Review Article: Surgical management of recurrent laryngeal neuropathy

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Review Article
Surgical management of recurrent laryngeal neuropathy (Equine)
P. Cramp* and S. Z. Barakzai†

Recurrent laryngeal neuropathy (RLN, laryngeal
hemiplegia, laryngeal paralysis, ‘roaring’) is common in
the equine industry with a prevalence ranging from
2.6–11% in light breeds (Raphel 1982; Lane 1987; Morris and
Seeherman 1990) up to 38% in draught breeds (Brakenhoff
et al. 2006; Perkins et al. 2009). There are a number of
different surgical treatments currently available and more
being developed. This article aims to discuss factors
affecting choice of treatment and then provide an
evidence-based approach to describe surgical
approaches, success rates and morbidity. Specific details
of surgical methods are not given as they are readily
available in surgical textbooks (Stick 2006; McGorum et al.
2007).

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