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Epiglottic Entrapment

This is one of the common upper airway pathologies found in horses that can cause poor performance and noise when breathing out (expiration) – respiratory noise and exercise intolerance. It looks similar to the Dorsal Displacement of the Soft Palate but is a totally different pathology.

Epiglottic entrapment is when the aryepiglottic fold completely envelops the apex and lateral margins of the epiglottis. The difference with DDSP is when the soft palate moves dorsal to the epiglottis.

Epiglottic entrapment 1

Epiglottic entrapment 2

Epiglottic entrapment 3

Epiglottic entrapment 4
Treatment:
Transoral axial division using a curved bistoury. This is simply a hook bistoury that is inserted in the other nostril to where the endoscope is (usually the left nostril for that the endoscope should be in the right one, for safety reasons). the mucosa is cut by two or three swings of the bistoury. You can see the hook n one of the pictures. Another way to preform this procedure is by using a laser.

2 comments Get an avatar

  1. [...] off so he can?t breathe. It's other name is epiglottic entrapment. Info and pics from this link. Epiglottic Entrapment | Vet Moves This is one of the common upper airway pathologies found in horses that can cause poor performance [...]

  2. Robert Jones

    We have recently been told that our 3yr old Mare will never be a successful racehorse unless she has an operation called “Tie Forward and that the success rate of this procedure is put at about 80%
    Although we have agreed that this operation should go ahead, can you give us any positive reasons why we should continue.

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