Schabbing Kevin J, Seaman Jeffrey A
From the Atlantic Coast Veterinary Specialists, Bohemia, New York (K.J.S., J.A.S.); and Midwest Veterinary Referral Center, Chesterfield, Missouri (K.J.S.).
J Am Anim Hosp Assoc. 2017 May/Jun;53(3):180-184. doi: 10.5326/JAAHA-MS-6423. Epub 2017 Mar 14.
An approximately 22 mo old male neutered English bulldog was evaluated for acute onset of dyspnea with suspected brachycephalic obstructive airway syndrome (BOAS). Laryngoscopic exam revealed diffuse, severe edema and static displacement of redundant glossoepiglottic (GE) mucosa causing complete obstruction of the larynx and epiglottic entrapment. Static displacement of the GE mucosa was observed and determined to be the overriding component of dyspnea in this patient with BOAS. Resection and primary closure with two separate, simple continuous sutures of the GE mucosa were performed. Resection and primary closure of the GE mucosa resolved the acute onset of dyspnea in this patient. Surgical correction of the stenotic nares, elongated soft palate, and everted laryngeal saccules were performed under the same anesthetic procedure. Static displacement of the GE mucosa may occur in patients with BOAS. Surgical resection and closure of the GE mucosa resolved this patient's dyspnea and is recommended in airway obstruction. It remains to be determined if primary closure and subsequent tensioning or scar tissue of the GE mucosa results in further complications related to restricted epiglottic movement.
一只约22月龄的已绝育英国斗牛犬因急性呼吸困难就诊，怀疑患有短头阻塞性气道综合征（BOAS）。喉镜检查显示，冗余的舌会厌（GE）黏膜弥漫性、严重水肿及静态移位，导致喉完全阻塞和会厌嵌顿。观察到GE黏膜的静态移位，并确定其为该BOAS患者呼吸困难的主要原因。对GE黏膜进行切除并用两根单独的简单连续缝线进行一期缝合。GE黏膜的切除和一期缝合解决了该患者的急性呼吸困难。在同一麻醉过程中对狭窄鼻孔、延长的软腭和外翻的喉囊进行了手术矫正。GE黏膜的静态移位可能发生在BOAS患者中。GE黏膜的手术切除和缝合解决了该患者的呼吸困难，对于气道阻塞推荐采用此方法。GE黏膜一期缝合及随后的张力或瘢痕组织是否会导致与会厌运动受限相关的进一步并发症仍有待确定。
