Transendoscopic chemical ablation of Progressive Ethmoidal Hematomas in standing horses

Jim Schumacher, Tom Yarbrough, John Pascoe, Philip Woods, Dennis Meagher, Clifford Honnas

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

Objective - To examine the response of horses with progressive ethmoidal hematoma (PEH) to intralesional injection of 4% formaldehyde solution. Study Design - Nasal passages of horses affected with PEH were examined endoscopically at different intervals to determine the effects of intralesional injection of formaldehyde solution. Animals - 21 horses with PEH. Methods - PEHs were injected transendoscopically with 4% formaldehyde solution. Horses were examined endoscopically and retreated at different intervals until the PEH was eliminated or was so small that reinjection was not possible. Results - Lesions diminished significantly in size or were eliminated after 1 to 18 injections (median, 5; mean, 7.0 ± 5.62). Seventeen lesions (60.7%) resolved completely after 1 to 18 injections (median, 5; mean, 7.2 ± 5.71). Five lesions decreased markedly in size but did not resolve after receiving 1 to 18 injections (median, 5; mean, 7.6 ± 6.66). Injection of these lesions was discontinued 4.0 to 25.1 months (median, 9.5; mean, 11.02 ± 8.446) after the first injection. The PEH of one horse was removed surgically after one injection. Three horses, one with bilateral PEH, were lost to follow-up. One horse developed signs of laminitis. No other complications were observed. Conclusions - Horses with a PEH can be treated effectively by transendoscopic, intralesional injection of 4% formaldehyde solution. Clinical Relevance - Ablation of PEH using formaldehyde solution avoids general anesthesia and problems associated with ablation by conventional surgery or laser.

Original languageEnglish (US)
Pages (from-to)175-181
Number of pages7
JournalVeterinary Surgery
Volume27
Issue number3
DOIs
StatePublished - Jan 1 1998

ASJC Scopus subject areas

  • veterinary(all)

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