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The veterinarian's role in fitting the TSD device |
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| The TSD is a medical device and we believe that veterinarians
should be involved in the selection of appropriate patients as well as working
with trainers to ensure its proper fitting and use. The TSD can be used to
confirm the diagnosis of DDSP in suspect cases, as a primary treatment for DDSP,
or as adjunctive therapy in cases following surgery for DDSP. Please carefully review the "Instructions" section of this website, especially the video describing application of the TSD. Trainers will likely need assistance in identifying the basihyoid bone, a key landmark for proper fitting of the TSD and in understanding that the role of the TSD is to move the larynx forward. If desired, you may use an endoscope during initial fitting to ensure that the collar is properly adjusted and exerting its desired effect. The following video shows the expected rostrodorsal movement of the larynx as the Figure-8 component of TSD collar is alternately tightened and loosened. The larynx should remain in this rostrodorsal position when the TSD is placed and should remain in this position as the head is extended.
High speed connection (5.5 Mb) (Quicktime) |
References | |||
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Woodie JB, Ducharme NG, Hackett RP, Erb HN, Mitchell LM, Soderholm LV:
Can an external device prevent dorsal displacement of the soft palate during
strenuous exercise? Equine Vet J. 2005 Sep;37(5):425-9. Ducharme NG, Hackett RP, Woodie JB, Dykes N, Erb HN, Mitchell LM, Soderholm LV: Investigations into the role of the thyrohyoid muscles in the pathogenesis of dorsal displacement of the soft palate in horses. Equine Vet J. 2003 May;35(3):258-63. Woodie JB, Ducharme NG, Hackett RP, Erb HN, Mitchell LM, Soderholm LV. The effects of a laryngohyoid stabilizer on prevention of experimentally created dorsal displacement of the soft palate in exercising horses. (Abstract) Vet Surg 2003;32:500. |