Salpingopharyngeal fistula as a treatment for guttural pouch mycosis in seven horses

• DOI: 10.1111/evj.12830
• Publication Date: 2018-03-08T00:16:37Z
• Authors: A. R. Watkins; E. J. Parente
• Keywords: Carotid Artery Diseases; Male; Fistula; Endoscopy; Hemorrhage; 04 agricultural and veterinary sciences; 3. Good health; 0403 veterinary science; Mycoses; Chemotherapy, Adjuvant; Animals; Pharynx; Female; Horse Diseases; Horses; Laser Therapy; Retrospective Studies

Guttural pouch mycosis (GPM) is a cause of nasal discharge, dysphagia and fatal haemorrhage in the horse.To report complications success salpingopharyngeal fistulation horses with GPM. We hypothesised that creating direct static opening into guttural from pharynx would regression fungal plaques due to change environment this treatment result resolution infection prior secondary complications.Retrospective case series.The medical records all diagnosed GPM were presented New Bolton Center between years 2006 2017 examined retrospectively. Seven cases treated salpingopharyngostomy without other surgical intervention included. Information collected included signalment, presenting complaint, which was affected, size location plaques, laryngeal pharyngeal function, concurrent therapy, fistula, time, time clinical signs, full mycotic plaque, patency site.Nasal discharge resolved 10-30 days post-operatively where present. The showed complete at points ranging 1 6 months post-operatively. No developed epistaxis or neurological deficits not present presentation.There differing adjunctive treatments cases. This technique appropriate for have had are currently bleeding.Salpingopharyngostomy can minimise cost treatment, be performed on an outpatient basis provide better exposure infected area few complications. series documents seven method any further mycosis.