{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:08:31Z","timestamp":1747188511430,"version":"3.40.5"},"reference-count":38,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T00:00:00Z","timestamp":1658793600000},"content-version":"am","delay-in-days":365,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#am"},{"start":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T00:00:00Z","timestamp":1627257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000199","name":"U.S. Department of Agriculture","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000199","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the airway mechanics of modified toggle LP constructs in an airflow chamber model and compare these to the airway mechanics of standard LP constructs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Ex\u2010vivo experimental study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample population<\/jats:title><jats:p>Fifty\u2010one equine cadaveric larynges.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Bilateral LP constructs were performed using a modified toggle (<jats:italic>n<\/jats:italic>\u00a0=\u00a023) or a standard (<jats:italic>n<\/jats:italic>\u00a0=\u00a021) LP technique. Constructs were tested in an airflow model before and after cyclic loading which was designed to mimic postoperative swallowing. The cross\u2010sectional area (CSA), peak translaryngeal airflow (L\/s), and impedance (cmH<jats:sub>2<\/jats:sub>0\/L\/s) were determined and compared between LP constructs before and after cycling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean CSA of the rima glottidis of the modified toggle LP constructs was 15.2\u2009\u00b1\u20092.6\u00a0cm<jats:sup>2<\/jats:sup>before and 14.7\u2009\u00b1\u20092.6\u00a0cm<jats:sup>2<\/jats:sup>after cyclic loading, and the mean CSA of the rima glottidis of the standard LP constructs was 16.4\u2009\u00b1 2.9\u00a0cm<jats:sup>2<\/jats:sup>before and 15.7\u2009\u00b1\u20092.8\u00a0cm<jats:sup>2<\/jats:sup>after cyclic loading. The modified toggle LP constructs had similar peak translaryngeal impedance before and after cyclic loading (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.13); however, the standard LP constructs had higher peak translaryngeal impedance after cyclic loading (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The modified toggle and standard LP constructs had comparable airway mechanics in an ex\u2010vivo model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Further investigation is warranted to determine the extent to which the modified toggle LP technique restores normal airway function in horses with RLN.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13690","type":"journal-article","created":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T12:11:09Z","timestamp":1627301469000},"page":"1409-1417","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of the airway mechanics of modified toggle laryngoplasty constructs using a vacuum chamber airflow model"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2636-1544","authenticated-orcid":false,"given":"Sarah M.","family":"Gray","sequence":"first","affiliation":[{"name":"Department of Clinical Veterinary Medicine, College of Veterinary Medicine University of Illinois Urbana\u2010Champaign Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santiago D.","family":"Gutierrez\u2010Nibeyro","sequence":"additional","affiliation":[{"name":"Department of Clinical Veterinary Medicine, College of Veterinary 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