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Treatment options for diseases involving the equine conchal sinuses and recesses
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Introduction:
As described in man, thickening of the respiratory epithelium or inspissated pus may also impede drainage of the paranasal sinuses horses. Surgical or minimal invasive procedures like balloon-catheterisation of the nasomaxillary opening are required to re-establish sinus drainage in these animals. Two surgical techniques to improve sinus drainage in standing, sedated horses are described.
Material and methods:
The procedures were performed in 8 (SENMAP) and 7 (TCVCS) standing, sedated horses respectively. All horses were restrained in stocks and initially sedated with a bolus of detomidine (0,015 mg/kg, i.v. and butorphanol tartrate (0,015 mg/kg i.v.). Constant rate infusion of the same drugs was used during the procedure. Local anaesthesia consisted of a maxillary nerve block (EPFBI technique) and subcutaneous infiltration of the trephination site (5-10 ml of mepivacaine 2%).
1 . Surgical enlargement of the nasomaxillary aperture (SENMAP)
The procedure was performed in 8 horses (2 mares, 6 geldings; age range: 4-20 years). Surgical enlargement of the nasomaxillary aperture (SENMAP) was performed when obstruction of the caudal sinonasal channel impeded sinus drainage.
The surgical field was prepared according to standard protocol and surgical access to the conchofrontal sinus was created with a 25 mm Galt trephine. [...]
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