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• W2890738609 abstract "Abstract Objective To describe the anatomy of the entry to the equine esophagus (vestibulum esophagi) and to assess the risk of penetrating its adventitia and/or lumen during laryngoplasty. Study design Ex vivo cadaveric study. Sample population Five isolated equine larynges and 39 equine head and neck specimens. Methods The anatomy of the vestibulum esophagi was studied by dissection of 5 cadaver specimens. Then, a bilateral laryngoplasty was performed, including 5 suture placements through the muscular processes, caudal, rostral, and sagittal, with straight and curved needles. Two of the 3 surgeons performing the implantations were unaware of the goals of the study. Suture positions and iatrogenic trauma to the lumen and/or adventitia of the vestibulum esophagi were identified during dissection of the specimens. Risk factors for penetrating the adventitia were evaluated with a multivariate regression model. Results The vestibulum esophagi spans between both wings of the thyroid cartilage over the entire width of the larynx, covering the rostral spine (arcuate crest) of the arytenoid cartilages. It is covered by the thyropharyngeus and cricopharyngeus muscles. Masked surgeons were associated with a significantly higher number of adventitia penetrations (72%) compared to the nonmasked surgeon (9%). The lumen of the vestibulum esophagi was penetrated in 4.6% of suture placements and only by the 2 masked surgeons. Conclusion Penetration of the adventitia was more common when surgeons were unaware of the anatomical extent of the vestibulum esophagi. Clinical significance Anatomical knowledge of the extent of the vestibulum esophagi reduces the risk of penetrating its lumen or adventitia during suture placement on the muscular process of the arytenoid cartilage." @default.
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• W2890738609 date "2018-09-19" @default.
• W2890738609 modified "2023-10-03" @default.
• W2890738609 title "Anatomy of the vestibulum esophagi and surgical implications during prosthetic laryngoplasty in horses" @default.
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• W2890738609 doi "https://doi.org/10.1111/vsu.12944" @default.
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