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Transendoscopic axial division of epiglottic entrapment
Affiliation:1. Department of Clinical Science, Faculty of Veterinary Medicine, Shahrekord University, Shahrekord, Iran;2. Research Institute of Animal Embryo Technology, Shahrekord University, Shahrekord, Iran;3. DVM student, Faculty of veterinary medicine, Shahrekord University, Shahrekord, Iran;1. Department of Clinical Science, Faculty of Veterinary Medicine, Shahrekord University, Shahrekord, Iran;2. Research Institute of Biotechnology, Shahrekord University, Shahrekord, Iran;3. Research Institute of Animal Embryo Technology, Shahrekord University, Shahrekord, Iran;4. DVM Student, Faculty of Veterinary Medicine, Shahrekord University, Shahrekord, Iran;1. Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Højbakkegaard Allé 5, DK-2630 Taastrup, Denmark;2. Department of Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3B, DK-2200 Copenhagen N, Denmark;3. Department of Clinical Microbiology, Juliane Maries Vej 22, 2100 Copenhagen Ø, Rigshospitalet, Denmark;1. Global Stem Cell Technology, ANACURA Group, Evergem, Belgium;2. Pell Cell Medicals, ANACURA Group, Evergem, Belgium;3. Department of Comparative Physiology and Biometrics, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium;4. Department of Veterinary Laboratory, College of Agriculture and Veterinary Science, Ambo University, Ethiopia;5. Department of Surgery and Anesthesia of Domestic Animals, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium;6. Department of Pathology, Bacteriology and Poultry Diseases, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium;7. Vet Med Lab, IDEXX Laboratories, Brussels, Belgium;8. Centre for Preventive Medicine, Animal Health Trust, Newmarket, Suffolk, United Kingdom;9. Department of Pharmacology, Toxicology and Biochemistry, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium;1. Department of Clinical Science, Faculty of Veterinary Medicine, University of Tabriz, Iran;2. Department of Basic science, Faculty of Veterinary Medicine, University of Tabriz, Iran;1. Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, Columbia, MO;2. Catarina Afonso–Clínica Veterinária, Unipessoal, Lda, Ajustrel, Portugal;3. AL EQUINE–Innovative Veterinary Services, Evora, Portugal
Abstract:Transendoscopic laser axial division of epiglottic entrapment can be performed in the standing horse with sedation and a local anesthetic, obviating the need for general anesthesia. The diode or Nd:YAG laser energy can be transmitted via a flexible fiber through the biopsy channel of the videoendoscope and can provide excellent cutting and hemostasis. Division of the membrane is performed with controlled strokes over the dorsal aspect of the membrane from the caudal edge of the entrapment toward the rostral tip, until the epiglottis is freed. Approximately 1,000 to 3,000 J are required to perform the procedure. Postoperative management consists of antimicrobial and systemic, as well as local anti-inflammatory, medication. The horse will require approximately 2 weeks of convalescence before returning to exercise.
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