title: Outcome of treatment in 23 horses with progressive ethmoidal haematoma.
abstract: 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.
authors.affiliation: Beaufort Cottage Stables, Newmarket, Suffolk, UK.
authors.forename: T R
authors.initials: TR
authors.lastname: Greet
mesh_terms: D000818:Animals; D004660:Encephalitis / Q000209:etiology / Q000662:veterinary; D004724:Endoscopy / Q000662:veterinary; D004844:Epistaxis / Q000175:diagnosis / Q000601:surgery / Q000662:veterinary*; D005005:Ethmoid Sinus; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000175:diagnosis / Q000601:surgery / Q000662:veterinary*; D006734:Horse Diseases / Q000175:diagnosis / Q000601:surgery*; D006736:Horses; D008297:Male; D010254:Paranasal Sinus Diseases / Q000175:diagnosis / Q000601:surgery / Q000662:veterinary*; D011183:Postoperative Complications / Q000662:veterinary; D012008:Recurrence; D016896:Treatment Outcome