PMID- 28498552 OWN - NLM STAT- MEDLINE DCOM- 20171127 LR - 20181202 IS - 1532-950X (Electronic) IS - 0161-3499 (Linking) VI - 46 IP - 5 DP - 2017 Jul TI - Ex vivo biomechanical stability of 5 cricoid-suture constructs for equine laryngoplasty. PG - 705-713 LID - 10.1111/vsu.12671 [doi] AB - OBJECTIVE: To determine the biomechanical properties of 5 suture constructs in the equine cricoid under cyclic loading and load to failure testing. STUDY DESIGN: Ex vivo study. SAMPLES: Seventy-five equine cadaver larynges. METHODS: Each larynx was implanted with 1 of 5 cricoid-suture constructs. The standard laryngoplasty, where a suture is passed once through the cricoid, including its caudal edge, was used in 2 constructs: 1 with 5 USP Ethibond (ES) and 1 with 2 mm Fibertape (FS). In the third construct, the 2 mm Fibertape was passed twice through the cricoid including its caudal edge (Double Loop-DL). Constructs 4 and 5 used 2 mm Fibertape in a U-shaped loop passed through the cricoid but excluding its caudal edge. One construct was supported with a metallic button (MB) on the caudo-ventral aspect of the cricoid while the other included only the U-shaped loop (U). Constructs were subjected to cyclic loading and to single cycle to failure. Reduction of the left-to-right arytenoid angle quotient (LRQ), suture migration, and load at failure were compared. RESULTS: LRQ reduction after cyclic loading was lower in MB and U than ES constructs. During cyclic loading, suture migration was reduced in MB, U, and DL compared to ES constructs. Mean load at failure was lower in FS and U than in ES constructs. CONCLUSION: Loss of abduction after equine laryngoplasty may be reduced and pullout forces increased by applying a MB construct in the cricoid cartilage. In vivo testing is required to verify these results. CI - (c) 2017 The American College of Veterinary Surgeons. FAU - Brandenberger, Olivier AU - Brandenberger O AD - Clinique Veterinaire de Grosbois, Boissy St. Leger, France. AD - Hanseklinik fur Pferde, Sittensen, Germany. FAU - Rossignol, Fabrice AU - Rossignol F AD - Clinique Veterinaire de Grosbois, Boissy St. Leger, France. FAU - Perkins, Justin D AU - Perkins JD AD - Department of Veterinary Clinical Sciences, Royal Veterinary College, North Mymms, United Kingdom. FAU - Lechartier, Antoine AU - Lechartier A AD - Clinique Equine Meheudin, Echouche, France. FAU - Mespoulhes-Riviere, Celine AU - Mespoulhes-Riviere C AD - Universite Paris-Est, Ecole Veterinaire d'Alfort, Clinique Equine, Maisons-Alfort, France. FAU - Vitte, Amelie AU - Vitte A FAU - Rossignol, Anthony AU - Rossignol A AD - Clinique Veterinaire de Grosbois, Boissy St. Leger, France. FAU - Ducharme, Norm AU - Ducharme N AD - Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York. FAU - Boening, Karl Joseph AU - Boening KJ AD - August Winkhausstr. 62, Telgte, Germany. LA - eng PT - Journal Article DEP - 20170512 PL - United States TA - Vet Surg JT - Veterinary surgery : VS JID - 8113214 SB - IM MH - Animals MH - Arytenoid Cartilage/*surgery MH - Biomechanical Phenomena MH - Cadaver MH - Cricoid Cartilage/*surgery MH - Horses MH - Laryngoplasty/methods/*veterinary MH - Prostheses and Implants/*veterinary MH - Suture Techniques/*veterinary MH - Sutures/veterinary EDAT- 2017/05/13 06:00 MHDA- 2017/11/29 06:00 CRDT- 2017/05/13 06:00 PHST- 2015/11/12 00:00 [received] PHST- 2017/02/13 00:00 [accepted] PHST- 2017/05/13 06:00 [pubmed] PHST- 2017/11/29 06:00 [medline] PHST- 2017/05/13 06:00 [entrez] AID - 10.1111/vsu.12671 [doi] PST - ppublish SO - Vet Surg. 2017 Jul;46(5):705-713. doi: 10.1111/vsu.12671. Epub 2017 May 12.