Endoscopic examinations of the larynx were recorded on 49 horses at rest and while exercising on a 5% inclined high-speed treadmill for 8 minutes at a maximum speed of 8.5 m/sec. Subjective laryngeal function scores at rest and while exercising were based on the degree and synchrony of arytenoid abduction. Arytenoid abduction was expressed as a left:right ratio of rima glottidis measurements. Horses with arytenoid cartilage asynchrony at rest (grade 2) could not be distinguished from normal horses (grade 1) when exercising because full abduction was maintained throughout the exercise period. Five horses with incomplete left arytenoid abduction at rest (grade 3) maintained full abduction during exercise; one grade 3 horse had dynamic collapse of the left side of the larynx. All horses with laryngeal hemiplegia at rest (grade 4) had dynamic collapse of the left side of the larynx during exercise. Forty-two horses with a resting left:right arytenoid abduction ratio greater than or equal to .71 consistently had complete arytenoid abduction at exercise. Seven horses with a left:right ratio less than .71 consistently showed dynamic collapse at exercise. There was no significant difference in the exercising left:right ratio between normal horses (grade 1) and grade 2 or grade 3 horses. These results suggest that horses with arytenoid asynchrony at rest do not suffer progressive collapse of the rima glottidis during exercise, and that incomplete arytenoid abduction at rest is an unreliable predictor of such collapse. Surgical treatment of all grade 2 horses and some grade 3 horses may be inappropriate.
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http://dx.doi.org/10.1111/j.1532-950x.1991.tb00319.x | DOI Listing |
Laryngoscope Investig Otolaryngol
February 2025
Objectives: This study aimed to investigate the histological and ultrastructural features of the elastic cartilage at the tip of the vocal process in the arytenoid cartilage, which is essential for laryngeal biomechanics.
Methods: Five larynges, including the vocal folds and epiglottis, were examined using transmission electron microscopy. The elastic cartilage at the tip of the vocal process was compared to the epiglottic cartilage within the same larynx to elucidate structural differences.
Laryngoscope Investig Otolaryngol
February 2025
Objective: Endoscopic arytenoid abduction lateropexy (EAAL) is a minimally invasive surgical technique for the immediate management of bilateral vocal fold palsy (BVFP). Specifically, it achieves a stable and adequate airway by lateralizing the arytenoid cartilage without resecting laryngeal structures. Thus, this study evaluated the effect of EAAL on swallowing in cases of BVFP.
View Article and Find Full Text PDFVet J
December 2024
School of Animal and Veterinary Sciences, University of Adelaide, Roseworthy, South Australia 5317, Australia.
Due to concerns about disagreement between veterinarians when grading resting laryngeal function (LF), a diagnostic decision tree (DDT) has been developed by codifying the Havemeyer grading system and objectively defining certain terms to remove ambiguity. Videoendoscopic examinations of the equine larynx that had previously been assigned a unanimous LF grade by 3 experienced observers were used to develop the DDT and determine the cut-off values. The DDT is a flow chart consisting of a series of dichotomous (yes/no) decisions, to dictate the order of decision making and direct the observer down a pathway towards the most appropriate LF grade.
View Article and Find Full Text PDFEur Arch Otorhinolaryngol
January 2025
Department of Otolaryngology-Head and Neck Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
Objectives: To stratify the severity of cricoarytenoid joint fixation (CAJF) by surgery and understand the role of it played in the bilateral vocal fold immobility (BVFI). The second objective emphasizes on the significance of the preoperative differential diagnosis from neurogenic immobility with medical history and endoscopic findings.
Methods: A retrospective review was conducted of 74 patients between 2005 and 2022.
Auris Nasus Larynx
August 2024
Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Objective: To develop phonosurgery skills, surgical training of the actual larynx is essential. In our institution, the Japanese deer (Cervus Nippon aplodontids) larynx is used in phonosurgery training. This study aimed to examine the similarities and differences between the Japanese deer and human larynx and to demonstrate their utility in vocal surgery practice.
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