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Discussion on Scar tissue from hematoma surgery
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New Member:
Mike29az
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Posted on Saturday, Jan 29, 2005 - 3:17 pm:
My horse had a surgery to remove what was found to be a large hematoma within the right frontal sinus. It was surgically removed along with 75% of the ethmoid turbinates. He recovered well but scar tissue built up in this area which is blocking the airway on his right side. Does anyone know of a specialized surgeon that may be able to remove the scar tissue? The only information I have received from veternarians is that nothing can be done..... Any input is appreciated. Thank you.
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Moderator:
DrO
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Posted on Sunday, Jan 30, 2005 - 11:20 am:
Not knowing where you live makes it hard to make specific recommendations. What you are looking for is a surgical practice with good radiographic and endoscopy support and has a sugical laser unit: you should contact your nearest veterinary school if there is nothing like that locally.
DrO
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Member:
Mike29az
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Posted on Sunday, Jan 30, 2005 - 1:02 pm:
Thank you - I live in Michigan. Ohio State University and Michigan State University said they were unable to help. Do you know of a university that may specialize in this? I will travel... Thank you.
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Moderator:
DrO
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Posted on Monday, Jan 31, 2005 - 6:10 am:
Did they examine the horse and if they did what were the specific findings?
DrO
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Member:
Mike29az
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Posted on Monday, Jan 31, 2005 - 7:10 pm:
Radiographs of the frontal sinuses revealed sclerosis of the right frontal sinus bone cosistent with post-operative remodeling changes. Endoscopy of the sinus demonstrated persistent narrowing of the right sinus opening due to deviation of the nasal septum. - OSU
MSU - basically saw the same thing. They scoped him and found there was scar tissue on the right side that would prevent the scope from going down as far as it should. Both universities said they knew of no treatments to solve the problem. TIA
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Moderator:
DrO
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Posted on Tuesday, Feb 1, 2005 - 6:31 am:
I suspect if this is the opinion of these two different surgical units this is probably the end of the line. If the problem where just scar tissue a laser could be used to attempt to remove the excess but the deviated septum cannot be easily dealt with since it has bone and no easy access for more traditional surgical technique.
Trotter, you can always have the case material sent to the next closest school and let them know you are strongly interested at an attempt at a fix even with only a fair prognosis.
DrO
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