ETHMOID HEMATOMA TREATMENT MANUAL

Clinical Application:

Gbox15w 810nm diode laser for equine ethmoid hematoma treatment from GIGAALASER

Clinic Explanation:

Ethmoid hematoma is a progressive and locally destructive disease of horses. It is indicated by a mass in the paranasal sinuses that resembles a tumor but is not neoplastic by any means. Most common clinical signs of the disease include a mild, intermittent nose bleed from one nostril. If the mass is large it may cause abnormal respiratory noise and can occasionally cause malodorous breath. 

Treatment consists of removing the mass and the tissue of origin. 

Related Keywords:

Equine laser treatment, ethmoid hematoma, mass ablation

Medical device:

Gbox15w 810nm

Operation power: 10-15w

Mode: CW

Accessories:

400um fiber, endoscope

Operation procedure:

1.      Diagnosis. Definitive diagnosis can be made with a biopsy and a tentative diagnosis can be made using upper airway endoscopy.

2.      Anesthesia. General anesthesia for sinus bone flap.

3.      Connect the handpiece with device, starting device and setting parameters.

4.      Under the help of trephine hole, make the endoscope and laser advanced to reach aspects of a mass inaccessible via the nasal passage.

5.      Wearing laser safety goggle, ablating the mass. Positioning the tip of the optical fiber 5 to 10 mm from the lesion and using laser energy to coagulation it.

6.      Packing of the nasal cavity after resection is recommended

7.      In some cases, the treatment may be need done many times. A 7-day interval is recommended between treatments.

Advantage:

Increased accuracy of lesion excision reduced surgical morbidity and convalescent time, and improved overall outcome of treatment

Notice:

* Please keep the horse standing and sedated during the operation.

* Horses should be rested for 30 days after the treatment and slowly reintroduced to previous exercise.

* Perioperative antibiotics and NSAID therapy is recommended