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
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.
- Nares Wedge Resection--to Open Nostrils
- Staphylectomy--to Trim the Elongated Tissue in the Back of the Throat
- Saccule Removal--to Open the Airway Near the Larynx
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
- Airway Swelling and Respiratory Distress
- Coughing
- Nasal Discharge
- Gagging & Regurgitation
- Voice Change
- Incisional Breakdown & Separation
- Fever
- General Anesthetic Risks
- Life-Threatening Cardiorespiratory Arrest
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.
- Environmental Changes (i.e. stress-free and kept in cool temperatures)
- Exercise Restriction during hot weather
- Avoidance of Neck Collar
- Maintenance of an Ideal Weight