Ross J T, Matthiesen D T, Noone K E, Scavelli T A
Department of Surgery, Animal Medical Center, New York, New York.
Vet Surg. 1991 May-Jun;20(3):169-73. doi: 10.1111/j.1532-950x.1991.tb00330.x.
Forty-five dogs with severe respiratory signs caused by idiopathic, acquired laryngeal paralysis were treated by partial laryngectomy. The predominant postoperative complications were coughing in 28 dogs and pneumonia in 15 dogs. Eight dogs required a second operation to alleviate persistent or recurrent upper airway obstruction. Results of surgery were considered excellent in 11 dogs (25%), good in 18 dogs (40%), fair in 6 dogs (13%), and poor in 10 dogs (22%). Poorer results were obtained by surgical residents than by more experienced surgeons. Death in the immediate postoperative period was related to pneumonia (8 dogs) and laryngeal collapse (1 dog). Nine dogs died later of respiratory disease. Although partial laryngectomy is effective for the treatment of laryngeal paralysis, it is not recommended because of the high incidence of postoperative complications.
45只因特发性获得性喉麻痹而出现严重呼吸道症状的犬接受了部分喉切除术治疗。术后主要并发症为28只犬咳嗽，15只犬肺炎。8只犬需要二次手术以缓解持续或反复出现的上呼吸道梗阻。手术结果被认为优秀的有11只犬（25%），良好的有18只犬（40%），尚可的有6只犬（13%），差的有10只犬（22%）。手术住院医师的手术结果比经验更丰富的外科医生差。术后即刻死亡与肺炎（8只犬）和喉塌陷（1只犬）有关。9只犬后来死于呼吸道疾病。虽然部分喉切除术对喉麻痹治疗有效，但由于术后并发症发生率高，不建议采用。
