A Novel Approach to Brachycephalic Syndrome. 2. Laser-Assisted Turbinectomy (LATE).
Vet Surg
; 45(2): 173-81, 2016 Feb.
Article
em En
| MEDLINE
| ID: mdl-26790634
ABSTRACT
OBJECTIVE:
To introduce a new surgical procedure based on interventional, laser-assisted removal of obstructing turbinate tissue to improve endonasal airway patency in brachycephalic dogs and to confirm the short and long term results using computed tomography (CT) and rhinoscopy. STUDYDESIGN:
Prospective clinical study. ANIMALS Brachycephalic dogs (n = 158; 70 Pugs, 77 French Bulldogs, 11 English Bulldogs) referred for treatment of severe respiratory distress because of brachycephalic syndrome.METHODS:
Computed tomography and anterior and posterior rhinoscopy were performed to evaluate endonasal obstruction. Laser-assisted turbinectomy (LATE) using a diode laser was performed as part of a multilevel surgery. Nasal conchae that were causing airway obstruction were removed.RESULTS:
The obstructing parts of the conchae were safely and efficiently removed by LATE, shaping a patent nasal airway in all dogs. The newly developed surgical procedure involved 3steps:
turbinectomy of the (1) concha nasalis ventralis; (2) rostral aberrantly growing turbinates (RAT); and (3) caudal aberrantly growing turbinates (CAT). Complications of the procedure included transient intraoperative hemorrhage in 51 of 158 dogs (32.3%); however, a temporary tamponade was necessary in only 2/158 dogs (1.3%). After 6 months, regrowth of turbinates required resection of possibly re-obstructing tissue in 25/158 dogs (15.8%; 1 Pug and 24 French Bulldogs).CONCLUSION:
LATE is an effective method for creating a patent nasal airway in brachycephalic dogs with intranasal obstruction.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Conchas Nasais
/
Obstrução Nasal
/
Craniossinostoses
/
Doenças do Cão
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Animals
Idioma:
En
Revista:
Vet Surg
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Alemanha