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Biomedical subjects

T R Greet

Publications and source records attributed to T R Greet.

At least 19 recordsLinked to original sources
PubMed1995

Experiences in treatment of epiglottal entrapment using a hook knife per nasum.

Thirty eight horses with epiglottal entrapment were examined. In 29 the dorsally displaced mucosa was split axially with a curved hook knife, per nasum. The condition was also treated by subepiglottal mucosal resection (4 horses) and solely by the administration of an anti-inflammatory throat spray (4 horses). All surgical cases were treated with an anti-inflammatory throat spray and parenteral phenylbutazone. Those horses treated via a laryngotomy incision were box rested until the laryngotomy incision healed. The other horses were restricted to walking and trotting exercise for 10 days before endoscopic re-assessment. If the condition had resolved by this stage the horse was then returned to full exercise. Epiglottal entrapment was alleviated in 22 horses treated by axial section but it recurred in 4 and 3 cases were lost to follow up. Two of 4 cases were treated successfully but mucosal resection and 2 of 4 cases by Nd:YAG laser. Three out of the 4 horses treated medically also recovered. Of the 38 horses, 6 required a second operation and 2 had a third surgical procedure. Of the horses treated by axial section of the displaced mucosa, 14 ran successfully without a respiratory sound or obstruction and 4 won races. In conclusion, using the hook knife inserted via the nasal passages offers a safe, relatively inexpensive and successful method of treating epiglottal entrapment.

Animals↗
PubMed1992

Desert orchid.

Explore the source record for details and available documents.

Anastomosis, Surgical↗
PubMed1992

Ileal intussusception in 16 young thoroughbreds.

The paper describes the outcome of 16 cases of short-ileal-ileal intussusception in young Thoroughbred horses. The intussusception was often associated with chronic or intermittent low grade abdominal pain. At laparotomy, only the intussusception was reduced in one horse; in another, a myotomy of the thickened stenosed intussusception was carried out after reduction. In 11 cases as ileocaecal bypass anastomosis was performed proximal to the intussusception after its reduction. One horse was subjected to euthanasia during operation because of irreversible intestinal wall damage and another because of intestinal rupture. One foal had a cardiac arrest following reduction of the intussusception. One horse was subjected to euthanasia 4 months post-operatively because of intractable abdominal pain caused by intestinal adhesions. Although several horses suffered episodes of post-operative abdominal pain, and 2 were subjected to a second laparotomy, 12 horses made an eventual complete recovery.

Abdominal Pain↗
PubMed1992

Outcome of treatment in 23 horses with progressive ethmoidal haematoma.

This paper describes the outcome of treatment in 23 horses with an ethmoidal haematoma. In 22 cases a diagnosis could be made by endoscopic means alone but in 1 horse the lesion was confined to the maxillary sinus and a diagnosis was made only at surgery. One horse was destroyed at the owner's request but the other 22 underwent radical excision of the lesion via a facial flap approach under general anaesthesia. Post-operative haemorrhage was controlled by nasal packing with a gauze bandage and this was removed between the 2nd and 4th post-operative day. One horse died from encephalitis the day after surgery. Other complications included facial wound dehiscence, sequestration and suture periostitis. Of 21 horses followed up post-operatively there was definite recurrence of lesion in 2 cases and possibly a third. However, in 18 horses there was no evidence of recurrence (follow up times were 2 to 85 months). It is suggested that radical excision of the lesion provides an effective means of treatment.

Animals↗
PubMed1990

Some factors influencing plasma AST/CK activities in thoroughbred racehorses.

Sixty-six Thoroughbred horses in training (2 or 3 years of age) were studied during one flat racing season, to investigate the relationship between age, sex, time of year, dietary electrolyte imbalances and plasma aspartate aminotransferase/creatine kinase (AST/CK) activities. Management and training variations were minimised. Between February to October, monthly 24 h post exercise samples were collected and analysed for AST and CK activities. Sex and/or age were shown to have a significant effect on the occurrence of high CK (> 100 iu/litre) and AST (> 300 iu/litre) activities. Fillies were more likely to have elevated CK and AST than colts. Two-year-olds tended to have higher AST activities than three-year-olds. Time of year had no significant effect on the number of animals with high or low activities. Fourteen animals had consistently raised plasma AST activities (median > 300 iu/litre). Eight of these raced and seven won at least one race. The average daily intake of calcium, sodium, phosphorus and potassium was determined at each sampling time. In eight of the horses, the fractional electrolyte excretion (FE) of phosphate (PO4) and sodium (Na) was determined monthly. FE values were also determined in three horses which had suffered repeated attacks of the equine rhabdomyolysis syndrome. The FE, PO4 and Na values reflected dietary intake of calcium, phosphorus and sodium respectively. It was not possible to determine any effect of training or a predisposition to equine rhabdomyolysis. No obvious differences were found between the resting thyroxine values of three animals with consistently low AST activities, six of those with consistently raised AST and three animals which had suffered repeated attacks of rhabdomyolysis.

Aging↗
PubMed1987

Condylar fracture of the cannon bone with axial sesamoid fracture in three horses.

The case histories of three young thoroughbred racehorses with displaced lateral condylar fractures combined with an axial fracture of the lateral sesamoid bone are described. In two cases the condylar fracture was repaired surgically but both horses developed severe degenerative joint disease and remained lame. The third horse was destroyed humanely. It is important that axial fractures of the sesamoid bone are recognised so that a poorer prognosis can be given for treatment of condylar fractures in racing thoroughbreds.

Animals↗
PubMed1987

Outcome of treatment in 35 cases of guttural pouch mycosis.

This paper describes the outcome of treatment of 30 cases of guttural pouch mycosis by ligation of the internal carotid artery on the cardiac side of the lesion and lavage of the affected pouch with natamycin. Twenty-three horses recovered fully following this treatment while laryngeal hemiplegia persisted in one case and slight dysphagia caused by pharyngeal hemiplegia in another. The remaining five horses died or were destroyed. Five horses with guttural pouch mycosis, which had shown no epistaxis but had pharyngeal hemiplegia, were treated by topical natamycin alone. Only two of these survived, of which one remained slightly dysphagic. Ligation of the internal carotid artery of the cardiac side of the lesion is an effective means of reducing the chance of fatal epistaxis in cases of guttural pouch mycosis. Some cases of pharyngeal hemiplegia can make a complete recovery although it may take 12 to 18 months.

Administration, Topical↗
PubMed1986

Barium swallow as an aid to the diagnosis of grass sickness.

Twenty-five horses, suspected on clinical grounds of having grass sickness, were given a barium swallow. Using image intensification the passage of the barium bolus was followed radiographically from the pharynx to the stomach. All 18 horses in which grass sickness was later confirmed at post mortem examination showed defective oesophageal motility. Although the specificity of the abnormality could not be proven, the technique offers a valuable aid to the ante mortem diagnosis of grass sickness.

Animals↗
PubMed1984

Collection and evaluation of tracheobronchial washes in the horse.

A flexible endoscope was used to obtain 223 tracheal washes from 191 horses in three clinical categories. Total cell counts, cytological and bacteriological examinations are reported and the features of the main cell types encountered described. The presence and degree of inflammatory airway disease was determined by a semiquantitative assessment of the neutrophil response and was an important consideration in the interpretation of the bacteriological results. Potential pathogens were isolated from approximately 30 per cent of samples. Cytological changes suggestive of lungworm infestation, virus infection and chronic airway disease are described. Haemosiderophages, indicative of pulmonary haemorrhage, were found in all horses in full training. The techniques used were rapid and simple and were found to improve the accuracy of diagnosis of pulmonary disease. Sequential samples were useful for monitoring the progress of clinical cases.

Airway Obstruction↗
PubMed1984

Thirteen cases of botulism in horses fed big bale silage.

An outbreak of pharyngeal and limb paresis involving four horses and nine ponies in the south east of England is described. Nine of the animals died or were destroyed on humane grounds. The clinical features suggested a diagnosis of botulism and mouse innoculation tests confirmed the presence of type B toxin in the serum of one case. All animals were fed big bale silage. It is describe how, in plastic wrapped silage manufacture, conditions of fermentation may be inadequate to prevent the growth of Clostridium botulism. Examination of a sample of silage fed to the affected horses suggested that this was probably the source of the toxin.

Animal Feed↗