Progressive Ethmoid Haemotoma

[Maclinda]

Has anyone had a horse with a progressive Ethmoid Haemotoma and what was the outcome? My mare has had a small nosebleed pretty consistently for a number of months. Because of lockdown I had a video call consultation and at first we thought it was just a trauma (perhaps a kick in the field or something). Gave it some time but she was still getting nosebleeds. She was scoped about 6 weeks ago and vet discovered a haemotoma in between the nasal and sinus cavity. She has had a course of steroids to reduce any inflammation and has now been treated with a formalin injection. That was three weeks ago and she got scoped a few days ago. The haemotoma has reduced greatly to about a quarter of the size it was previously.
The thing is her nose is still bleeding. My vet has decided to leave it for six weeks to see if it settles before doing anything more but just wondering if anyone has had any experience with this and success stories.

TIA

 

[jenniehodges2001]

Has anyone had a horse with a progressive Ethmoid Haemotoma and what was the outcome? My mare has had a small nosebleed pretty consistently for a number of months. Because of lockdown I had a video call consultation and at first we thought it was just a trauma (perhaps a kick in the field or something). Gave it some time but she was still getting nosebleeds. She was scoped about 6 weeks ago and vet discovered a haemotoma in between the nasal and sinus cavity. She has had a course of steroids to reduce any inflammation and has now been treated with a formalin injection. That was three weeks ago and she got scoped a few days ago. The haemotoma has reduced greatly to about a quarter of the size it was previously.
The thing is her nose is still bleeding. My vet has decided to leave it for six weeks to see if it settles before doing anything more but just wondering if anyone has had any experience with this and success stories.

TIA

I know someone who had a mare with this and they removed the lesion surgically under standing local anaesthetic and sedation.
It believe it can return in some 20% of cases but it didn't with hers and she made a quick recovery. Its a bit gruesome but works well.

Its meant to be safer with the patient sedated but standing as there are greater risks with both bleeding and coming round from anaethetic if its done under a GA.

 

[SussexbytheXmasTree]

My friends elderly Shetland had one. Sadly he was initially mis-diagnosed as having an inoperable tumour. When a second vet looked at it much later and recognised it it was too late to treat. He used to bleed periodically quite significantly but was very chirpy and opinionated as always and then for months he would be totally ok with no bleeding at all. He lived around 4 years after initial diagnosis at was pts at 34 yrs. He was also cushinoid.