ISSN 2398-2977      

Head: trephination

pequis

Introduction

Uses

Advantages

  • Simple to carry out and requires minimal equipment.
  • Can be performed in the standing sedated horse.

Disadvantages

  • Significantly less exposure than bone flap techniques (usually 2-3 cm in diameter).
  • Multiple trephine holes may be required to increase exposure.
  • Poor cosmetic result, especially in multiple openings, and if the periosteum is not preserved at each site.
  • Aftercare of trephine holes may be resented by horse.

Requirements

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Preparation

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Procedure

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Aftercare

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Outcomes

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Prognosis

  • Good for trephination.
  • Overall dependent upon primary disease process.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Liuti T, Reardon R, Dixon P M (2017) Computed tomographic assessment of equine maxillary cheek teeth anatomical relationships, and paranasal sinus volumes. Vet Rec 181 (17), 452 PubMed.
  • Barakzai S Z, Dixon P M (2014) Standing equine sinus surgery. Vet Clin North Am Equine Pract 30 (1), 45-62 PubMed.
  • Gilsenan W F, Getman L M, Parente E J, Johnson A L (2014) Headshaking in 5 horses after paranasal sinus surgery.Vet Surg 43 (6), 678-84 PubMed.
  • Dixon P M, Parkin T D, Collins N et al (2012) Equine paranasal sinus disease: a long-term study of 200 cases (1997-2009): treatments and long-term results of treatments. Equine Vet J 44 (3), 272-6 PubMed.
  • Dixon P M, Parkin T D, Collins N et al (2012) Equine paranasal sinus disease: a long-term study of 200 cases (1997-2009): ancillary diagnostic findings and involvement of the various sinus compartments. Equine Vet J 44 (3), 267-71 PubMed.
  • Perkins J D, Bennett C, Windley Z & Schumacher J (2009) Comparison of sinuscopic techniques for examining the rostral maxillary and ventral conchal sinuses of horses. Vet Surg 38, 607-612 PubMed.
  • Barakzai S Z, Lane-Smyth J, Lowles J & Townsend N (2008) Trephination of the equine rostral maxillary sinus: efficacy and safety of two trephine sites. Vet Surg 37, 278-282 PubMed.
  • Barakzai S Z & Perkins J (2005) The equine paranasal sinuses - Part 3. UK Vet 10 (2), 5-11.
  • Barakzai S Z & Dixon P M (2003) Effect of sinus trephination on scintigraphy of the equine skull. Vet Rec 152 (20), 629-630 PubMed.
  • Schumacher J et al (1994) Removal of inspissated purulent exudate from the ventral conchal sinus of three standing horses. JAVMA 205 (9), 1312-1314 PubMed.
  • Ford T S (1991) Standing surgery and procedures of the head. Vet Clin North Am Equine Pract (3), 583-602 PubMed.

Other sources of information

  • Tremaine H (2006) Sinuscopy of the Paranasal Sinuses. In: Equine Respiratory Medicine and Surgery. Eds: McGorum B C, Dixon P M, Robinson N E & Schumacher J. Elsevier Saunders, USA. ISBN: 0702027596.
  • Tremaine H (2004) Paranasal Sinus Trephination and Endoscopy in the Horse. In: Proc 43rd BEVA Congress. Equine Vet J Ltd, UK. pp 138.

Can’t find what you’re looking for?

We have an ever growing content library on Vetlexicon so if you ever find we haven't covered something that you need please fill in the form below and let us know!

 
 
 
 

To show you are not a Bot please can you enter the number showing adjacent to this field

 Security code