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What has been your experience with Larynhgeal Hemiplegia (or paralzyed flap)?

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  • What has been your experience with Larynhgeal Hemiplegia (or paralzyed flap)?

    I have a retired tb mare who has a paralyzed flap. Im considering surgery since its her 2nd episode of compromised breathing in a year.
    IN GOD WE TRUST
    OTTB's ready to show/event/jumpers. Track ponies for perfect trail partners.
    http://www.horseville.com/php/search...=1&ssid=057680

  • #2
    If the flap is completely paralyzed surgery is probably the only thing to
    help the horse. We have had good luck with Dr. Palmer's clinic in NJ with
    wind surgeries.

    The horse will need some special treatment afterwards like having all the hay
    and water on the ground.

    Comment


    • #3
      i had an ottb gelding and he had prosthetic laryngoplasty (tie back), by dr. woody from rood and riddle here in lexington. he has been able to event up to prelim without any breathing problems. he couldnt be taken swimming in the pool (since his flap wont close) for conditioning but other than that the surgery had helped tremendously.
      i know racing is different than eventing but i had really good results.
      Last edited by evntr5218; Jun. 21, 2011, 10:23 AM. Reason: adding more info

      Comment


      • #4
        Sending well wishes from NY.

        Sonoma

        Comment


        • #5
          Speaking as someone who has seen this surgergy performed far more times than I like to think about, and having seen some horrendous after effects which disfigures the horse for life (water running out of the nose while drinking from a bucket at chest level), I would try another option first. It is irreversible, sometimes it helps and sometimes it does not. There is a lifetime of special care for those who it adversely affects, and like others have said, the horse will not be able to swim, new owners will also need to always have the knowledge that this procedure has been done in order to keep the horse safe from mishandling due to ignorance.

          Perhaps you can try this first.

          http://www.pulsepowernow.com/equine.html
          "We, too, will be remembered not for victories or defeats in battle or in politics, but for our contribution to the human spirit." JFK

          Comment

          • Original Poster

            #6
            I will certainly run that (Pulse) by my vet tomorrow.

            Im exploring the costs of surgery. medication cannot resolve her inability to breath.
            The mare is a retrain, retired a year ago --- showing career with no indicatons, just arose after a trail ride 2 weeks ago --- strange, but it is what it is. Sad.

            thanks sonoma
            Last edited by brightskyfarm; Jun. 23, 2011, 12:31 AM.
            IN GOD WE TRUST
            OTTB's ready to show/event/jumpers. Track ponies for perfect trail partners.
            http://www.horseville.com/php/search...=1&ssid=057680

            Comment


            • #7
              Hey Bright, here is another very interesting alternative to surgery.

              http://www.bloodhorse.com/horse-raci...troacupuncture
              "We, too, will be remembered not for victories or defeats in battle or in politics, but for our contribution to the human spirit." JFK

              Comment

              • Original Poster

                #8
                Thanks Calamber,
                Great article. This is all new territory to me so I am amazed at all the alternatives.

                The article cites many additional studies and treatments offering numbers lower than I expected in the success rates of surgeries.. Only 61% for the older tbs, 66% for those 2 and under.
                IN GOD WE TRUST
                OTTB's ready to show/event/jumpers. Track ponies for perfect trail partners.
                http://www.horseville.com/php/search...=1&ssid=057680

                Comment


                • #9
                  It has helped some and it has been dramatic, but I was not able to follow their life and the changes I mentioned before. Because it is permanent I would certainly try managing her environment like you were discussing in the pm. Also, since the dex is helping (but like you said, not a longterm solution), she may be having a severe allergic response to the bedding, barn, forage). Just a question of figuring it out if she did not have the problem before and now after some time at your place she does. Like the Australian research papers was suggesting in the tying up syndrome they were researching, there could be a nutritional component, some type of plant they suggested which they had in their target groups' environment which they ingested. That also was their interest when investigating stringhalt.

                  I had been pondering the reason for the epidemic of paralyzed flaps with the US thoroughbreds and thought that there might be a nutritional deficiency component since they talk about the paralysis of the nerve so much being the culprit.

                  In any case, have you ever tried Tri-Hist granules? Maybe because of the bizarre weather, extra moisture etc., there might be a bloom going on that she never had to deal with before. It is distressing to see your horse struggle with breathing. I hope you get it sorted out and she recovers.
                  "We, too, will be remembered not for victories or defeats in battle or in politics, but for our contribution to the human spirit." JFK

                  Comment

                  • Original Poster

                    #10
                    update

                    June 27th I moved the mare to another farm, bright airy stall, dust/mold free barn and turn out. Within the week+, her condition has resolved itself.

                    Last week, I was seeking a 2nd opinion. That vet suggested moving her, arranging for grass and turnout -- see what improvements she makes. He recommended Clem @ 3cc p/d (but I only did that for only 2 days, her response was so immediately great!)
                    So, within an hour she had a new home. Nearly overnight, the distraut breathing stopped.
                    4 nights ago started dark & cool of night time out in the paddock -- first night she ran pretty hard but didnt distress, 2nd night only trotted around, again no distress. 3rd night I took a blanket and sat outside the fence in the grass. She did a lot of walking but finally settled to graze -- last night I turned out and left as she immeidately started grazing quietly.
                    She has an appt with my 2nd vet next week to assess again.

                    I called and cancelled her appt with the* dead horse guy*& vet scheduled for 1pm tomorrow to be euthanized.

                    Moral> always get a 2nd opinion!
                    What was it? A heave reaction to her environment just like a human having an asthma attack.
                    IN GOD WE TRUST
                    OTTB's ready to show/event/jumpers. Track ponies for perfect trail partners.
                    http://www.horseville.com/php/search...=1&ssid=057680

                    Comment


                    • #11
                      thats great news

                      Comment


                      • #12
                        Super ! So very glad.

                        sonoma

                        Comment

                        • Original Poster

                          #13
                          thanks guys. Calamber had some really great ideas, even for horses without respiratory trouble, just general care for those under stress, or in those unusually dusty /moldy environments.

                          This came on suddenly, something Im not familar with ... and surprised how many remedies there are to keep a horse *level*/maintainence.

                          She still has some recovery time yet, but each day is a huge improvement. Shes (noisy) so possibly theres some windpipe obstruction --- when the vet scopes next week -- more answers.
                          But, for today, shes still with me ..and thriving.
                          IN GOD WE TRUST
                          OTTB's ready to show/event/jumpers. Track ponies for perfect trail partners.
                          http://www.horseville.com/php/search...=1&ssid=057680

                          Comment


                          • #14
                            Originally posted by brightskyfarm View Post
                            thanks guys. Calamber had some really great ideas, even for horses without respiratory trouble, just general care for those under stress, or in those unusually dusty /moldy environments.

                            This came on suddenly, something Im not familar with ... and surprised how many remedies there are to keep a horse *level*/maintainence.

                            She still has some recovery time yet, but each day is a huge improvement. Shes (noisy) so possibly theres some windpipe obstruction --- when the vet scopes next week -- more answers.
                            But, for today, shes still with me ..and thriving.
                            Annie, I think Money and I were having some kind of kinetic cross purpose in our life. I had the same thing happen pretty much at the same time. I too resolved with "managing" my environment, carpet cleaning with non toxics, air filters, putting away the dust collectors, washing all that could be washed. Here in the PNW, mold is a given but I was assaulted by black dust mites from the ducts (I have video proof while they were vaccuuming the ducts), and heavy pollen from 100 ft Doug firs that are producing late because of the cool spring. Plus, and more to the point, stress, I was beyond stressed trying to buy a home and failing because of stonewalling & prevaricating from the real estate agent. Moral, never, ever, ever use a sole agent. It is illegal in some states. I too had to use prednisone for 4 days, anti-histamines, hot shower after hot shower to open up airways, inhalor and Ibuprofen. It was no fun. Bainbridge has stagnant air from all these damn trees that they worship so much, not much ocean current through here anyway, but the trees block out the sun and the oxygen. Greenies.......Finally we have relief, cool air driven by the ocean came in over the weekend and now a little bit of rain.....ahhhhhhh.
                            "We, too, will be remembered not for victories or defeats in battle or in politics, but for our contribution to the human spirit." JFK

                            Comment


                            • #15
                              Annie, how is the mare doing now? And you? I had to use Advair very sparingly, what helped the most was coming to the east coast, going to the gym everyday and then going to the ocean. Thank God. I have a slight sinus infection but I am getting off the meds for the most part! Maybe take Money and go on vacation to the ocean, go swimming, or galloping on the beach. Unfortunately it is very limited where you can go here. You can always come to Washington when I get back!
                              Well it's a thought anyway. Maybe you can find beaches somewhere in NJ or Delaware, or Ocean City or Chincoteague or Assateague where you can go. I think I have seen pics of people trail riding on Assateague? Does anyone know?
                              "We, too, will be remembered not for victories or defeats in battle or in politics, but for our contribution to the human spirit." JFK

                              Comment


                              • #16
                                How are you and Money?

                                Annie, how is the mare doing now? And you? I had to use Advair very sparingly, what helped the most was coming to the east coast, going to the gym everyday and then going to the ocean. Thank God. I have a slight sinus infection but I am getting off the meds for the most part! Maybe take Money and go on vacation to the ocean, go swimming, or galloping on the beach. Unfortunately it is very limited where you can go here. You can always come to Washington when I get back!
                                Well it's a thought anyway. Maybe you can find beaches somewhere in NJ or Delaware, or Ocean City or Chincoteague or Assateague where you can go. I think I have seen pics of people trail riding on Assateague? Does anyone know?
                                Last edited by Calamber; Aug. 23, 2011, 08:39 AM. Reason: duplicate
                                "We, too, will be remembered not for victories or defeats in battle or in politics, but for our contribution to the human spirit." JFK

                                Comment


                                • #17
                                  Originally posted by brightskyfarm View Post
                                  June 27th I moved the mare to another farm, bright airy stall, dust/mold free barn and turn out. Within the week+, her condition has resolved itself.

                                  Last week, I was seeking a 2nd opinion. That vet suggested moving her, arranging for grass and turnout -- see what improvements she makes. He recommended Clem @ 3cc p/d (but I only did that for only 2 days, her response was so immediately great!)
                                  So, within an hour she had a new home. Nearly overnight, the distraut breathing stopped.
                                  4 nights ago started dark & cool of night time out in the paddock -- first night she ran pretty hard but didnt distress, 2nd night only trotted around, again no distress. 3rd night I took a blanket and sat outside the fence in the grass. She did a lot of walking but finally settled to graze -- last night I turned out and left as she immeidately started grazing quietly.
                                  She has an appt with my 2nd vet next week to assess again.

                                  I called and cancelled her appt with the* dead horse guy*& vet scheduled for 1pm tomorrow to be euthanized.

                                  Moral> always get a 2nd opinion!
                                  What was it? A heave reaction to her environment just like a human having an asthma attack.

                                  Maybe she has the beginnings of COPD? Your making an environment change was the best way to go. If she is allergic as well this will help her too...

                                  I had one that was supposed to go into Cornell several years ago for a tie back surgery, but upon a 2nd scoping there, he was diagnosed with mild COPD so they elected to do a vocalcordectomy instead. It gave him 30% more air during work and eliminated the roaring.

                                  Now I have one that needs a tie forward surgery...

                                  Comment

                                  • Original Poster

                                    #18
                                    Update: July 26th

                                    One relapse, last Sat in this horrible HHH of Pa weather. The vets have seen increased breathing troubles in even healthy animals, common in those battling COPD's and other difficulties.
                                    4cc of Dex and she was ok in a few hours. The mare has No coughing ...at all.
                                    One vet is suspecting heaves more than COPD, but without a proper scoping, its really anyones guess.

                                    Vet appt this week to determine this mares status. She is happy, healthy, in good appetite, and weight; one would never know shes battling difficulty breathing. She does roar yet at exercise, but subsides at rest. You can hear *noise* at inhale, not exhale.

                                    Shes down to 80cc Prednisone 1x a day and on 1/2 day turnout (nights)....
                                    Im just waiting for a proper diagnosis at this point.

                                    Today at the track a mare worked 3/8th and came back coughing terribly --- scoped and it seems the surgery she had (tie-back) isnt working. The vet gave some interesting stats that only 70% qualify for surgery anyway --- 30% of those have exceptionally good results ! that leaves 40% ?
                                    IN GOD WE TRUST
                                    OTTB's ready to show/event/jumpers. Track ponies for perfect trail partners.
                                    http://www.horseville.com/php/search...=1&ssid=057680

                                    Comment


                                    • #19
                                      Please let us know what the vets find.

                                      I am still thinking it sounds so much like COPD (hoping not!)...

                                      Comment

                                      • Original Poster

                                        #20
                                        Im hoping Thursday for an appt; its a dark night, as we went to 5 days racing for this week -- everyone's maxed, especially with this heat too.

                                        Fingers crossed for the best.
                                        IN GOD WE TRUST
                                        OTTB's ready to show/event/jumpers. Track ponies for perfect trail partners.
                                        http://www.horseville.com/php/search...=1&ssid=057680

                                        Comment

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