridden work. The horse then presented 14 months post-operatively with severe colic due to a large colon impaction and displacement and was euthanased. This is the first report to describe successful partial gastrectomy as a treatment option for a gastric mass in the horse.     

Effect of commercially available nasal strips on airway resistance in exercising horses

OBJECTIVE: To determine the effect of a commercially available nasal strip on airway mechanics in exercising horses. ANIMALS: 6 horses (5 Standardbreds and 1 Thoroughbred). PROCEDURE: Horses exercised on a treadmill at speeds corresponding to 100 and 120% of maximal heart rate with and without application of a commercially available nasal strip. Concurrently, tracheal pressures, airflow, and heart rate were measured. Peak inspiratory and expiratory tracheal pressures, airflow, respiratory frequency, and tidal volume were recorded. Inspiratory and expiratory airway resistances were calculated by dividing peak pressures by peak flows. Endoscopic examination of the narrowest point of the nasal cavity (ie, nasal valve) was performed in 1 resting horse before, during, and after application of a nasal strip. RESULTS: During exercise on a treadmill, peak tracheal inspiratory pressure and inspiratory airway resistance were significantly less when nasal strips were applied to horses exercising at speeds corresponding to 100 and 120% of maximal heart rate. Application of the nasal strip pulled the dorsal conchal fold laterally, expanding the dorsal meatus. CONCLUSIONS AND CLINICAL RELEVANCE: The commercially available nasal strip tented the skin over the nasal valve and dilated that section of the nasal passage, resulting in decreased airway resistance during inspiration. The nasal strip probably decreases the amount of work required for respiratory muscles in horses during intense exercise and may reduce the energy required for breathing in these horses.     

Use of a carbonated beverage to disintegrate a phytobezoar obstructing the intrathoracic portion of the oesophagus of a horse

This report describes the treatment of a 17-year-old American Quarter Horse gelding for an oesophageal obstruction of approximately 24 h’ duration. An intraluminal oesophageal mass resembling a phytobezoar and located close to the cardia, was observed during endoscopic examination of the oesophagus of a horse showing signs of oesophageal obstruction. An intrathoracic oesophageal diverticulum, filled with fluid, was observed about 40 cm proximal to the obstruction. The end of a nasogastric tube was guided beyond the diverticulum, using gastroscopic observation, so that its tip rested close to the obstruction. The obstruction failed to disintegrate or move into the stomach despite vigorous, prolonged lavage. With the nasogastric tube left in place, and the horse's head elevated, 0.5 L cola was administered adjacent to the obstruction through the nasogastric tube. The head was maintained in the elevated position for an hour, after which time the head was lowered and oesophageal lavage resumed. The nasogastric tube was passed into the stomach within 3 min of re-instituting lavage. The successful use of a carbonated beverage to treat human patients for oesophageal or gastrointestinal obstruction caused by a phytobezoar is well documented. Carbonated beverages have also been reported to be effective in treating horses for gastric and enteric impactions caused by persimmon seeds. Administering cola into the oesophagus may help resolve oesophageal obstruction of horses caused by a phytobezoar or impacted feed material when horses are refractory to other treatments.     

Case series: Persistent dorsal displacement of the soft palate in eight horses

Persistent dorsal displacement of the soft palate (pDDSP) is a relatively rare equine disorder. This case series reports histories and clinical findings in 8 cases of pDDSP, and outcome after treatment of concurrent epiglottic entrapment (n = 3), laryngeal tie‐forward (n = 6) ± laser staphylectomy (n = 2), and/or sectioning of mucosa ventral to the epiglottis and the hyoepiglotticus muscles (n = 2). Four of 6 horses that underwent tie‐forward ± laser staphylectomy had complete resolution of pDDSP and returned to their previous level of work, as did one horse that had a subepiglottic releasing incision. Correction of concurrent epiglottic entrapment in 3 horses with pDDSP did not result in resolution of pDDSP in any case. Previous laryngeal surgery including laryngoplasty and ventriculocordectomy appear to be risk factors for the development of pDDSP.