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Trans-endoscopic diode laser fenestration of equine conchae via contralateral nostril approach

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F62157124%3A16170%2F17%3A43875623" target="_blank" >RIV/62157124:16170/17:43875623 - isvavai.cz</a>

  • Result on the web

    <a href="http://dx.doi.org/10.1111/vsu.12680" target="_blank" >http://dx.doi.org/10.1111/vsu.12680</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1111/vsu.12680" target="_blank" >10.1111/vsu.12680</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Trans-endoscopic diode laser fenestration of equine conchae via contralateral nostril approach

  • Original language description

    Objective: To describe and report preliminary outcomes of a contralateral trans-nasal endoscopic laser fenestration of the conchae for endoscopic examination and treatment of paranasal sinuses in horses. Study design: Cadaveric experimental and prospective clinical study. AnimalsNormal cadaveric equine heads (n=7) and equine patients (horses n=7, donkey n=1) diagnosed with sinusitis. Methods: Ex vivo: a video-endoscope containing a diode laser fiber in the working canal was passed through the nostril and retroflexed in the nasopharynx toward the contralateral conchae. Ventral or dorsal conchae were fenestrated. Duration of surgery, laser energy, visualization quality, and feasibility of sinoscopy through the fenestrations were recorded. In vivo: sinus drainage, sinoscopy 24 hours postoperatively, stoma persistence, and clinical results after 3 months were evaluated in 8 patients. Results: Fenestrations were performed in 8 dorsal conchae (6 cadavers, 2 patients), 10 ventral conchae (5 cadavers, 5 patients), and 1 dorsal conchal bulla (1 patient). Visualization was good in 6 patients and affected by bleeding in 2 patients. Drainage through the fenestrations was observed in all patients. Trans-nasal sinoscopy was possible in all cadavers and in 6 out of 8 patients. Masses inside the sinuses precluded sinoscopy in 2 patients. Stomata persisted until discharge of the patients (mean of 14 days). Clinical signs improved in 6/8 patients. Conclusion: The endoscopic approach reported here provides good visualization during the trans-endoscopic laser fenestration of the conchae. The fenestrations may allow a trans-nasal sinoscopic examination and treatment in selected cases of sinusitis in horses.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    40301 - Veterinary science

Result continuities

  • Project

  • Continuities

    N - Vyzkumna aktivita podporovana z neverejnych zdroju

Others

  • Publication year

    2017

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    VETERINARY SURGERY

  • ISSN

    0161-3499

  • e-ISSN

  • Volume of the periodical

    46

  • Issue of the periodical within the volume

    7

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    10

  • Pages from-to

    915-924

  • UT code for WoS article

    000412502800002

  • EID of the result in the Scopus database