Details

Autor(en) / Beteiligte

• Tivers, Mickey
• Leece, Elizabeth
• O’Neill, Dan G.
• Packer, Rowena M.A.

Titel

Brachycephalic Obstructive Airway Syndrome – Surgical Management and Postoperative Management

Ist Teil von

• Health and Welfare of Brachycephalic (Flat-Faced) Companion Animals, 2022, p.177-200

Auflage

1

Ort / Verlag

United Kingdom: CRC Press

Erscheinungsjahr

2022

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Surgical management of brachycephalic obstructive airway syndrome (BOAS) is performed to reduce obstruction of the airway in order to improve the dog’s function and quality of life. Surgical correction, with shortening of the soft palate and widening of the nostrils, has been performed for over 70 years. More recently, our understanding of BOAS has improved enormously, particularly with advanced imaging providing more information on the less obvious components, such as intranasal obstruction. Concurrently, due to the rise in popularity of these breeds, the veterinary profession has also been faced with a dramatic increase in the number of affected dogs and subjectively an increased severity of disease. Together, these factors have prompted the development of new techniques and the refinement of existing treatments in order to improve surgical effectiveness and hence outcomes. It is likely that more effective surgery in terms of removing more obstructing tissue will have a greater improvement in airway function and recent evidence does support this concept. However, there remains limited information on the comparative efficacy of each individual technique. This chapter will explore up-to-date knowledge on surgical methods used to treat BOAS in dogs, with an emphasis on the success of different techniques and the evidence base available. This chapter explores up-to-date knowledge on surgical methods used to treat brachycephalic obstructive airway syndrome (BOAS) in dogs, with an emphasis on the success of different techniques and the evidence base available. Surgical management of brachycephalic obstructive airway syndrome BOAS is performed to reduce obstruction of the airway in order to improve the dog's function and quality of life. Surgical management strategies for dogs with severe laryngeal collapse are limited but include partial laryngectomy, cuneiformectomy, arytenoid lateralisation and permanent tracheostomy. However, the authors consider that this should be considered a salvage procedure, and it is reserved for dogs that fail standard surgery and tie-back or for those that are tracheostomy dependent. A significant proportion of dogs with BOAS have concurrent gastro-oesophageal issues. Regurgitation is the most common and obvious sign, but dogs can also suffer hypersalivation, gagging, retching and vomiting.