Key result
Surgical closure and medical management of a penetrating chest laceration in a mare resulted in normal wound healing, though dysphagia and ptosis persisted at 30 days post trauma.
Case Report (n=1)
Surgical closure and medical management of a penetrating thoracic inlet injury in a horse resulted in normal wound healing, despite persistent neurological deficits.
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Case illustrates traumatic recurrent laryngeal nerve injury causing concurrent Horner's syndrome and hemiplegia in horses; leaves open optimal management strategies.
Summary A 12‐year‐old Paint‐Arab mare was admitted for evaluation of a penetrating chest laceration at the thoracic inlet. The left brachiocephalic muscle was transected and the recurrent laryngeal nerve was traumatised. Subsequent to the injury, the horse developed Horner's syndrome on the left side of the neck and face, Grade IV left laryngeal hemiplegia, dysphagia, cough and subcutaneous emphysema. The defect was closed in multiple layers. Antimicrobial and antiinflammatory therapy was instituted along with local wound care. The mare remained bright and responsive and the wound healed normally. The mare showed no signs of respiratory distress. Dysphagia and ptosis persisted at 30 days post trauma.
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Rojman et al. (2009) conducted a case report in Penetrating chest laceration at the thoracic inlet (n=1). Surgical closure, antimicrobial and antiinflammatory therapy, and local wound care was evaluated on Clinical recovery and wound healing. Surgical closure and medical management of a penetrating chest laceration in a mare resulted in normal wound healing, though dysphagia and ptosis persisted at 30 days post trauma.
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