Laryngeal Whistling

Laryngeal Whistling

Laryngeal whistling, also known as "roaring," is a respiratory condition in horses primarily caused by disrupted airflow in the laryngeal area. This condition is particularly noticeable in sport horses that undergo intense exertion and can lead to a significant impairment of performance.

Symptoms

The most prominent symptom of laryngeal whistling is an audible respiratory sound that occurs during breathing, particularly when exhaling. Other common signs include:

  • Whistling sound: 
    A distinct whistling or hoarse noise can be heard during breathing, especially under intense exertion or movement.
  • Decreased performance: 
    Affected horses may show reduced performance, becoming fatigued more quickly or displaying signs of breathlessness during work.
  • Coughing or mucus production: 
    In some cases, coughing or increased mucus production may occur if the larynx is irritated.
     
  • Breathlessness: 
    In very severe cases, particularly during intense training or competitions, breathlessness or altered respiratory rate may occur.
  • Weakness or reluctance to move: 
    The horse may appear less motivated or unwilling to move during physical exertion.
     

Causes

Laryngeal whistling is primarily caused by damage to the laryngeal muscles or narrowing of the airways. The most common causes include:

  • Laryngeal paralysis: 
    One of the most frequent causes of laryngeal whistling is unilateral paralysis of the laryngeal muscles, leading to partial blockage of airflow. This is often caused by damage to the recurrent laryngeal nerve, which controls the muscles of the larynx.
  • Airway constrictions:
    A mechanical narrowing of the airways in the larynx can also be the cause of the whistling sound.
  • Inflammations or infections: 
    Chronic inflammation or infections of the upper respiratory tract can irritate the larynx and vocal cords, leading to impaired breathing.
     
  • Genetic predisposition: 
    Certain breeds, particularly Thoroughbreds and sport horses, are more frequently affected by laryngeal whistling, as they may have a genetic predisposition to this condition.
  • Excessive exertion or training:
    Excessive physical strain or inadequate warm-up can exacerbate symptoms, especially in horses with a pre-existing predisposition to laryngeal whistling.

Diagnose

The diagnosis of laryngeal whistling typically requires a thorough examination by a veterinarian who employs various diagnostic methods. Initially, the veterinarian will closely observe the horse to document symptoms and make an initial assessment. One of the most important diagnostic methods is endoscopy (laryngoscopy), where a flexible endoscope is inserted into the horse's throat to assess the mobility of the larynx and the structure of the airways. 
In some cases, ultrasound examinations or other imaging techniques may be used to identify possible anatomical abnormalities of the airways. Additionally, the veterinarian may conduct respiratory tests under exertion to determine how the horse responds to physical activity. During intense movement, the horse is monitored to see how the airways behave under strain, utilizing overground endoscopy. These examinations help the veterinarian make an accurate diagnosis and plan appropriate treatment.
 

Treatment

The treatment of laryngeal whistling in horses depends on the severity of the condition and the underlying cause. Common treatment options include surgical interventions, medication, adjustments to the training regimen, and avoidance of risk factors.
In cases of unilateral laryngeal paralysis, surgery may be considered to stabilize the affected muscles. A common procedure is the "tie-back" surgery, where the larynx is fixed in an open position to keep the airways open and prevent whistling while ensuring adequate airflow.
In some cases, anti-inflammatory medications or other drugs may be used to reduce inflammation and soothe the airways. This helps alleviate symptoms and improve the horse's well-being.
For horses experiencing laryngeal whistling due to overexertion or inadequate warm-up, adjusting the training plan may be beneficial. A gradual increase in training intensity, along with sufficient warm-up and cool-down periods, can help minimize risk and alleviate symptoms.