Guttural pouches are large, auditory-tube diverticula that contain between 300 and 600 ml of air. They are present in odd-toed mammals, some bats, hyraxes, and the American forest mouse. They are paired bilaterally just below the ears, behind the skull and connect to the nasopharynx.[1]
Due to the general inaccessibility of the pouches in horses, they can be an area of infection by fungi and bacteria, and these infections can be extremely severe and hard to treat. The condition guttural pouch tympany affects several breeds, including the Arabian horse. The condition predisposes young horses to infection, often including severe swelling and often requires surgery to correct. The guttural pouch is also the site of infection in equine strangles.[1]