title: Sternothyrohyoideus myectomy or staphylectomy for treatment of intermittent dorsal displacement of the soft palate in racehorses: 209 cases (1986-1991).
abstract: The efficacy of sternothyrohyoideus myectomy (SM) and staphylectomy as treatments for intermittent dorsal displacement of the soft palate was evaluated in 209 racehorses (126 Thoroughbreds, 83 Standardbreds). The 2 most common complaints were respiratory tract noise (75% of horses) and exercise intolerance (51% of horses). Stopping, defined as the inability to finish the race at racing speed, was reported in 40% of the horses. Endoscopy at rest revealed evidence of abnormal epiglottic anatomy (hypoplasia or flaccidity) in 51% of the horses and abnormal soft palate function in 36% of the horses. Race records were available for 149 (77 Thoroughbreds, 72 Standardbreds) horses. The sex distribution consisted of 38% sexually intact males, 20% geldings, and 42% females, with a mean age of 3.4 years. Sixty-nine horses underwent staphylectomy, with a mean of 16 weeks to first stage after surgery. Eighty horses underwent SM, with a mean of 10 weeks to first start. Sternothyrohyoideus myectomy was performed on significantly more (P < 0.05). Thoroughbreds than Standardbreds, and staphylectomy was performed on significantly (P < 0.0001; chi 2 = 39.56) more Standardbreds than Thoroughbreds. After surgery, most horses (74%) had no change in class; however, more moved up in class (17%) than down (9%). On the basis of comparison of earnings for 3 starts before surgery with that for 3 starts after surgery, successful outcome was obtained in 60% of the horses (35 Thoroughbreds, 13 Standardbreds) that received SM and in 59% of the horses (11 Thoroughbreds, 30 Standardbreds) that received a staphylectomy.(ABSTRACT TRUNCATED AT 250 WORDS)
authors.affiliation: Department of Clinical Studies, School of Veterinary Medicine, New Bolton Center, University of Pennsylvania, Kennett Square 19348, USA.
authors.forename: J D
authors.initials: JD
authors.lastname: Anderson
authors.forename: E P
authors.initials: EP
authors.lastname: Tulleners
authors.forename: J K
authors.initials: JK
authors.lastname: Johnston
authors.forename: M J
authors.initials: MJ
authors.lastname: Reeves
mesh_terms: D000818:Animals; D001947:Breeding; D004825:Epiglottis / Q000033:anatomy & histology; D017079:Exercise Tolerance; D005260:Female; D005500:Follow-Up Studies; D006734:Horse Diseases / Q000601:surgery*; D006736:Horses; D008297:Male; D010160:Palate, Soft / Q000503:physiopathology* / Q000601:surgery*; D010609:Pharyngeal Muscles / Q000601:surgery*; D010805:Physical Conditioning, Animal; D012135:Respiratory Sounds / Q000209:etiology / Q000662:veterinary; D012189:Retrospective Studies; D013177:Sports