A novel approach to brachycephalic syndrome. 3. Isolated laser‐assisted turbinectomy of caudal aberrant turbinates (CAT LATE)

Schuenemann, Riccarda; Pohl, Sabine; Oechtering, Gerhard

doi:10.1111/vsu.12587

Cited by 10 publications

(14 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Caudal aberrant turbinates did not have contact points with the surrounding wall in some cases (Supporting Information Figure 2). One study proposed the feasibility of LATE solely for the CAT, in which only the CAT was removed, leaving the nonobstructing ventral nasal conchae intact . However, it is unclear whether CAT truly cause obstruction or are a compensational extension into the relatively wider space of nasal cavity.…”

Section: Discussionmentioning

confidence: 99%

Objective effectiveness of and indications for laser‐assisted turbinectomy in brachycephalic obstructive airway syndrome

et al. 2018

View full text Add to dashboard Cite

Objective: To evaluate the effectiveness of laser-assisted turbinectomy (LATE) in treating brachycephalic obstructive airway syndrome (BOAS) and to investigate the potential indications. Study design: Prospective clinical study. Sample population: Client-owned pugs, French bulldogs, and English bulldogs (n = 57). Methods: A BOAS index was obtained from whole-body barometric plethysmography before BOAS conventional multilevel surgery (CMS) and 2-6 months post-CMS. Dogs with BOAS index >50% and BOAS functional grades II-III after CMS were considered candidates for LATE. A BOAS index was repeated 2-6 months after LATE. Intranasal lesions and a measurement of soft tissue proportion at the rostral entrance of choanae (STC) were recorded on the basis of computed tomography images. Logistic regressions were used to assess the intranasal predictors for being LATE candidates. Results: Twenty-nine of 57 dogs were candidates for LATE, all of which were pugs or French bulldogs. The median BOAS index of dogs that were operated on (20/29 candidates) decreased from 67% post-CMS to 42% after LATE (P < .001). Soft tissue proportion at the rostral entrance of choanae was the only predictor for candidacy for LATE. Pugs (P = .021; cutoff = 64%) and French bulldogs (P = .008; cutoff = 55%) with higher STC were more likely to be candidates for LATE. After LATE, 12 of 20 dogs had temporary episodes of reverse sneezing, and nasal noise was noted in 8 of 20 dogs when sniffing and excited. Conclusion: Laser-assisted turbinectomy was an effective treatment for dogs with intranasal abnormalities and a poor response to CMS. Soft tissue proportion at the rostral entrance of choanae was a predictor of candidacy for LATE in pugs and French bulldogs. Clinical significance: Computed tomography-based measurement of STC can be used to predict whether LATE is required in addition to CMS in pugs and French bulldogs with BOAS.

show abstract

Section: Discussionmentioning

confidence: 99%

Objective effectiveness of and indications for laser‐assisted turbinectomy in brachycephalic obstructive airway syndrome

et al. 2018

View full text Add to dashboard Cite

show abstract

“…In group 3c, dogs with brachycephalic obstructive airway syndrome (BOAS) and other causes of upper airway obstruction that have been less clearly documented to cause PH, early recognition and medical or surgical management is recommended. In BOAS, the upper airway obstruction components that can be surgically corrected (eg, elongated soft palate, stenotic nares, aberrant rostral and caudal turbinates, everted saccules) should be surgically treated early in life to minimize the progression of clinical signs and avoid possible development of PH . Although the link to development of PH is unclear, concurrent management of alimentary tract disease contributing to respiratory disease is prudent, even in the absence of overt dysphagia, vomiting, and regurgitation …”

Section: Treatmentmentioning

confidence: 99%

ACVIM consensus statement guidelines for the diagnosis, classification, treatment, and monitoring of pulmonary hypertension in dogs

Reinero

Visser

Kellihan

et al. 2020

Veterinary Internal Medicne

184

383

View full text Add to dashboard Cite

Pulmonary hypertension (PH), defined by increased pressure within the pulmonary vasculature, is a hemodynamic and pathophysiologic state present in a wide variety of cardiovascular, respiratory, and systemic diseases. The purpose of this consensus statement is to provide a multidisciplinary approach to guidelines for the diagnosis, classification, treatment, and monitoring of PH in dogs. Comprehensive evaluation including consideration of signalment, clinical signs, echocardiographic parameters, and results of other diagnostic tests supports the diagnosis of PH and allows identification of associated underlying conditions. Dogs with PH can be classified into the following 6 groups: group 1, pulmonary arterial hypertension; group 2, left heart disease; group 3, respiratory disease/hypoxia; group 4, pulmonary emboli/pulmonary thrombi/pulmonary thromboemboli; group 5, parasitic disease (Dirofilaria and Angiostrongylus); and group 6, disorders that are multifactorial or with unclear mechanisms. The approach to treatment of PH focuses on strategies to decrease the risk of progression, complications, or both, recommendations to target underlying diseases or factors contributing to PH, and PH‐specific treatments. Dogs with PH should be monitored for improvement, static condition, or progression, and any identified underlying disorder should be addressed and monitored simultaneously.

show abstract

“…A presença desses cornetos que crescem com uma configuração aberrante e malformada está relacionada ao desenvolvimento dos tecidos moles de uma cavidade nasal reduzida seletivamente em decorrência do encurtamento craniano encontrado nas raças braquicefálicas. Esses cornetos aberrantes podem ocupar o meato da nasofaringe limitando ainda mais a passagem de ar na região (SCHUENEMANN et al, 2016).…”

Section: Anormalidades Primáriasunclassified

“…Para correção das conchas nasais malformadas, pode ser empregada a técnica de turbinectomia assistida a laser diodo guiada por um rinoscópio (SCHUENEMANN; OECHTERING, 2016). Apresenta vantagem de ser uma técnica minimamente invasiva e permite a ressecção dos cornetos nasais aberrantes rostral e caudal (OECHTERING el al., 2016), demonstrado bons resultados ao melhorar o fluxo de ar intranasal (SCHUENEMANN et al, 2016;LIU et al, 2018). A cirurgia só é indicada se os cornetos hipertrofiados estiverem causando pontos de contato entre as mucosas e obstrução da via aérea (SCHUENEMANN et al, 2016).…”

Section: Anormalidades Primáriasunclassified

“…Apresenta vantagem de ser uma técnica minimamente invasiva e permite a ressecção dos cornetos nasais aberrantes rostral e caudal (OECHTERING el al., 2016), demonstrado bons resultados ao melhorar o fluxo de ar intranasal (SCHUENEMANN et al, 2016;LIU et al, 2018). A cirurgia só é indicada se os cornetos hipertrofiados estiverem causando pontos de contato entre as mucosas e obstrução da via aérea (SCHUENEMANN et al, 2016). Tonsilectomia é o nome dado à técnica cirúrgica para remoção das tonsilas palatinas alteradas (LODATO; MAUTERER, 2014).…”

Section: Anormalidades Primáriasunclassified

See 1 more Smart Citation

Anormalidades Anatômicas Das Vias Respiratórias Do Braquicéfalo E Suas Principais Técnicas De Correção Cirúrgica

Silva¹,

Paraguassú²,

Barbosa³

et al. 2019

Enci Bio

View full text Add to dashboard Cite

Artificial selective breeding of man-induced breeds of dogs and cats has had major impacts mainly on the welfare of these animals. Although it spawned a wide variety of breeds, the modifications made in their anatomical structures inevitably entailed physiological and behavioral changes in some canine and feline breeds, bringing great consequences to them. By interfering in the anatomical conformation of the skull bones of dogs and cats by modifying the shape and size of the head, there is a narrowing of the airways, making it difficult to pass air. Consequently, respiratory disorders affected the animals with short snout causing the Brachycephalic Airway Obstruction Syndrome (Brachycephalic Obstructive Airway Syndrome-BOAS) or Brachycephalic Syndrome. This syndrome is characterized mainly by disorders of the airways, which lead to the obstruction of the same of progressive form. The abnormalities that compose them are composed of anatomical changes classified as primary and secondary that can be treated if identified, although not all of them can be corrected surgically. It is a progressive disease, leading to secondary changes that may be irreversible to the animal. Such changes are consequences of a process of chronic obstruction caused by the primary abnormalities of the syndrome. Due to the importance of its knowledge by the veterinarian, this work aimed to perform a literature review aimed mainly at the main anatomical abnormalities of the airways that contribute to the Brachycephalic Airway Obstructive Syndrome, and their respective surgical indications.

show abstract

A novel approach to brachycephalic syndrome. 3. Isolated laser‐assisted turbinectomy of caudal aberrant turbinates (CAT LATE)

Abstract: It is possible to remove CAT with endoscopically applied diode-laser energy while leaving the nonobstructing ventral nasal concha intact.

Cited by 10 publications

References 15 publications

Objective effectiveness of and indications for laser‐assisted turbinectomy in brachycephalic obstructive airway syndrome

Objective effectiveness of and indications for laser‐assisted turbinectomy in brachycephalic obstructive airway syndrome

ACVIM consensus statement guidelines for the diagnosis, classification, treatment, and monitoring of pulmonary hypertension in dogs

Anormalidades Anatômicas Das Vias Respiratórias Do Braquicéfalo E Suas Principais Técnicas De Correção Cirúrgica

Contact Info

Product

Resources

About