My horse has just been diagnosed with palate displacement. How do I decide whether to send him for surgery or to try the collar?
A. The following is a summary of the pros and cons of each option: There are many surgeries for DDSP. The lowest cost surgical option is a standing strap muscle resection (cutting 2 muscles on each side of the underside of the neck). A more popular treatment in North America is the Llewellyn procedure, a procedure in the anesthetized horse in which one muscle on each side of the voice box is cut. The standing strap muscles resection has been around since ~1975 and the Llewellyn procedure since around ~ 1987. Thousand of horses have undergone these surgeries with very few complications except for the occasional incisional infection more common with strap muscle resection. The success rate for both procedures is approximately 60%. Horses can be jogging within a few days after surgery so both those surgeries have been good choices. The most recent surgery is the “laryngeal tie-forward” developed at Cornell University. This procedure has been in use since 2001 and has an effectiveness of 8
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