Nasopharyngeal Cicatrix Syndrome in Horses

Nasopharyngeal Cicatrix Syndrome in Horses - Symptoms, Causes, Diagnosis, Treatment, Recovery, Management, Cost

Most common symptoms

Breathing Difficulty / Coughing / Increased Heart Rate / Nasal Discharge / Noisy Breathing

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Rated as moderate conditon

0 Veterinary Answers

Most common symptoms

Breathing Difficulty / Coughing / Increased Heart Rate / Nasal Discharge / Noisy Breathing

Nasopharyngeal Cicatrix Syndrome in Horses - Symptoms, Causes, Diagnosis, Treatment, Recovery, Management, Cost

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What is Nasopharyngeal Cicatrix Syndrome?

Nasopharyngeal cicatrix syndrome (NCS) is a respiratory condition in which a horse’s larynx (the tube-shaped organ that contains the vocal cords – sometimes called the voice box) and throat become inflamed and irritated due to unknown reasons. The cicatrix refers to a scar that has developed due to the formation of fibrous tissue within a wound. 

In instances of NCS, long-term inflammation thickens the airway by causing layers of scar tissue to form. Without treatment, this process will often continue until the horse is unable to breathe comfortably or entirely. In the case of a full airway blockage, a permanent tracheostomy (often called a tracheotomy) is warranted in order for the horse to breathe freely. The procedure, known as a tracheostomy, is when a surgical opening is created through the neck and into the trachea (windpipe), through which a breathing tube is inserted either permanently or temporarily. 

Veterinarians and horse owners attribute the cause of NCS to various factors. Since most horses are diagnosed with the condition during summer months, it’s reasonable to consider that seasonally-linked irritants such as pollen, insects, algae, mold or bacteria are at least partially responsible for some of the inflammatory response.

Nasopharyngeal cicatrix syndrome (NCS) carries aggravating symptoms such as coughing, nasal discharge, exercise intolerance, flared nostrils, increased heart rate and an extended head and neck. Some horses are labeled roarers because of their extra loud breathing. If a horse develops such symptoms, including noisy breathing, it is advisable to schedule a veterinary appointment to determine if the horse is suffering from a narrowed or constricted airway. 

One unresolved question is why this condition is mostly seen in horses living in Texas and the panhandle region of Florida. Veterinary specialists have been trying to determine why Northern horses present less with nasopharyngeal cicatrix syndrome, though these numbers may be slowly changing. One recent suggestion points toward environmental spraying programs that have been conducted in some states, but not in others. Aside from geography, risk factors that may cause some horses to develop NCS over others include age and exposure to pasture. For example, high pasture turnout greatly increases the likelihood of developing NCS, while a split between turnouts and stall-time appears to have no impact on the development of this condition.

Nasopharyngeal cicatrix syndrome (NCS) is a respiratory condition seen most often in horses living in south-central Texas and the panhandle area of Florida.

Nasopharyngeal Cicatrix Syndrome Average Cost

From 462 quotes ranging from $3,000 - $8,000

Average Cost

$5,000

Symptoms of Nasopharyngeal Cicatrix Syndrome in Horses

  • Coughing
  • Nasal discharge
  • Noisy breathing
  • Extending head and neck
  • Exercise intolerance
  • Flared nostrils
  • Increased heart rate
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Causes of Nasopharyngeal Cicatrix Syndrome in Horses

  • Unclear or undetermined
  • Environmental factors 
  • Irritants and allergies
  • Age
  • Location
  • High pasture turn-out
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Diagnosis of Nasopharyngeal Cicatrix Syndrome in Horses

The most effective way to diagnose NCS is by taking a close look at the structure of the horse’s throat. This can be done during a procedure called an endoscopy, which uses a camera to determine the existence of inflammation, scar tissue, structural aberrations, and lesions.

These changes may continue to develop and lead to loud or difficult breathing. Upper airway endoscopy is necessary to secure the diagnosis, but also to measure the thickness of the tissue. A biopsy may also be taken to check the health of the tissue.

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Treatment of Nasopharyngeal Cicatrix Syndrome in Horses

Surgical treatment may be the best way to make the horse more comfortable. One type of procedure may simply reduce scarring, but in more advanced cases of NCS, and if the airway is constricted enough to cause labored breathing, a tracheostomy may be warranted.

Other options are available, though results appear to be generally negligible. Success varies from horse to horse. Anti-inflammatories, throat sprays, corticosteroids, and other treatments are available through the veterinarian. Removing the horse from the current living environment may be helpful if environmental allergies were found to be causative.

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Recovery of Nasopharyngeal Cicatrix Syndrome in Horses

If your horse is diagnosed with NCS, please refer to the veterinarian for the best program for ongoing treatment and care. Some may have the condition resolved surgically, while others may rely on daily anti-inflammatory treatments to keep an open airway. Pay careful attention to any new respiratory sounds or unusual posturing such as a constant stretch or elongation of the neck.

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Nasopharyngeal Cicatrix Syndrome Average Cost

From 462 quotes ranging from $3,000 - $8,000

Average Cost

$5,000

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Nasopharyngeal Cicatrix Syndrome Questions and Advice from Veterinary Professionals

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Ask a Vet

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Isabelle

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Thoroughbred

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20 Years

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Serious severity

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0 found helpful

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Serious severity

Has Symptoms

Can'T Swallow
Swollen Throat

On 1/21/2020 my 20 year old mare was running hard in a pasture having a good time in the cool weather. She had one other horse with her. I took the other horse out of the pasture and since these two had really bonded my 20 year old mare continued to run in the pasture. I rode for about 45 minutes and upon my return there was still nothing unusual with the 20 year old mare. About an hour later I went to feed and she walked up to her tub and stopped. Still nothing out of the norm as far as breathing, no coughing, no nasal discharge. She did not eat her food instead started acting like she was chocking taking her tongue to the back of her like she was trying to get something stuck loose. She then started having mucus draining from her nose and began frothing from her mouth. Since she could still breathe I waited and did not appear to be in distress I waited until morning to take her to the vet. The vet immediately started trying to remove the choke and scoped her to see if there was anything lodged in her throat. She thought she had a small blockage and it was now cleared. My mare did not want to eat or drink so I left her at the vets. She was put on antibiotics and the drainage did decrease, but still no eating and very little drinking. On the second morning it was agreed that she needed to go to A&M. Once there she was diagnosed with a severe case of Nasopharyngeal Cicatrix Syndrome. She was scoped and placed on Antibiotics and required a temporary trach. She is still there and I have agreed to do a permanent trach. We will see how this works out.

Nasopharyngeal Cicatrix Syndrome Average Cost

From 462 quotes ranging from $3,000 - $8,000

Average Cost

$5,000

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