Dorsal Displacement of the Soft Palate Secondary to Persistent Frenulum of the Epiglottis in Neonatal Foal
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.jevs.2020.102926 http://hdl.handle.net/11449/199968 |
Resumo: | Dorsal displacement of the soft palate (DDSP) usually occurs in athletic adult horses. Congenital DDSP in foals secondary to the persistent frenulum of the epiglottis is rarely observed. The aim of this report was to describe a case of a seven-day-old female neonate Quarter Horse presenting dysphagia, milk reflux through the nostrils and mouth, and expiratory dyspnea since 4 days. Thoracic auscultation was indicative of aspiration pneumonia. Diagnosis of DDSP associated with local inflammation was made after endoscopic examination of upper respiratory tract. Radiographic examination was performed to rule out hypoplasia of the epiglottis. No clinical improvement was observed after anti-inflammatory treatment with flunixin meglumine. Oral endoscopy under general anesthesia revealed that the displacement of the soft palate was caused by a persistent frenulum of the epiglottis. Using a 30° rigid endoscope and a curved laparoscopic scissors, the frenulum was transected. After surgery, no dysphagia or dyspnea at rest was observed. However, discreet respiratory noise persisted during exercise for 5 days postoperatively. After discharge, the owner reported that the animal was completely normal during exercise. The animal is currently 3 years old and is developing a normal athletic performance. Persistent frenulum of the epiglottis should be considered while examining neonates with nasal milk reflux associated with expiratory dyspnea. This case report emphasizes the importance of the differential diagnosis for DDSP and for DDSP secondary to the persistent frenulum of the epiglottis in neonatal foals. It also underlines the importance of oral endoscopic examination for diagnosis. |
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Dorsal Displacement of the Soft Palate Secondary to Persistent Frenulum of the Epiglottis in Neonatal FoalCongenital diseasesEndoscopic surgeryHorsesRespiratory noiseDorsal displacement of the soft palate (DDSP) usually occurs in athletic adult horses. Congenital DDSP in foals secondary to the persistent frenulum of the epiglottis is rarely observed. The aim of this report was to describe a case of a seven-day-old female neonate Quarter Horse presenting dysphagia, milk reflux through the nostrils and mouth, and expiratory dyspnea since 4 days. Thoracic auscultation was indicative of aspiration pneumonia. Diagnosis of DDSP associated with local inflammation was made after endoscopic examination of upper respiratory tract. Radiographic examination was performed to rule out hypoplasia of the epiglottis. No clinical improvement was observed after anti-inflammatory treatment with flunixin meglumine. Oral endoscopy under general anesthesia revealed that the displacement of the soft palate was caused by a persistent frenulum of the epiglottis. Using a 30° rigid endoscope and a curved laparoscopic scissors, the frenulum was transected. After surgery, no dysphagia or dyspnea at rest was observed. However, discreet respiratory noise persisted during exercise for 5 days postoperatively. After discharge, the owner reported that the animal was completely normal during exercise. The animal is currently 3 years old and is developing a normal athletic performance. Persistent frenulum of the epiglottis should be considered while examining neonates with nasal milk reflux associated with expiratory dyspnea. This case report emphasizes the importance of the differential diagnosis for DDSP and for DDSP secondary to the persistent frenulum of the epiglottis in neonatal foals. It also underlines the importance of oral endoscopic examination for diagnosis.Department of Veterinary Surgery and Anesthesiology School of Veterinary Medicine and Animal Science São Paulo State University (UNESP)Department of Veterinary Surgery and Anesthesiology School of Veterinary Medicine and Animal Science São Paulo State University (UNESP)Universidade Estadual Paulista (Unesp)Conceição, Mariana L. [UNESP]Alonso, Juliana M. [UNESP]Alves, Ana Liz G. [UNESP]Hussni, Carlos A. [UNESP]Rodrigues, Celso A. [UNESP]Watanabe, Marcos J. [UNESP]2020-12-12T01:54:03Z2020-12-12T01:54:03Z2020-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.jevs.2020.102926Journal of Equine Veterinary Science, v. 87.0737-0806http://hdl.handle.net/11449/19996810.1016/j.jevs.2020.1029262-s2.0-85078134691Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal of Equine Veterinary Scienceinfo:eu-repo/semantics/openAccess2021-10-23T10:18:19Zoai:repositorio.unesp.br:11449/199968Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-23T10:18:19Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Dorsal Displacement of the Soft Palate Secondary to Persistent Frenulum of the Epiglottis in Neonatal Foal |
title |
Dorsal Displacement of the Soft Palate Secondary to Persistent Frenulum of the Epiglottis in Neonatal Foal |
spellingShingle |
Dorsal Displacement of the Soft Palate Secondary to Persistent Frenulum of the Epiglottis in Neonatal Foal Conceição, Mariana L. [UNESP] Congenital diseases Endoscopic surgery Horses Respiratory noise |
title_short |
Dorsal Displacement of the Soft Palate Secondary to Persistent Frenulum of the Epiglottis in Neonatal Foal |
title_full |
Dorsal Displacement of the Soft Palate Secondary to Persistent Frenulum of the Epiglottis in Neonatal Foal |
title_fullStr |
Dorsal Displacement of the Soft Palate Secondary to Persistent Frenulum of the Epiglottis in Neonatal Foal |
title_full_unstemmed |
Dorsal Displacement of the Soft Palate Secondary to Persistent Frenulum of the Epiglottis in Neonatal Foal |
title_sort |
Dorsal Displacement of the Soft Palate Secondary to Persistent Frenulum of the Epiglottis in Neonatal Foal |
author |
Conceição, Mariana L. [UNESP] |
author_facet |
Conceição, Mariana L. [UNESP] Alonso, Juliana M. [UNESP] Alves, Ana Liz G. [UNESP] Hussni, Carlos A. [UNESP] Rodrigues, Celso A. [UNESP] Watanabe, Marcos J. [UNESP] |
author_role |
author |
author2 |
Alonso, Juliana M. [UNESP] Alves, Ana Liz G. [UNESP] Hussni, Carlos A. [UNESP] Rodrigues, Celso A. [UNESP] Watanabe, Marcos J. [UNESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Conceição, Mariana L. [UNESP] Alonso, Juliana M. [UNESP] Alves, Ana Liz G. [UNESP] Hussni, Carlos A. [UNESP] Rodrigues, Celso A. [UNESP] Watanabe, Marcos J. [UNESP] |
dc.subject.por.fl_str_mv |
Congenital diseases Endoscopic surgery Horses Respiratory noise |
topic |
Congenital diseases Endoscopic surgery Horses Respiratory noise |
description |
Dorsal displacement of the soft palate (DDSP) usually occurs in athletic adult horses. Congenital DDSP in foals secondary to the persistent frenulum of the epiglottis is rarely observed. The aim of this report was to describe a case of a seven-day-old female neonate Quarter Horse presenting dysphagia, milk reflux through the nostrils and mouth, and expiratory dyspnea since 4 days. Thoracic auscultation was indicative of aspiration pneumonia. Diagnosis of DDSP associated with local inflammation was made after endoscopic examination of upper respiratory tract. Radiographic examination was performed to rule out hypoplasia of the epiglottis. No clinical improvement was observed after anti-inflammatory treatment with flunixin meglumine. Oral endoscopy under general anesthesia revealed that the displacement of the soft palate was caused by a persistent frenulum of the epiglottis. Using a 30° rigid endoscope and a curved laparoscopic scissors, the frenulum was transected. After surgery, no dysphagia or dyspnea at rest was observed. However, discreet respiratory noise persisted during exercise for 5 days postoperatively. After discharge, the owner reported that the animal was completely normal during exercise. The animal is currently 3 years old and is developing a normal athletic performance. Persistent frenulum of the epiglottis should be considered while examining neonates with nasal milk reflux associated with expiratory dyspnea. This case report emphasizes the importance of the differential diagnosis for DDSP and for DDSP secondary to the persistent frenulum of the epiglottis in neonatal foals. It also underlines the importance of oral endoscopic examination for diagnosis. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-12T01:54:03Z 2020-12-12T01:54:03Z 2020-04-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.jevs.2020.102926 Journal of Equine Veterinary Science, v. 87. 0737-0806 http://hdl.handle.net/11449/199968 10.1016/j.jevs.2020.102926 2-s2.0-85078134691 |
url |
http://dx.doi.org/10.1016/j.jevs.2020.102926 http://hdl.handle.net/11449/199968 |
identifier_str_mv |
Journal of Equine Veterinary Science, v. 87. 0737-0806 10.1016/j.jevs.2020.102926 2-s2.0-85078134691 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal of Equine Veterinary Science |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1803047026999427072 |