Horse with cleft palate - any ideas/advice?

Ginn

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Posting on behalf of a friend so bare with me...

A good friend has just bought a lovely new horse, 9yo exracer who has been reschooled over the last few years as an alrounder/dressage horse. He was vetted prior to purchase and no respiratory problems were found.

Unfortunately, just before collecting him a family member passed away and she had to fly out to Canada for the funeral so only had him home for a few days. While she was away we noticed his food was coming out his nose, even bits of carrot fed from the hand.

When she returned she immediately got her vet out who scoped him and couldn't find the problem so referred him to Langford with a suspected abcess or cist on the epiglotis.

Langford did further investigations and diagnosed a cleft palate with the suggestion of careful management not surgury (as surgury carries far greater risk than colic surgury).

Now the difficult bit! This seems to be a very rare condition and friend is totally unsure how to manage it. So far she has discovered he is much better eating food at chest height, not off the ground but that is it. Horse is also underweight (probably due to not swallowing half of what he eats) but she has no idea what to feed him... obviously he needs hard feed and lots of decent forgage but what? She is wary of chaff for fear it will end up in his trachea and being quite a sharp horse doesn't want to shovel lots of cereals into him either. She hasn't been able to get hold of previous owners to find out what they did but is trying to track down his trainer to see if they have any ideas. Vets haven't been terribly helpful either except to say she'll have to experiment and see what works best for him.

Any ideas/advice very much appreciated.
 
I'm not a vet (I'm a human medic) so I can't help with most of this, but I will say that any condition that involves potential for aspiration of material also brings with it the possibility of pneumonia. Your friend needs to be very aware of this and keep an eye out if she goes down the management rather than treatment route. I'm sure she already know this or has been advised by the vet
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Sorry I can't be more help - hopefully someone else will have ideas.

Good luck to your friend.
 
I guess if he has got to 9 then he is coping somehow, although as you say he is thin.

How about contacting a few of the equine charities, like Redwings, as they may have had some experience of this problem?

I would suggest (though I have no experience so just guessing really) that a really good quality haylage might be good, as so often it is longer stalked than hay so fewer small bits to escape through the cleft.

I used to soak micronised barley rings for a horse with a tendency to get choke, and they form a really soft but cohesive lump once soaked, which this mare used to wolf down without hardly chewing at all (which was why she used to get choke with other food). Maybe worth a try.

Like the vets say then, trial and error. Good luck
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Pookie - Yes, risk of aspiration (that was the word I was looking for - its been a long week) and pneumonia are friends biggest concerns, hence looking for any advice regarding management of the condition. Sadly it is classified as a pre-existing condition (despite friend having no prior knowledge of it!) so he is not insured for treatment and the surgury carries an enormous risk, so much so she was told she'd be lucky to find a vet to do it.

Llewlyn - Totally agree that the fact he has made it to 9 means he is coping, its just finding ways to help him now and not interfer with his coping strategies. I also suspect it is one of the reasons he was a very unsucessful racehorse
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We have also noticed he makes quite a bit of noise when worked which I suspect is due to the CP but all friend wants is a nice person to hack and do some dressage with who will also act as a good companion for her older horse - he is a lovely person to be around too.

Will suggest mirconised, soaked barley rings - did you find them heating/effect temperment at all?
 
My Dales pony had it.

We didn't find out until she was five and after several pneumonias from the age of 6 months. The food would go into her lungs and cause the infection, but we didn't know that then. She had rotten copd because of it too.

She was scoped by my vet, who referred her to a guy at Newmarket. He came down and scoped her, said it was pretty bad and he was amazed she had lasted that long. Apparently most cleft palates are destroyed/die as foals. It's genetically linked too and it was interesting to look back and see that of her 8 full brothers and sisters, only two including her got as far as weaning
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He totally advised against surgery, in fact he wasn't willing to do it. He said just because you can have a go at something doesn't make it right.

The advice was to feed everything from the floor, to use a mouth closing noseband while doing any more than a walk or the vibration of the air would be uncomfortable for her, and that she should never do more than very light work. He suspected that complications would end her life significantly early.

I don't know if that advice is still current but the guy was the top of his field.

The pony was put down at the age of 8 due to various unmanageable chronic conditions.

Unfortunately she was never going to be long for this world
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Our shire has a hole in his pallet. when we got him we couldnt work out what the nasty smell was coming from his mouth. when you first trot him he will give a huge blow through his nostrils and a load of chewed grass comes flieing out, then he's fine. After owning him for about five months we found his previous owner (we bought him from a dealer) and she told us about the hole in the pallet, and said her vet would'nt opperate. We don't do anything special with him it does'nt effect his weight and he is now 22.
 
A couple of months ago there was an article in one of the horse magazines about this. I think it was Horse or Horse and Rider. It was interesting and had loads of info. I would have a look at any back numbers of the magazines you have.
 
[ QUOTE ]
A couple of months ago there was an article in one of the horse magazines about this. I think it was Horse or Horse and Rider. It was interesting and had loads of info. I would have a look at any back numbers of the magazines you have.

[/ QUOTE ]

Perhaps OP could email those titles to see if they remember it and can email/send a copy of article out?

I googled and found this scientify study on repairing cleft pallets:
http://www.ivis.org/proceedings/aaep/1998/Semevolo.pdf

Septemebr's horse magazine looks to have an article on a horse successfully competing with a cleft pallete:
http://www.horsemagazine.co.uk/pdf/contents_september_2009.pdf

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