If the response to irrigation is poor or if the purulent material becomes inspissated, surgical drainage of the guttural pouch should be considered. An hyovertebrotomy incision combined with ventral drainage through Viborg’s triangle or a modified Whitehouse incision are the approaches of choice. | If the response to irrigation is poor or if the purulent material becomes inspissated, surgical drainage of the guttural pouch should be considered. An hyovertebrotomy incision combined with ventral drainage through Viborg’s triangle or a modified Whitehouse incision are the approaches of choice. |