A bilateral sinus cyst treated via a bilateral frontonasal bone flap in a standing horse
Journal of the South African Veterinary Association
| Field | Value | |
| Title | A bilateral sinus cyst treated via a bilateral frontonasal bone flap in a standing horse | |
| Creator | Robert, Mickaël P. Stemmet, Gideon P. Smit, Yolandi | |
| Description | Bilateral paranasal sinus diseases are rarely reported in horses. Treatment using a bilateral frontonasal bone flap on a standing, regular-sized adult horse has not been described previously. A 13-year-old Thoroughbred gelding was evaluated for bilateral mucopurulent nasal discharge. Radiographic, endoscopic and computed tomographic examinations revealed bilateral sinus pathological changes consistent with an ethmoid haematoma involving the maxillary and frontal sinuses. A bilateral frontonasal bone flap was created under standing sedation and local anaesthesia. A tracheotomy was performed initially to ensure a patent airway during the procedure. Additional analgesia had to be given to transect the dorsal part of the nasal septum while elevating the flap. The sinus masses were removed and communications with the nasal cavities created uneventfully. Small sequestra were removed transendoscopically from the left caudal maxillary sinus 4 weeks after the initial procedure. The horse made a complete recovery with an excellent cosmetic outcome. Histopathology revealed the mass to be a sinus cyst. We concluded that a bilateral sinus bone flap can be used in adult regular-sized horses to access the left and right paranasal sinuses simultaneously. Regional nerve blocks should be performed in order to increase analgesia. A temporary tracheotomy prevents any airway obstruction during the procedure. The post-operative cosmesis is excellent. | |
| Publisher | AOSIS | |
| Date | 2019-03-28 | |
| Identifier | 10.4102/jsava.v90i0.1729 | |
| Source | Journal of the South African Veterinary Association; Vol 90 (2019); 6 pages 2224-9435 1019-9128 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://jsava.co.za/index.php/jsava/article/view/1729/2368
https://jsava.co.za/index.php/jsava/article/view/1729/2367
https://jsava.co.za/index.php/jsava/article/view/1729/2369
https://jsava.co.za/index.php/jsava/article/view/1729/2366
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