Equis ISSN 2398-2977

Epiglottis: entrapment - repair

Contributor(s): Steve Adair, Rachel Murray

Overview

  • Epiglottic entrapment   Larynx: epiglottic entrapment  occurs when the ary-epiglottic (artytenoepiglottic) folds become abnormally positioned above the dorsal epiglottic surface   Epiglottis: entrapment 01 - endoscopy  .
  • The condition is treated surgically using a number of techniques:
  • Currently techniques that allow axial midline division of the fold are preferred because of preservation of fold mucosa (retracts ventrally and heals in normal position), reduced scarring, lower recurrence rates and minimal invasiveness.

Transendoscopic techniques

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Transnasal or transoral bistoury techniques

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Surgical resection

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Franklin S H (2008) Dynamic collapse of the upper respiratory tract: A review. Equine Vet Educ 20 (4), 212-224. 
  • Dixon P M & Collins N (2004) The equine epiglottis. Equine Vet Educ 16 (6), 299-301.
  • Tulleners E et al (1997) Epiglottic augmentation for treatment of dorsal displacement of the soft palate in racehorses - 59 cases (1985-1994). JAVMA 211 (8), 1022-1028 PubMed.
  • Lumsden J M et al (1994) Surgical treatment for epiglottic entrapment in horses - 51 cases (1981-1992). JAVMA 205 (5), 729-735 PubMed.
  • Ross M W et al (1993) Transoral axial division, under endoscopic guidance, for correction of epiglottic entrapment in horses. JAVMA 26 (3), 416-420 PubMed.
  • Tulleners E P (1991) Correlation of performance with endoscopic and radiographic assessment of epiglottic hypoplasia in racehorses with epiglottic entrapment corrected by use of contact neodymium - yttrium aluminum garnet laser. JAVMA 198 (4), 621-626 PubMed.
  • Tate L P et al (1990) Transendoscopic Nd - YAG laser surgery for treatment of epiglottic entrapment and dorsal displacement of the soft palate in the horse. Vet Surg 19 (5), 356-363 PubMed.

Other sources of information

  • Auer J A (1992) Ed. Equine Surgery. W B Saunders, USA.


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