{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T07:55:09Z","timestamp":1723017309143},"reference-count":6,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,3,23]],"date-time":"2018-03-23T00:00:00Z","timestamp":1521763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Chronic rhinosinusitis is a common disease process in humans; however, in the primate population of gorillas, it has rarely been described. This case describes lifesaving sinus surgery on a critically ill gorilla performed by a human otolaryngology team in collaboration with the gorilla's veterinary medicine team.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The 35\u2010year\u2010old western silverback gorilla was treated for 3 months with aggressive medical therapy for a worsening sinus infection. When his condition became severe, a computed tomography (CT) scan was performed showing advanced chronic rhinosinusitis with nasal polyps vs other masses and some bone erosion. As his condition deteriorated further, a tertiary otolaryngology team performed sinus surgery using the latest technology available, including image guidance, steroid\u2010eluting sinus stents, and balloon sinus dilation. The postoperative course was complicated by subcutaneous infection and eventual fistulization. Fortunately, with culture\u2010directed antibiotic therapy his condition gradually improved. One year later he required revision sinus surgery. At that point allergy testing was performed followed by appropriate allergy medical therapy. Now, 3 years out from his initial surgery, he continues to do well and has fathered a young female gorilla.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This case represents a unique collaboration between human physicians and veterinarians. The combined medical approach was critical to heal this ailing gorilla. This case discusses many of the challenges and offers recommendations for physicians who may be involved with similar care of animals in the future.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The success of the surgical and medical treatment of this gorilla's life\u2010threatening sinus infection required many experts, careful planning, and corporate generosity. The interaction between human and animal medicine would not have been successful without the close and trusting collaborations between human and veterinary health providers. We encourage human healthcare providers to seek volunteer opportunities through their local zoos by engaging in discussions with their local veterinarians.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.22117","type":"journal-article","created":{"date-parts":[[2018,3,23]],"date-time":"2018-03-23T08:27:18Z","timestamp":1521793638000},"page":"857-862","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Gorilla endoscopic sinus surgery: a life\u2010saving collaboration between human and veterinary medicine"],"prefix":"10.1002","volume":"8","author":[{"given":"Greg E.","family":"Davis","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of Washington  Seattle WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fred M.","family":"Baik","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Mount Sinai Health System  New York NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert M.","family":"Liddell","sequence":"additional","affiliation":[{"name":"Center for Diagnostic Imaging  Seattle WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew G.","family":"Ayars","sequence":"additional","affiliation":[{"name":"Department of Allergy and Immunology University of Washington  Seattle WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelley R.","family":"Branch","sequence":"additional","affiliation":[{"name":"Department of Cardiology University of Washington  Seattle WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul S.","family":"Pottinger","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases University of Washington  Seattle WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allen D.","family":"Hillel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Washington  Seattle WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Helmick","sequence":"additional","affiliation":[{"name":"Smithsonian Conservation Biology Institute  Washington DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darin","family":"Collins","sequence":"additional","affiliation":[{"name":"Woodland Park Zoo  Seattle WA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,3,23]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"203","volume-title":"Encountering Gorillas: A Chronicle of Discovery, Exploitation, Understanding, and Survival","author":"Newman JL","year":"2013"},{"key":"e_1_2_6_3_1","volume-title":"And Breathe! Vicky the 29\u2010Year\u2010Old Orangutan Rests up After Sinus Operation","author":"Zoo Chester","year":"2014"},{"key":"e_1_2_6_4_1","volume-title":"Primates: Western Lowland Gorilla","author":"Smithsonian's National Zoo & Conservation Biology Institute","year":"2018"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000156267"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0684.1991.tb00551.x","article-title":"The veterinary management of a laryngeal air sac infection in a free\u2010ranging mountain gorilla","volume":"20","author":"Hastings BE","year":"1991","journal-title":"J Med Primatol"},{"key":"e_1_2_6_7_1","first-page":"216","volume-title":"Proceedings of the American Association of Zoo Veterinarians and Association of Reptilian and Amphibian Veterinarians: Annual Conference; October 22\u201327, 1994; Pittsburgh: PA","author":"Meehan TP","year":"1994"}],"container-title":["International Forum of Allergy &amp; Rhinology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Falr.22117","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/alr.22117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T14:11:06Z","timestamp":1695046266000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/alr.22117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,23]]},"references-count":6,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1002\/alr.22117"],"URL":"https:\/\/doi.org\/10.1002\/alr.22117","archive":["Portico"],"relation":{},"ISSN":["2042-6976","2042-6984"],"issn-type":[{"value":"2042-6976","type":"print"},{"value":"2042-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,23]]},"assertion":[{"value":"2017-12-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-02-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}