Endoscopic evaluation of the feline tympanic bulla is feasible for detection of epithelial remnants following ventral bulla osteotomy in a cadaveric model.

IF 1.4 3区 农林科学 Q2 VETERINARY SCIENCES American journal of veterinary research Pub Date : 2025-01-22 Print Date: 2025-03-01 DOI:10.2460/ajvr.24.11.0331
Rachel W Williams, Penny J Regier, Nirali Pathak, Francesca P Solari, Kathleen M Ham, Judith Bertran, J Brad Case
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Abstract

Objective: To evaluate endoscopy for detection of epithelial remnants within the feline tympanic bulla following ventral bulla osteotomy (VBO) and to report the most likely locations within the bulla for epithelial remnants to occur.

Methods: This was a single-center experimental cadaveric study. 10 VBO procedures were performed by 5 board-certified surgeons in 5 feline cadavers. Following completion, a 1.9-mm, 30° rigid endoscope was inserted into the rostral, caudal, dorsal, lateral, and medial section, and images were acquired. A blinded observer evaluated the endoscopic images for epithelial remnants, and the percentage of the section containing epithelial remnants was measured. The mean and SD of distribution of epithelial remnants were calculated for each section.

Results: Remnant epithelium was noted in at least 1 section in each cadaver. The dorsal section was the most common to have epithelial remnants identified (10 of 10), whereas the lateral (5 of 10) and medial (5 of 10) were the least common. The lateral section contained the most epithelial remnants (6.9 ± 11.42%), whereas the caudal section contained the least (1.2 ± 1.42%).

Conclusions: The use of a 1.9-mm, 30° endoscope was feasible for evaluation and identification of epithelial remnants in a feline tympanic bulla following VBO. Epithelial remnants were consistently identified in all sections with endoscopic assistance.

Clinical relevance: Endoscopy following completion of a VBO may be considered to ensure complete removal of epithelium.

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在尸体模型中,猫鼓室的内镜评估对于腹侧大泡截骨后上皮残留物的检测是可行的。
目的:评价腹侧大泡截骨术(VBO)后内窥镜检查鼓膜内上皮残余的效果,并报告鼓膜内最可能出现上皮残余的部位。方法:本研究为单中心尸体实验研究。5名委员会认证的外科医生对5具猫尸体进行了10次VBO手术。完成后,将1.9 mm, 30°刚性内窥镜插入吻侧,尾侧,背侧,外侧和内侧切片,并获取图像。盲法观察者评估内镜图像的上皮残留物,并测量含有上皮残留物的切片的百分比。计算每个切片上皮残体分布的均值和标准差。结果:每具尸体至少1个切片可见残余上皮。背侧部分最常发现上皮残余(10个中的10个),而外侧部分(10个中的5个)和内侧部分(10个中的5个)最不常见。外侧部分上皮残留最多(6.9±11.42%),尾侧部分最少(1.2±1.42%)。结论:使用1.9 mm、30°内窥镜评估和鉴定VBO后猫鼓室残余上皮是可行的。在内镜协助下,所有切片一致发现上皮残留物。临床意义:VBO完成后可考虑内窥镜检查,以确保上皮完全切除。
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来源期刊
CiteScore
1.70
自引率
10.00%
发文量
186
审稿时长
3 months
期刊介绍: The American Journal of Veterinary Research supports the collaborative exchange of information between researchers and clinicians by publishing novel research findings that bridge the gulf between basic research and clinical practice or that help to translate laboratory research and preclinical studies to the development of clinical trials and clinical practice. The journal welcomes submission of high-quality original studies and review articles in a wide range of scientific fields, including anatomy, anesthesiology, animal welfare, behavior, epidemiology, genetics, heredity, infectious disease, molecular biology, oncology, pharmacology, pathogenic mechanisms, physiology, surgery, theriogenology, toxicology, and vaccinology. Species of interest include production animals, companion animals, equids, exotic animals, birds, reptiles, and wild and marine animals. Reports of laboratory animal studies and studies involving the use of animals as experimental models of human diseases are considered only when the study results are of demonstrable benefit to the species used in the research or to another species of veterinary interest. Other fields of interest or animals species are not necessarily excluded from consideration, but such reports must focus on novel research findings. Submitted papers must make an original and substantial contribution to the veterinary medicine knowledge base; preliminary studies are not appropriate.
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