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非短头犬施行的葡萄球菌切除术:27 例回顾性研究。

Staphylectomy in nonbrachycephalic dogs: A retrospective study of 27 cases.

机构信息

Department of Clinical Sciences, Auburn University College of Veterinary Medicine, 1130 Wire Road, Auburn, Alabama 36849, USA (Himel, Matz); First Coast Veterinary Specialists, 301 Jacksonville Drive #1, Jacksonville, Florida 32250, USA (Linden); Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, 501 D.W. Brooks Drive, Athens, Georgia 30602, USA (Grimes); Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, 660 Raymond Stotzer Pkwy, College Station, Texas 77843, USA (Thieman Mankin); Veterinary Referral Center, Emergency Pet Care & Specialty Hospital, 340 Lancaster Avenue, Malvern, Pennsylvania 19355, USA (J. Coggeshall); Smiley Data Analytics, Philadelphia, Pennsylvania, USA (W. Coggeshall).

出版信息

Can Vet J. 2023 Aug;64(8):765-772.

Abstract

OBJECTIVE

To report the outcomes and complications associated with staphylectomy in nonbrachycephalic dogs.

ANIMAL

Twenty-seven nonbrachycephalic dogs with elongated soft palates and undergoing staphylectomy.

PROCEDURE

Retrospective study.

RESULTS

Increased upper airway noise (70.4%) and dyspnea (44.4%) were the most common presenting clinical signs. Concurrent upper airway abnormalities found in the study population included laryngeal collapse (25.9%) and laryngeal paralysis (14.8%). The most common staphylectomy technique used in this study was sharp excision (66.7%) with sutured oral and nasal mucosal apposition. The dogs in this study had an overall minor postoperative complication rate of 33.3%, with regurgitation/vomiting (11.1%) and coughing (11.1%) occurring most commonly. No dog required supplemental oxygen therapy or temporary tracheostomy.

CONCLUSION

Staphylectomy was well-tolerated in nonbrachycephalic dogs and was associated with a relatively low rate of complications. Concurrent airway abnormalities were common among nonbrachycephalic dogs with elongated soft palates, similar to brachycephalic dogs.

CLINICAL RELEVANCE

Clinicians should be aware that elongated soft palate can occur in nonbrachycephalic dogs, and surgical correction can be achieved with rare major or catastrophic complications.

摘要

目的

报告非短头型犬行咽成形术的结果和相关并发症。

动物

27 只行咽成形术的非短头型、软腭延长的犬。

程序

回顾性研究。

结果

最常见的临床表现为上气道噪音增加(70.4%)和呼吸困难(44.4%)。研究人群中并发的上气道异常包括喉塌陷(25.9%)和喉麻痹(14.8%)。本研究中最常用的咽成形术技术是锐性切除(66.7%),同时缝合口腔和鼻腔黏膜。本研究中犬的总体术后轻微并发症发生率为 33.3%,最常见的是反流/呕吐(11.1%)和咳嗽(11.1%)。无犬需要补充氧气治疗或临时气管造口术。

结论

非短头型犬行咽成形术耐受性良好,并发症发生率相对较低。与短头型犬类似,软腭延长的非短头型犬常并发气道异常。

临床相关性

临床医生应注意,非短头型犬也可出现软腭延长,且通过手术矫正可获得罕见的重大或灾难性并发症。

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本文引用的文献

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