{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T03:13:08Z","timestamp":1768619588185,"version":"3.49.0"},"reference-count":16,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2006,10,6]],"date-time":"2006-10-06T00:00:00Z","timestamp":1160092800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2006,10]]},"abstract":"<jats:p><jats:bold>Objective\u2014<\/jats:bold>To report use of a modified Whitehouse approach in standing horses for management of inspissated guttural pouch empyema.<\/jats:p><jats:p><jats:bold>Study Design\u2014<\/jats:bold>Retrospective study.<\/jats:p><jats:p><jats:bold>Animals\u2014<\/jats:bold>Adult horses (n=10) with guttural pouch empyema.<\/jats:p><jats:p><jats:bold>Methods\u2014<\/jats:bold>Inspissated exudate in 1 or both guttural pouches was removed surgically through a modified Whitehouse approach, with the horses standing and sedated. Medical records of affected horses were reviewed to determine history; physical, endoscopic, and radiological examination findings; surgical technique; complications, and outcome.<\/jats:p><jats:p><jats:bold>Results\u2014<\/jats:bold>All horses had purulent nasal discharge; 3 horses had dysphagia, 2 had recurrent laryngeal neuropathy on the side affected by guttural pouch empyema, and 1 had persistent soft palate displacement. Inspissated exudate was removed safely without causing apparent discomfort. Eight horses returned to their previous level of athletic activity after surgery; 1 horse dysphagic before surgery, was euthanatized because of persistent dysphagia after surgery, and 1 horse died 1 week after surgery for unknown reasons.<jats:italic>Streptococcus equi<\/jats:italic>subsp<jats:italic>equi<\/jats:italic>was isolated from the affected guttural pouch of 3 horses.<\/jats:p><jats:p><jats:bold>Conclusions\u2014<\/jats:bold>Inspissated exudate can be removed surgically from the guttural pouch in standing horses through a modified Whitehouse approach.<\/jats:p><jats:p><jats:bold>Clinical Relevance\u2014<\/jats:bold>To eliminate risks associated with general anesthesia and avoid surgical suite contamination, removal of chondroids can be performed in standing sedated horses through a modified Whitehouse approach.<\/jats:p>","DOI":"10.1111\/j.1532-950x.2006.00204.x","type":"journal-article","created":{"date-parts":[[2006,10,6]],"date-time":"2006-10-06T11:15:57Z","timestamp":1160133357000},"page":"658-662","source":"Crossref","is-referenced-by-count":26,"title":["Standing Surgical Removal of Inspissated Guttural Pouch Exudate (Chondroids) in Ten Horses"],"prefix":"10.1111","volume":"35","author":[{"given":"JUSTIN D.","family":"PERKINS","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JIM","family":"SCHUMACHER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"GER","family":"KELLY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JORGE 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