title: Racing performance after combined prosthetic laryngoplasty and ipsilateral ventriculocordectomy or partial arytenoidectomy: 135 Thoroughbred racehorses competing at less than 2400 m (1997-2007).
abstract: BACKGROUND
  The success of combined prosthetic laryngoplasty with ipsilateral ventriculocordectomy (LPVC) has not been compared to that of partial arytenoidectomy (PA) in a clinical population.
  
  
  OBJECTIVE
  In Thoroughbred (TB) racehorses: (1) earnings after LPVC are unaffected by the severity of recurrent laryngeal neuropathy (RLN) (laryngeal grade III vs. grade IV); (2) LPVC and PA yield similar results in the treatment of grade III RLN; (3) performance outcome following PA is independent of diagnosis (RLN vs. unilateral arytenoid chondritis [UAC]); and (4) neither LPVC nor PA returns horses to the level of performance of controls.
  
  
  METHODS
  Medical and racing records of 135 TB racehorses undergoing LPVC or PA for the treatment of grade III or IV RLN or UAC were reviewed. Racing records of age and sex matched controls were also reviewed.
  
  
  RESULTS
  After LPVC, horses with grade III RLN performed better compared to those with grade IV RLN. Furthermore, horses treated for grade III RLN by LPVC showed post operative earnings comparable to controls. Rate of return to racing were similar for PA and LPVC, although LPVC resulted in higher post operative earnings. Performance after PA was similar regardless of diagnosis (UAC or RLN). Finally, neither LPVC when performed for grade IV RLN, nor PA performed for either diagnosis restored post operative earnings to control levels.
  
  
  CONCLUSIONS
  Thoroughbred racehorses treated by LPVC for grade III RLN show significantly better post operative earnings compared to horses treated for grade IV disease. In grade III RLN, LPVC returns earning potential to control levels. PA and LPVC lead to similar success in terms of rate of return to racing, but PA leads to inferior earnings after surgery.
  
  
  CONCLUSIONS
  Laryngoplasty should be recommended for all TB racehorses with grade III RLN to maximise return to racing at a high level. This contradicts the common approach of waiting for complete paralysis.
authors.affiliation: Cornell University Hospital for Animals, Equine Performance Testing Clinic, Ithaca, New York 14853, USA.
authors.forename: T H
authors.initials: TH
authors.lastname: Witte
authors.forename: H O
authors.initials: HO
authors.lastname: Mohammed
authors.forename: C H
authors.initials: CH
authors.lastname: Radcliffe
authors.forename: R P
authors.initials: RP
authors.lastname: Hackett
authors.forename: N G
authors.initials: NG
authors.lastname: Ducharme
mesh_terms: D000402:Airway Obstruction / Q000473:pathology / Q000601:surgery / Q000662:veterinary*; D000818:Animals; D001193:Arytenoid Cartilage / Q000601:surgery*; D016022:Case-Control Studies; D005260:Female; D006734:Horse Diseases / Q000473:pathology / Q000601:surgery*; D006736:Horses; D007818:Laryngeal Diseases / Q000473:pathology / Q000601:surgery / Q000662:veterinary*; D007825:Laryngectomy / Q000379:methods / Q000662:veterinary*; D008297:Male; D010805:Physical Conditioning, Animal / Q000502:physiology; D011184:Postoperative Period; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013177:Sports; D013997:Time Factors; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000453:epidemiology / Q000601:surgery / Q000662:veterinary