Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome.

Publisher: John Wiley & Sons Country of Publication: United States NLM ID: 8113214 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-950X (Electronic) Linking ISSN: 01613499 NLM ISO Abbreviation: Vet Surg Subsets: MEDLINE

Publication: Malden, MA : John Wiley & Sons
Original Publication: Philadelphia : Lippincott.

Dog Diseases*/surgery ; Airway Obstruction*/veterinary ; Craniosynostoses*/surgery ; Craniosynostoses*/veterinary ; Craniosynostoses*/complications ; Anesthetics*; Humans ; Dogs ; Animals ; Retrospective Studies ; Hospitals, Animal ; Hospitals, Teaching ; Syndrome ; Treatment Outcome

Objective: To compare the prevalence of pre-, intra-, and postoperative variables and complications associated with staphylectomy (S) and folded flap palatoplasty (FFP).
Study Design: Retrospective study.
Sample Population: Client-owned dogs (n = 124).
Methods: Medical records of S and FFP dogs from a veterinary teaching hospital were reviewed between July 2012 and December 2019. Signalment, clinical pre-, intra-, and postoperative data were collected and reviewed. Median (interquartile range) was reported.
Results: A total of 124 dogs among 14 breeds underwent surgical treatment for an elongated soft palate with either a S (n = 64) or FFP (60). FFP dogs without concurrent non-airway procedures were associated with longer duration of surgery (p = .02; n = 63; S, median = 51 min [34-85]; FFP, median = 75 min [56.25-94.5]) and anesthesia (p = .02; n = 63; S, median = 80 min [66-125]; FFP, median = 111 min [91-140.8]). Neither soft palate surgery was associated with the occurrence of anesthetic complications (p = .30; 99/120; S, 49; FFP, 50), postoperative regurgitation (p = .18; 27/124; S, 17; FFP, 10), or with hospitalization duration (p = .94; n = 124; S, median = 1 day [1]; FFP, median = 1 [1]). Postoperative aspiration pneumonia (9/124; S, 4; FFP, 5) and major complications were rare (5/124; S, 3; FFP, 2).
Conclusion: S and FFP had similar anesthetic and perioperative complications, although FFP dogs had longer anesthetic and operative times.
Clinical Significance: Although FFP took longer, no other clinically significant differences were appreciated between S and FFP procedures. Because of limitations inherent in study design, surgeons should continue to use clinical judgment when deciding on a procedure.
(© 2023 The American College of Veterinary Surgeons.)

Gruenheid M, Aarnes TK, McLoughlin MA, et al. Risk of anesthesia-related complications in brachycephalic dogs. J Am Vet Med Assoc. 2018;253(3):301-306.
De Lorenzi D, Bertoncello D, Drigo M. Bronchial abnormalities found in a consecutive series of 40 brachycephalic dogs. J Am Vet Med Assoc. 2009;235(7):835-840.
Liu NC, Sargan DR, Adams VJ, Ladlow JF. Characterisation of brachycephalic obstructive airway syndrome in French bulldogs using whole-body barometric plethysmography. PLoS One. 2015;10(6):e0130741.
Riecks TW, Birchard SJ, Stephens JA. Surgical correction of brachycephalic syndrome in dogs: 62 cases (1991-2004). J Am Vet Med Assoc. 2007;230(9):1324-1328.
Poncet CM, Dupre GP, Freiche VG, Estrada MM, Poubanne YA, Bouvy BM. Prevalence of gastrointestinal tract lesions in 73 brachycephalic dogs with upper respiratory syndrome. J Small Animal Pract. 2005;46(6):273-279.
Packer RMA, Hendricks A, Tivers MS, Burn CC. Impact of facial conformation on canine health: brachycephalic obstructive airway syndrome. PLoS One. 2015;10(10):1-21.
Torrez CV, Hunt GB. Results of surgical correction of abnormalities associated with brachycephalic airway obstruction syndrome in dogs in Australia. J Small Animal Pract. 2006;47(3):150-154.
Findji L, Dupré G. Folded flap palatoplasty for treatment of elongated soft palates in 55 dogs. Wien Tierarztl Monatsschr. 2008;95(3-4):56-63.
Poncet CM, Dupre GP, Freiche VG, Bouvy BM. Long-term results of upper respiratory syndrome surgery and gastrointestinal tract medical treatment in 51 brachycephalic dogs. J Small Animal Pract. 2006;47(3):137-142.
Darcy HP, Humm K, Ter Haar G. Retrospective analysis of incidence, clinical features, potential risk factors, and prognostic indicators for aspiration pneumonia in three brachycephalic dog breeds. J Am Vet Med Assoc. 2018;253(7):869-876.
Kaye BM, Rutherford L, Perridge DJ, Ter Haar G. Relationship between brachycephalic airway syndrome and gastrointestinal signs in three breeds of dog. J Small Animal Pract. 2018;59(11):670-673.
Hughes JR, Kaye BM, Beswick AR, Ter Haar G. Complications following laryngeal sacculectomy in brachycephalic dogs. J Small Animal Pract. 2018;59(1):16-21.
Liu NC, Oechtering GU, Adams VJ, Kalmar L, Sargan DR, Ladlow JF. Outcomes and prognostic factors of surgical treatments for brachycephalic obstructive airway syndrome in 3 breeds. Vet Surg. 2017;46(2):271-280.
Dupré G, Heidenreich D. Brachycephalic syndrome. Vet Clin North Am. 2016;46(4):691-707.
Hunt GB, O'Brien C, Kolenc G, Malik R. 2002: hiatal hernia in a puppy. Aust Vet J. 2002;80(11):685-686.
Hardie EM, Ramirez O, Clary EM, et al. Abnormalities of the thoracic bellows: stress fractures of the ribs and hiatal hernia. J Vet Internal Med. 1998;12(4):279-287.
Fasanella FJ, Shivley JM, Wardlaw JL, Givaruangsawat S. Brachycephalic airway obstructive syndrome in dogs: 90 cases (1991-2008). J Am Vet Med Assoc. 2010;237(9):1048-1051.
Harvey C. Upper airway obstruction surgery: 1, stenotic nares surgery in brachycephalic dogs. J Am Anim Hosp Assoc. 1982;18:535-537.
Harvey C. Upper airway obstruction surgery: 2, soft palate resection in brachycephalic dogs. J Am Anim Hosp Assoc. 1982;18:538-534.
Doyle CR, Aarnes TK, Ballash GA, et al. Anesthetic risk during subsequent anesthetic events in brachycephalic dogs that have undergone corrective airway surgery: 45 cases (2007-2019). J Am Vet Med Assoc. 2020;257(7):744-749.

0 (Anesthetics)

Date Created: 20230711 Date Completed: 20240101 Latest Revision: 20240101

20240102

10.1111/vsu.13994

37431947