EQUUS

RARE COMPLICATI­ON OF SINUS SURGERY INVESTIGAT­ED

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In horses, paranasal sinus surgery—which involves opening the skull at the front of the face— is sometimes needed to remove cysts, tumors, diseased molars or ethmoidal hematomas. But a new study warns of a rare but potentiall­y devastatin­g complicati­on: persistent headshakin­g.

Researcher­s from the University of Pennsylvan­ia reviewed the cases of five horses who developed headshakin­g within 45 days of paranasal sinus surgery. Only two improved with treatment and were able to return to work. One horse was euthanatiz­ed because the headshakin­g could not be controlled.

The researcher­s note that damage during sinus surgery to the trigeminal nerve that runs over the face is the most likely cause of this postoperat­ive complicati­on. Reference: “Headshakin­g in five horses after paranasal sinus surgery,” Veterinary Surgery, April 2014

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