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一种用于治疗猫狭窄鼻腔的新型手术方法:7 例猫双侧背外侧鼻甲楔形切除术。

A novel surgical approach for feline stenotic nares: Bilateral wedge resection of the dorsal lateral nasal cartilage in seven cases.

机构信息

Pan-Asia Veterinary Clinic, Taipei City, Taiwan.

出版信息

Vet Med Sci. 2023 Nov;9(6):2430-2437. doi: 10.1002/vms3.1302. Epub 2023 Oct 16.

DOI:10.1002/vms3.1302
PMID:37842865
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10650225/
Abstract

OBJECTIVE

Surgical correction of stenotic nares, one component of brachycephalic obstructive airway syndrome (BOAS), is not referenced as often in cats as it is in dogs. Similar to dogs, stenotic nares emerge as a significant contributor in the development of BOAS in cats. In this study, we propose that stenotic nares in brachycephalic cats arise from an elongated dorsal lateral nasal cartilage. The aim of this paper is to illustrate a novel surgical technique to alleviate stenosis-associated clinical signs by performing full-thickness bilateral wedge resection of the excessive cartilage.

ANIMALS

Seven cats that underwent rhinoplasty with full-thickness bilateral wedge resection along the dorsal lateral nasal cartilage between 2019 and 2022 at Pan-Asia Veterinary Clinic in Taipei, Taiwan.

METHODS

Clinical data of all cats included in the study were retrospectively reviewed. Surgical procedures were recorded. A full-thickness bilateral wedge resection was made along the dorsal lateral nasal cartilage adjacent to the non-hairy area. The full-thickness wedge resection was then apposed and closed, resulting in the abduction of the wing of the nostrils. Postoperative outcomes were evaluated according to follow-up sessions by the authors, and an owner survey was conducted at least 6 months post-surgery.

RESULTS

All cats included in this study had a favourable outcome with no complications reported following surgery. The degree of nostril stenosis was improved, and relapse of clinical signs was not reported. Overall, the quality of life of cats that underwent rhinoplasty was significantly improved.

CLINICAL RELEVANCE

The results support that the innovative procedure described in this study is highly promising and holds great potential in restoring quality of life and halting disease progression of cats with BOAS.

摘要

目的

狭窄的鼻腔是短面头综合征(BOAS)的一个组成部分,在猫中进行手术矫正的情况并不像在狗中那样常见。与狗相似,狭窄的鼻腔是导致猫 BOAS 发展的一个重要因素。在这项研究中,我们提出短面头型猫的狭窄鼻腔是由背侧外侧鼻软骨延长引起的。本文旨在介绍一种新的手术技术,通过对过度的软骨进行双侧全层楔形切除术,缓解与狭窄相关的临床症状。

动物

2019 年至 2022 年间,在台湾台北的泛亚兽医诊所,7 只接受过鼻整形术并进行双侧全层楔形切除术的猫。

方法

回顾性分析所有纳入研究的猫的临床资料。记录手术过程。在背侧外侧鼻软骨与无毛区域相邻的部位进行双侧全层楔形切除术。然后将全层楔形切除物对合并关闭,使鼻孔的翼部外展。根据作者的随访情况评估术后结果,并在术后至少 6 个月进行了一次主人调查。

结果

本研究中所有猫均取得了良好的结果,术后无并发症报告。鼻孔狭窄程度得到改善,且未报告临床症状复发。总的来说,接受鼻整形术的猫的生活质量显著提高。

临床相关性

研究结果支持,本研究中描述的创新手术程序具有很大的潜力,可以改善 BOAS 猫的生活质量并阻止疾病进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/10650225/2b0741010977/VMS3-9-2430-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/10650225/949b46228581/VMS3-9-2430-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/10650225/0bce49d33f3e/VMS3-9-2430-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/10650225/3d3fcef57bd0/VMS3-9-2430-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/10650225/cd209425926b/VMS3-9-2430-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/10650225/dc2e3fe3c6dd/VMS3-9-2430-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/10650225/2b0741010977/VMS3-9-2430-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/10650225/949b46228581/VMS3-9-2430-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/10650225/0bce49d33f3e/VMS3-9-2430-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/10650225/3d3fcef57bd0/VMS3-9-2430-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/10650225/cd209425926b/VMS3-9-2430-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/10650225/dc2e3fe3c6dd/VMS3-9-2430-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e10/10650225/2b0741010977/VMS3-9-2430-g003.jpg

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本文引用的文献

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Influence of feline brachycephaly on respiratory, gastrointestinal, sleep, and activity abnormalities.猫短头畸形对呼吸、胃肠道、睡眠和活动异常的影响。
Vet Surg. 2023 Apr;52(3):435-445. doi: 10.1111/vsu.13931. Epub 2022 Dec 29.
2
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Vet Clin North Am Small Anim Pract. 2022 Mar;52(2):339-368. doi: 10.1016/j.cvsm.2021.12.002. Epub 2022 Jan 24.
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Prognostic indicators of short-term outcome in dogs undergoing surgery for brachycephalic obstructive airway syndrome.
短头型气道阻塞综合征犬手术预后的预测指标。
Vet Rec. 2020 Nov 14;187(10):403. doi: 10.1136/vr.105624. Epub 2020 Aug 6.
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Single pedicle advancement flap for treatment of feline stenotic nares: technique and results in five cases.单蒂推进皮瓣治疗猫狭窄的鼻腔:五例病例的技术和结果。
J Feline Med Surg. 2020 Dec;22(12):1238-1242. doi: 10.1177/1098612X20910539. Epub 2020 Mar 16.
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Clinical findings, diagnostic test results, and treatment outcome in cats with hiatal hernia: 31 cases (1995-2018).临床症状、诊断性检查结果和猫食管裂孔疝的治疗效果:31 例病例报告(1995-2018 年)。
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Conformational risk factors of brachycephalic obstructive airway syndrome (BOAS) in pugs, French bulldogs, and bulldogs.哈巴狗、法国斗牛犬和斗牛犬患短头阻塞性气道综合征(BOAS)的构象风险因素。
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Outcomes and prognostic factors of surgical treatments for brachycephalic obstructive airway syndrome in 3 breeds.3个品种短头阻塞性气道综合征手术治疗的结果及预后因素
Vet Surg. 2017 Feb;46(2):271-280. doi: 10.1111/vsu.12608.
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Flat Feline Faces: Is Brachycephaly Associated with Respiratory Abnormalities in the Domestic Cat (Felis catus)?扁平猫脸:短头畸形与家猫(猫属)的呼吸异常有关吗?
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Brachycephalic Syndrome.短头综合征
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