MacPhail Catriona M
Small Animal Surgery, Department of Clinical Sciences, Colorado State University, 1601 Campus Delivery, Fort Collins, CO 80523-160, USA.
Vet Clin North Am Small Anim Pract. 2020 Mar;50(2):295-310. doi: 10.1016/j.cvsm.2019.11.001. Epub 2019 Dec 25.
Laryngeal diseases are manifested by obstructive breathing patterns reflecting functional or mechanical upper airway obstruction. Laryngeal paralysis is the most common disease of the larynx. Diagnosis requires close attention to anesthetic plane and coordination of respiratory effort with laryngeal motion. Surgical arytenoid lateralization improves clinical signs and quality of life in dogs; however, aspiration pneumonia is a recognized complication, and generalized neuropathy can progress. Laryngeal collapse can result from any cause of chronic upper airway obstruction but is most often associated with brachycephalic obstructive airway syndrome. Although uncommon, laryngeal neoplasia has a guarded to grave prognosis regardless of treatment.
喉部疾病表现为阻塞性呼吸模式,反映了上呼吸道功能性或机械性阻塞。喉麻痹是喉部最常见的疾病。诊断需要密切关注麻醉平面以及呼吸努力与喉部运动的协调性。手术性杓状软骨外侧移位可改善犬的临床症状和生活质量;然而,吸入性肺炎是一种公认的并发症,且全身性神经病变可能会进展。喉塌陷可由任何慢性上呼吸道阻塞原因引起,但最常与短头阻塞性气道综合征相关。尽管不常见,但无论治疗如何,喉肿瘤的预后都不容乐观。