Results of computed tomography in horses with ethmoid hematoma: 16 cases (1993-2005)

To determine whether CT provides unique information about the treatment or prognosis for horses with ethmoid hematoma (EH). Retrospective case series. 16 horses with EH. Horses with a diagnosis of EH that had undergone a diagnostic CT study were included. Clinical features, treatment, outcome, radio...

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Published inJournal of the American Veterinary Medical Association Vol. 240; no. 11; p. 1338
Main Authors Textor, Jamie A, Puchalski, Sarah M, Affolter, Verena K, MacDonald, Melinda H, Galuppo, Larry D, Wisner, Erik R
Format Journal Article
LanguageEnglish
Published United States 01.06.2012
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Abstract To determine whether CT provides unique information about the treatment or prognosis for horses with ethmoid hematoma (EH). Retrospective case series. 16 horses with EH. Horses with a diagnosis of EH that had undergone a diagnostic CT study were included. Clinical features, treatment, outcome, radiographic and CT images, and histologic specimens were reviewed. CT provided new diagnostic information that affected treatment in 10 of 16 horses. Bilateral disease occurred in 8 of 16 horses and was undetected in 5 horses prior to CT. Paranasal sinus involvement occurred in all horses, but was incompletely defined prior to CT in 7 of 16 horses. The sphenopalatine sinus was affected in 6 of 16 horses as detected on CT; 4 of 6 of these were bilaterally affected. Medical and surgical treatments were performed. Six of 10 horses had a successful outcome, with recurrence in 4 of 10. Five of 6 patients in which treatment addressed all lesion sites identified by CT had a successful outcome. Bilateral disease did not confer a poor prognosis when all affected sites were treated. Sphenopalatine sinus involvement may have been associated with recurrence. CT provided anatomic information that may facilitate effective treatment of horses with EH, particularly in patients with bilateral disease and paranasal sinus involvement. Computed tomography is recommended for patients in which the lesion cannot be viewed endoscopically, when sinus involvement or multifocal disease are suspected, or when the lesion has been unresponsive to treatment.
AbstractList To determine whether CT provides unique information about the treatment or prognosis for horses with ethmoid hematoma (EH). Retrospective case series. 16 horses with EH. Horses with a diagnosis of EH that had undergone a diagnostic CT study were included. Clinical features, treatment, outcome, radiographic and CT images, and histologic specimens were reviewed. CT provided new diagnostic information that affected treatment in 10 of 16 horses. Bilateral disease occurred in 8 of 16 horses and was undetected in 5 horses prior to CT. Paranasal sinus involvement occurred in all horses, but was incompletely defined prior to CT in 7 of 16 horses. The sphenopalatine sinus was affected in 6 of 16 horses as detected on CT; 4 of 6 of these were bilaterally affected. Medical and surgical treatments were performed. Six of 10 horses had a successful outcome, with recurrence in 4 of 10. Five of 6 patients in which treatment addressed all lesion sites identified by CT had a successful outcome. Bilateral disease did not confer a poor prognosis when all affected sites were treated. Sphenopalatine sinus involvement may have been associated with recurrence. CT provided anatomic information that may facilitate effective treatment of horses with EH, particularly in patients with bilateral disease and paranasal sinus involvement. Computed tomography is recommended for patients in which the lesion cannot be viewed endoscopically, when sinus involvement or multifocal disease are suspected, or when the lesion has been unresponsive to treatment.
Author MacDonald, Melinda H
Puchalski, Sarah M
Textor, Jamie A
Affolter, Verena K
Wisner, Erik R
Galuppo, Larry D
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Snippet To determine whether CT provides unique information about the treatment or prognosis for horses with ethmoid hematoma (EH). Retrospective case series. 16...
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StartPage 1338
SubjectTerms Animals
Diagnosis, Differential
Ethmoid Sinus - diagnostic imaging
Ethmoid Sinus - surgery
Female
Hematoma - diagnostic imaging
Hematoma - surgery
Hematoma - veterinary
Horse Diseases - diagnostic imaging
Horse Diseases - surgery
Horses
Male
Paranasal Sinus Diseases - diagnostic imaging
Paranasal Sinus Diseases - surgery
Paranasal Sinus Diseases - veterinary
Prognosis
Retrospective Studies
Tomography, X-Ray Computed - veterinary
Treatment Outcome
Title Results of computed tomography in horses with ethmoid hematoma: 16 cases (1993-2005)
URI https://www.ncbi.nlm.nih.gov/pubmed/22607602
Volume 240
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