In vitro evaluation of a novel prosthesis for laryngoplasty of horses with recurrent laryngeal neuropathy

Equine Vet J. 2000 Jan;32(1):43-6. doi: 10.2746/042516400777611991.

Abstract

A prosthesis, composed of a steel cable and stress-reducing washers, was developed to prevent failure of laryngoplasty, a common treatment for horses affected by recurrent laryngeal neuropathy. Laryngoplasties were performed on 15 cadaveric larynges using a polyester suture on one side and the cable prosthesis on the other. Each prosthesis was distracted at a displacement rate of 20 mm/s using a servohydraulic materials testing machine until laryngoplasty failed. Distraction force and actuator displacement were recorded and analysed. All 15 laryngoplasties performed with a suture failed at the muscular process at a mean +/- s.d. force of 55.8 +/- 13.1 N. Six laryngoplasties performed with the cable prosthesis failed at the muscular process at mean force 219.6 +/- 125.0 N. In the other 9, the arytenoid cartilage was avulsed from the larynx at mean force 206.4 +/- 75.3 N, and the cable then tore through the muscular process at mean force 357.0 +/- 32.0 N. The difference in force required to cause failure of laryngoplasty was significant (P<0.0001). Although the prosthesis resisted substantially higher forces than did the suture, the effects of the prosthesis in vivo must be evaluated.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Arytenoid Cartilage / injuries
  • Arytenoid Cartilage / physiopathology
  • Biomechanical Phenomena
  • Horse Diseases / surgery*
  • Horses
  • Laryngeal Diseases / surgery
  • Laryngeal Diseases / veterinary*
  • Larynx / surgery*
  • Prostheses and Implants / veterinary*
  • Prosthesis Implantation / methods
  • Prosthesis Implantation / veterinary*
  • Recurrence
  • Sutures / veterinary