Veterinary Research Communications, 27 Suppl. 1 (2003) 749–753
© 2003 Kluwer Academic Publishers. Printed in the Netherlands
Endoscopic Examination of Equine Upper Respiratory Tract by
Computed Image Analysis
D. Fava, G. Bitelli*, M. Cappi, A. Diana, M. Pietra and S. Cinotti
Department of Veterinary Clinical Science (Section of Internal Medicine), Faculty of
Veterinary Medicine, *D.I.S.T.A.R.T. Faculty of Engineering, University of Bologna,
40064 Ozzano dell’Emilia(BO), Italy
*Correspondence: Dipartimento Clinico Veterinario, Universita ` degli Studi di Bologna,
Via Tolara di Sopra 50, 40064, Ozzano dell’Emilia (BO), Italy
E-mail: mpietra@vet.unibo.it
Keywords: computed assisted image analysis, endoscopy, horse, larynx, pharynx
INTRODUCTION
Upper respiratory airway endoscopy of horses at rest is the most reliable diagnostic
tool to evaluate pharynx and larynx morphological and functional alterations.
Unfortunately this examination doesn’t elicit the correct evaluation of dysfunctions
appearing during physical activity (Ducharme, 1998; Kastner et al., 1998). The sensi-
tivity of this technique can be increased by dynamic examination during treadmill
exercise, by using specific arytenoids stimulation and, in addition, by increasing
the pharyngeal inspiratory negative pressure (Slap Test, Lobelina administration,
rebreathing technique) (Stick, 1998). A major obstacle to diagnosis is the difficulty in
comparing images of different breathing phases from the same horse. A study per-
formed by Lafortuna and colleagues (1999) showed the possibility of post processing
the endoscopic images through the use of algorithms that are able to correct the
optical distortion of the laryngoscope image. The aim of the present study is to
compare pharyngeal and laryngeal endoscopic images obtained in horses at rest and
after laryngeal stress using different techniques and a computed image correction
method.
MATERIALS AND METHODS
Ten healthy horses of different breeds, five males and five females, weighing between
400 and 500 kg, were examined. The endoscopic images were obtained using a Pentax
EG290P videoendoscope after the intravenous administration of detomidine
(0.01 mg/ kg); in one horse the exam was repeated without tranquillization to evaluate
the influence of the drug on pharyngeal and laryngeal motility. The endoscopic tube
was placed in the rhinopharynx to focus the larynx perpendicularly. The distance
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