缝线外生性是一种有趣且并不少见的病理,必须包括在头部肿胀的马的鉴别诊断中。尽管已经发表了一些单例病例报告,没有大型案例系列可用。这项研究的目的是报告多中心回顾性收集的缝线外生症病例。回顾性收集了有关面部区域缝合性外生性马的数据。关于品种的信息,年龄,性别,历史,影像学发现,开始治疗,记录对治疗和随访的反应。报告了105例各种品种的病例。分析显示,这些病例可以分为四个实体:45例鼻窦手术后发展,23创伤后,7例伴有鼻窦病理,25例特发性。治疗包括去除隔离物,钢板固定,抗菌和抗炎药或不治疗。而最初的局部疼痛在几天或几周内消失,在大多数情况下,在3个月至1.5年后获得了肿胀的消退或减轻。缝线外生体的病因似乎由不同的实体组成。确定根本原因,特别是骨隔离和感染的存在对于加速解决和在特发性病例结束之前很重要.执行正弦曲线切开术时,重要的是,为手术部位提供尽可能少的创伤,以防止缝合外生骨增生作为并发症.
Suture exostosis is an intriguing and not uncommon pathology that has to be included in the differential diagnosis for horses with swelling of the head. Although several singular case reports have been published, no large case series is available. The aim of this study is to report a multicentric retrospective collection of suture exostosis cases. Data concerning horses with suture exostosis in the facial region were collected retrospectively. Information regarding breed, age, gender, history, imaging findings, initiated treatment, response to treatment and follow up was recorded. One hundred and five cases of various breeds were reported. Analysis revealed the cases could be grouped into four entities: 45 developed following sino-nasal surgery, 23 following trauma, seven with underlying sinus pathology and 25 idiopathic. Treatment consisted of
sequestra removal, plate fixation, antimicrobial and anti-inflammatory drugs or no treatment. Whereas initial localized pain fades within few days or weeks, resolution or reduction of the swelling was obtained in most cases after 3 months to 1.5 years. The etiopathogenesis of suture exostosis seems to consist of different entities. Identification of an underlying cause, particularly the presence of a bone sequester and infection is important to speed up resolution and before concluding an idiopathic case. When performing sinusotomies, it is important to provide as little trauma as possible to the surgical site in order to prevent suture exostosis as a complication.