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Techniques for Correcting Laryngeal Collapse
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Introduction
Laryngeal collapse can have multiple presentations and is associated with a high prevalence of co-morbid collapse in up to 32% of horses at exercise (Lane et al. 2006). There are many forms of laryngeal collapse ranging from standard arytenoid collapse seen in horses with recurrent laryngeal neuropathy (RLN), and those associated with fourth branchial arch defect, Horner syndrome and arytenoid chondritis. In addition there is an emerging recognition of corniculate process collapse, unilateral or bilateral arytenoid subluxation (Dart et al. 2005; Barakzai et al.2007) and midline collapse of the medial aspect of corniculate process whose significance and treatment are incompletely known. This only serves to emphasise that the techniques for treatment of laryngeal collapse are best applied after a dynamic examination is performed. This is crucial to identify the correct forms of collapse. Imaging techniques such a laryngeal ultrasound/MRI are helpful in identifying laryngeal structural anomalies which would influence treatment.
Treatment of laryngeal collapse
In general the choice of treatment for the common presentation of laryngeal hemiparesis/hemiplegia is related to the goal of treatment and the exercise intensity. [...]
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