A dorsal approach for the removal of the nasal septum in the horse.
Authors: Shoemaker Ryan W, Wilson David G, Fretz Peter B
Journal: Veterinary surgery : VS
Summary
# Editorial Summary Traumatic and pathological changes to the equine nasal septum—including deviation, thickening, and neoplastic growth—can significantly compromise airflow and athletic performance. Shoemaker and colleagues describe a dorsal nasal bone flap approach for partial septal resection, evaluating the technique retrospectively across four clinical cases where traditional approaches may have proved limiting. The procedure successfully achieved complete removal of abnormal septal tissue in all cases, with notably minimal haemorrhage requiring no blood transfusion, superior visualization of the surgical field, and immediate haemostatic control; all horses returned to their previous level of work without reported airway-related limitations. Cosmetic outcomes were consistently rated as good to excellent by owners, addressing a common concern with more invasive nasal procedures. For practitioners managing horses with septal pathology, the dorsal approach offers a valuable alternative that balances surgical efficacy with reduced morbidity and excellent functional and cosmetic recovery.
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Practical Takeaways
- •The dorsal approach provides superior visualization and hemostasis control compared to alternative nasal septum removal techniques—consider this method when septal resection is indicated
- •Horses recover cosmetically well and functionally return to work, making this a viable option for septal pathology causing airway obstruction
- •This technique minimizes complications and bleeding, reducing need for supportive care like transfusion in the recovery period
Key Findings
- •Dorsal nasal bone flap approach enabled complete nasal septum resection in all 4 horses with excellent surgical access and hemorrhage control
- •No blood transfusions were required and cosmetic results were rated good to excellent by owners
- •All horses returned to previous level of work without perceived airway function limitations