Article ; Online: Standing left recurrent laryngeal neurectomy for prospective evaluation of laryngeal hemiplegia evaluated by a high-speed treadmill test.
American journal of veterinary research
2023 Volume 85, Issue 2
Abstract: Objective: To describe left recurrent laryngeal neurectomy (LRLn) performed under standing sedation and evaluate the effect of LRLn on upper respiratory tract function using a high-speed treadmill test (HST). We hypothesized that (1) unilateral LRLn ... ...
Abstract | Objective: To describe left recurrent laryngeal neurectomy (LRLn) performed under standing sedation and evaluate the effect of LRLn on upper respiratory tract function using a high-speed treadmill test (HST). We hypothesized that (1) unilateral LRLn could be performed in standing horses, resulting in ipsilateral arytenoid cartilage collapse (ACC); and (2) HST after LRLn would be associated with alterations in upper respiratory function consistent with dynamic ACC. Animals: 6 Thoroughbred horses. Methods: The horses were trained and underwent a baseline HST up to 14 m/s at 5% incline until fatigue. Evaluation included; airflow, pharyngeal and tracheal pressures, and dynamic upper respiratory tract endoscopy. Trans-laryngeal impedance (TLI) and left-to-right quotient angle ratio (LRQ) were calculated after testing. The following day, standing LRLn was performed in the mid-cervical region. A HST was repeated within 4 days after surgery. Results: Standing LRLn was performed without complication resulting in Havemayer grade 4 ACC at rest (complete paralysis) and Rakestraw grade C or D ACC (collapse up to or beyond rima glottis midline) during exercise. Increasing treadmill speed from 11 to 14 m/s increased TLI (P < .001) and reduced LRQ (P < .001). Neurectomy resulted in an increase in TLI (P = .021) and a reduction in LRQ (P < .001). Clinical relevance: Standing LRLn induces laryngeal hemiplegia that can be evaluated using a HST closely after neurectomy. Standing LRLn may be useful for future prospective evaluations of surgical interventions for laryngeal hemiplegia. |
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MeSH term(s) | Horses ; Animals ; Exercise Test/veterinary ; Hemiplegia/etiology ; Hemiplegia/surgery ; Hemiplegia/veterinary ; Vocal Cord Paralysis/surgery ; Vocal Cord Paralysis/veterinary ; Larynx/surgery ; Denervation/veterinary ; Horse Diseases/surgery |
Language | English |
Publishing date | 2023-12-16 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 390796-x |
ISSN | 1943-5681 ; 0002-9645 |
ISSN (online) | 1943-5681 |
ISSN | 0002-9645 |
DOI | 10.2460/ajvr.23.08.0185 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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