Endoscopic, Transoral, Reduction of Epiglottic Entrapment Via Wire Snare Technique. Issue 3 (7th October 2014)

• Record Type: Journal Article
• Authors: Coleridge, Matthew O.D.; DiGiovanni, Daria L.; Rodgerson, Dwayne H.; Spirito, Michael A.
• Is Part Of: Veterinary surgery. Volume 44:Issue 3(2015)
• Page Start: 348
• Page End: 351
• Publication Date: 2014-10-07
• Subjects: Veterinary surgery -- Periodicals; Veterinary Medicine -- Periodicals; Surgery -- Periodicals; Societies, Medical -- Periodicals; 636.0897
• DOI: 10.1111/j.1532-950X.2014.12280.x
• Languages: English
• ISSNs: 0161-3499

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="vsu12280-sec-0001" sec-type="section"> <title>Objective</title> <p>To describe the use of a wire snare technique for epiglottic entrapment.</p> </sec> <sec id="vsu12280-sec-0002" sec-type="section"> <title>Study Design</title> <p>Case series.</p> </sec> <sec id="vsu12280-sec-0003" sec-type="section"> <title>Animals</title> <p>Eight adult horses.</p> </sec> <sec id="vsu12280-sec-0004" sec-type="section"> <title>Methods</title> <p>Under general anesthesia, a modified mouth gag was placed in the oropharynx. An endoscope was passed through the gag until there was adequate visualization of the entrapped epiglottis. The entrapping mucosa was grasped with bronchoesophageal forceps and pulled rostrally, releasing the epiglottis. A custom snare was passed down the bronchoesophageal forceps to encircle the redundant subepiglottic mucosa. Tension was applied to the entrapping mucosa via the forceps as the obstetric wire was tightened at the base and the redundant mucosa (aryepiglottic fold) was excised.</p> </sec> <sec id="vsu12280-sec-0005" sec-type="section"> <title>Results</title> <p>The procedure was performed on 8 adult thoroughbred horses. Re‐evaluation by endoscopy did not show entrapment in any horse and no horse developed complications or has had problems with performance.</p> </sec> <sec id="vsu12280-sec-0006" sec-type="section"> <title>Conclusions</title> <p>This technique is a minimally invasive, competitively priced and straightforward method for resection of entrapping subepiglottic mucosa in adult horses.</p> </sec> </abstract>