Long-term outcome of permanent tracheostomy in 15 dogs with severe laryngeal collapse secondary to brachycephalic airway obstructive syndrome.
Vet Surg
; 47(5): 648-653, 2018 Jul.
Article
en En
| MEDLINE
| ID: mdl-29893060
ABSTRACT
OBJECTIVE:
To report the long-term outcome of permanent tracheostomy for the management of severe laryngeal collapse secondary to brachycephalic airway obstructive syndrome. STUDYDESIGN:
Retrospective case series. ANIMALS Fifteen brachycephalic dogs with severe laryngeal collapse treated with permanent tracheostomy.METHODS:
Follow-up data were obtained from medical records or via telephone conversation with the owners. The Kaplan-Meier estimator was used to calculate median survival time. Death was classified as related or unrelated to tracheostomy surgery. Complications were classified as major when they were life-threatening or required revision surgery. Owners were asked to classify the postoperative quality of life as improved, unchanged, or worse and the management of the stoma as simple or demanding.RESULTS:
The median survival time was 100 days. Major complications were diagnosed in 12 of 15 (80%) dogs, resulting in death in 8 (median survival time 15 days) and revision surgery in 4 dogs. Seven of 15 (47%) dogs died of unrelated causes or were alive at the end of the study (median survival time 1982 days). The postoperative quality of life of 9 dogs was judged as markedly improved. Stoma management was defined as simple in 8 dogs and demanding in 4.CONCLUSION:
Permanent tracheostomy was associated with a high risk of complications and postoperative death in brachycephalic dogs. However, long-term survival (exceeding 5 years) with a good quality of life was documented in 5 of 15 dogs. CLINICALSIGNIFICANCE:
Permanent tracheostomy is a suitable salvage option in brachycephalic dogs with severe laryngeal collapse that did not improve following more conservative surgeries.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Enfermedades de la Laringe
/
Obstrucción de las Vías Aéreas
/
Enfermedades de los Perros
/
Cavidad Nasal
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Animals
País como asunto:
Europa
Idioma:
En
Año:
2018
Tipo del documento:
Article