1887

Brachycephalic airway disease

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Abstract

Brachycephalic dogs, and persian and himalayan cats, frequently present with signs of upper airway obstruction as a result of an anatomical distortion of their faces caused by selective breeding. This chapter covers the diagnosis and treatment of three key problems: correction of stenotic nares and resection of aberrant turbinates, staphylectomy for elongated/overlong soft palate, and everted laryngeal saccules and laryngeal collapse. : Modified horizontal wedge resection of the nares; Staphylectomy (soft palate resection).

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Figures

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6.1 Lateral thoracic radiograph demonstrating a hypoplastic trachea in a 13-week-old Boston Terrier.
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6.2 (a) Transverse computed tomographic (CT) image of a 4-year-old English Bulldog with non-aerated bullae and bilateral tympanic bulla wall thickening. (b) Transverse CT image of a 2-year-old Pug with severe nasopharyngeal turbinate protrusion. (c) Sagittal CT image of the same animal as in (b).
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6.3 Throat examination in a 3-year-old French Bulldog demonstrating mild to moderate pharyngeal narrowing with mild dorsoventral flattening of the pharynx, mild protrusion of the tonsils, mild thickening of the base of the tongue, a moderate degree of pharyngeal oedema and a mildly elongated soft palate.
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6.4 Everted laryngeal saccules in a French Bulldog.
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6.5 Nasopharyngoscopic examination in a French Bulldog demonstrating protrusion of the turbinates into the nasopharynx bilaterally.
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6.6 Tracheoscopy in an English Bulldog demonstrating the relatively narrow diameter of the trachea and mild tracheal hypoplasia.
Image of Stenotic nares in a French Bulldog.
Stenotic nares in a French Bulldog. Stenotic nares in a French Bulldog.
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Image of The incision is started laterally.
The incision is started laterally. The incision is started laterally.
Image of Half of the palate has been cut with scissors.
Half of the palate has been cut with scissors. Half of the palate has been cut with scissors.
Image of Completed resection of the soft palate; minimal blood loss is visible.
Completed resection of the soft palate; minimal blood loss is visible. Completed resection of the soft palate; minimal blood loss is visible.
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