Peer-reviewed veterinary case report
Surgical treatment of progressive ethmoidal hematoma aided by computed tomography in a foal.
- Journal:
- Journal of the American Veterinary Medical Association
- Year:
- 1997
- Authors:
- Colbourne, C M et al.
- Affiliation:
- School of Veterinary Studies · Australia
- Species:
- horse
Plain-English summary
A 4-week-old Belgian filly was successfully treated for a progressive ethmoidal hematoma, which is a type of mass in the nasal area that can cause breathing problems. The filly showed signs like noisy breathing, nosebleeds, and swelling on the left side of her face, which had been getting worse since she was born. Doctors used a special imaging technique called computed tomography to see the mass better and plan the surgery, which involved removing the affected tissue. A year after the surgery, her face looked normal again, and the area around her nose showed significant improvement. Overall, the treatment worked well, and the filly recovered nicely.
Abstract
A progressive ethmoidal hematoma (PEH) was treated successfully in a 4-week-old Belgian filly by surgical removal, using a frontonasal bone flap. The filly had respiratory stridor, epistaxis, and facial enlargement over the left paranasal sinuses, which had progressively increased in size since birth. Computed tomographic images of the head obtained with the foal under general anesthesia were useful in determining the extent and nature of the soft-tissue mass and planning surgical intervention. On the basis of the histologic appearance of the mass, a diagnosis of PEH was made. Twelve months after surgery, the facial appearance was normal and the abnormal appearance of the ethmoid region on endoscopic evaluation was less obvious, with return of the nasal septum to a normal position. Progressive ethmoidal hematoma is uncommon and, to our knowledge, has not been reported in a neonate. Clinical signs of PEH in this foal were atypical because of the rapid enlargement of the mass, extent of facial deformity, and minimal epistaxis and interoperative hemorrhage.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/9262675/