{"id":15897,"date":"2019-02-03T12:09:37","date_gmt":"2019-02-03T12:09:37","guid":{"rendered":"https:\/\/todaysveterinarypractice.com\/?p=15897"},"modified":"2022-02-21T15:00:50","modified_gmt":"2022-02-21T15:00:50","slug":"uc-davis-veterinarians-team-with-physician-to-remove-tumor-in-horse","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/equine-medicine\/uc-davis-veterinarians-team-with-physician-to-remove-tumor-in-horse\/","title":{"rendered":"UC Davis Veterinarians Team with Physician to Remove Tumor in Horse"},"content":{"rendered":"

Davis, California<\/em> \u2014 UC Davis veterinarians made history with the first-ever image-guided sinus tumor removal in a horse, according to a UC Davis Veterinary Hospital<\/a> press release.<\/p>\n

After examining a 6-year-old Lusitano-Arabian cross gelding named Honesto, UC-Davis veterinarians found a massive sinus osteoma \u2014 a benign tumor created from new bone growth \u2014 below his right eye. The tumor was causing generalized swelling and enlargement of the bone and soft tissues below Honesto’s eye. Radiographs and a CT scan taken at the UC Davis veterinary hospital revealed the mass was encroaching on his eye socket, causing consistent tearing. It was also blocking the right nasal cavity and numerous sinuses, including the frontal sinus, directly in front of the brain. The UC-Davis veterinarians told Angela Langen, Honesto’s owner, that a very delicate and risky surgery was needed to prevent the tumor from growing larger and injuring the eye and brain.<\/p>\n

Normally, to remove a tumor like Honesto\u2019s, an equine surgeon makes a large incision in the area and then burrs with a rotary power tool and chisels the rock-hard tumor. Unfortunately, there is no way for surgeons to determine how close they are getting to critical areas such as the eye or brain.<\/p>\n

Dr. Larry Galuppo, chief of the Equine Surgery and Lameness Service<\/a>, explained these risks to Langen. As Langen decided how to proceed, she discussed the case with her close friend, George Domb, MD, an otolaryngologist (ear, nose and throat doctor) who specializes in human sinus surgery. Dr. Domb suggested a technique used in human medicine that has made extensive sinus cases safe. Utilizing an image-guided navigation system, surgeons could operate on Honesto\u2019s tumor while identifying the precise position of their surgical instruments on a CT scan at every moment. This procedure would allow the surgeons to avoid inadvertent entry into the brain and eye socket.<\/p>\n

Dr. Galuppo agreed to work with Dr. Domb to attempt this first-ever approach to a tumor removal in a horse\u2019s sinus.<\/p>\n

Langen didn\u2019t give it a second thought. \u201cI love Honesto,\u201d she said. \u201cDo whatever is needed. I understand there could be risks, but I have faith in you.\u201d<\/p>\n

So Drs. Galuppo and Domb undertook the challenging procedure. Assisting them in surgery was second-year equine surgery resident Dr. Tom Cullen, who helped with the entire case management. UC Davis\u2019 equine surgery residency is one of the largest in the world, and routinely provides aspiring surgical specialists access to challenging cases like Honesto\u2019s.<\/p>\n

Honesto recovered well from anesthesia and was able to return home two days after surgery.<\/p>\n

\u201cWe were pleased to see that the procedure worked well,\u201d said Dr. Galuppo. \u201cWe were able to remove a substantial portion of the tumor in order to open the sinus cavity and take any pressure off Honesto\u2019s eye socket and brain. He\u2019s one tough horse.\u201d<\/p>\n

Post-Op Care for Honesto<\/h3>\n

Home care for Langen consisted of daily flushes of Honesto\u2019s sinuses through a drainage tube that the surgical team left in place for this purpose.<\/p>\n

At Honesto\u2019s one-week recheck appointment, Dr. Galuppo noted great progress and removed the sinus irrigation tube. At his two-week recheck, the skin staples were removed.<\/p>\n

\u201cDr. Galuppo said I could ride him at a walk,\u201d Langen noted. \u201cHe had so much energy at his first trail ride, it was amazing. Dr. Domb also told me that he was happy with the results and how excited he was to work with the veterinarians.\u201d<\/p>\n

\u201cThis was the first time I\u2019ve ever seen surgery on a horse, much less participated,\u201d said Dr. Domb. \u201cIt was amazing how the anesthesia team took care of Honesto, and collaborating with the entire veterinary team at UC Davis was a wonderful experience. Dr. Galuppo and everyone on the equine surgery team made the whole procedure flawless.\u201d<\/p>\n

Dr. Domb and Dr. Galuppo plan to have further discussions about translating human sinus treatments to veterinary medicine.<\/p>\n

\u201cI have other ideas that I think could be beneficial for Dr. Galuppo and his team,\u201d said Dr. Domb. \u201cI\u2019m ready to work with them again any time they call.\u201d<\/p>\n

Learn More<\/h3>\n

Did you know that National Day of the Horse<\/a> is celebrated every Dec. 13th? Here are 10 ways you can celebrate, honor and have fun with your horse on his or her special holiday.<\/p>\n

https:\/\/todaysveterinarypractice.com\/national-day-horse\/<\/p>\n","protected":false},"excerpt":{"rendered":"

UC Davis veterinarians made history with the first-ever image-guided tumor removal in a horse.<\/p>\n","protected":false},"author":11,"featured_media":15899,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":53,"footnotes":""},"categories":[342],"tags":[],"class_list":["post-15897","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-digital-exclusive","column-digital-exclusive","clinical_topics-equine-medicine","clinical_topics-news"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"\nUC Davis Veterinarians Team with Physician to Remove Tumor in Horse | Today's Veterinary Practice<\/title>\n<meta name=\"description\" content=\"Veterinarians made history with the first-ever image-guided tumor removal in a horse. 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