Brachycephalic Airway Surgery

Abnormal conformation of the skull and soft tissues in brachycephalic breeds leads to devastating long-term health effects. Learn more about elective airway opening to improve quality air flow!

Brachycephalic Airway Surgery

Abnormal conformation of the skull and soft tissues in brachycephalic breeds leads to devastating long-term health effects. Learn more about elective airway opening to improve quality air flow!

Components of Disease

Stenotic or narrowed nares, elongated soft palate, and hypoplastic (small diameter) trachea are all parts of BCAS.  These changes cause an increase in negative pressure within the upper airway that can eventually lead to secondary changes within the airway such as everted laryngeal saccules, everted tonsils, and laryngeal and tracheal collapse.  

 

Clinical Signs

Loud turbulent noise while breathing and panting, increased respiratory effort, exercise intolerance, and, in severe cases, fatigue and collapse.

With difficulty breathing, pets are unable to cool themselves efficiently, making them prone to heat stress. Regurgitation, retching, gagging, and vomiting are also frequently noted.

 

Diagnosis

Oral airway evaluation under light sedation or general anesthesia is required for diagnosis. Chest radiographs are strongly recommended for evaluation of the tracheal size and any lung changes that can be present secondary to chronic airway obstruction. Evidence of pneumonia should be treated preoperatively to reduce the anesthetic risk and to aid in postoperative recovery.
 

Surgical Procedures

Consider surgery at an early age as an elective procedure, to potentially reduce the risk of post-operative complications and secondary airway changes.

Procedures can be done individually or in combination depending on what is needed for each individual pet.

After Surgery

Breathing rate and effort are very closely monitored immediately after surgery

Exercise should be restricted for 2 weeks while the surgical sites are healing. Please use a harness to leash walk pet outside.

An e-collar should be used for the first 2 weeks to prevent self trauma to the surgical sites near the nose.

Sutures are usually absorbable and don’t generally require removal. Any sutures remaining in place after 2 weeks can be removed by your veterinary team.

Complications & Risks

In extreme circumstances, ER care and placement of a temporary tube in the windpipe (tracheostomy) may be indicated.  

Medical Management

Medical management should always accompany surgical treatment.

 
 
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