Stenotic nares

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Before surgery Stenotic nares before1.jpg
Before surgery
After surgery Stenotic nares after.jpg
After surgery

Stenotic nares means the nares (nostrils) are pinched or narrow, making it more difficult for an animal to breathe, and resulting in a lot of open-mouth breathing and panting. [1] The condition is part of the brachycephalic airway obstructive syndrome common to short-nosed dog [2] and cat breeds. [3] Dog breeds commonly affected by stenotic nares include Boston Terrier, Boxer, Bulldog, King Charles Spaniel, Lhasa Apso, Pug, and Shih Tzu. Stenotic nares is a congenital trait, meaning an animal is born with it. Veterinarians can perform a simple surgery to help widen the nares, which can be done at the same time as a spay or neuter surgery.

Contents

Treatment

Several resection techniques exist to help correct stenotic nares including alar wing amputation (Trader's technique), punch resection, vertical wedge, horizontal wedge, alapexy, and laser ablation. [4] CO2 laser repair of the stenotic nares is bloodless, allowing a clear view of the surgical field and more precise surgical incisions. [2] [5]

Prevention

Since stenotic nares is congenital, there is no prevention other than breeding the trait out over generations. [6]

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An elongated soft palate is a congenital hereditary disorder that negatively affect dogs and cats' breathing and eating. A soft palate is considered elongated when it extends past the top of the epiglottis and/or past the middle of the tonsillar crypts. The soft palate is made up of muscle and connective tissue located in the posterior portion on the roof of the mouth. The soft palate creates a barrier between the mouth and nose. This continuation between the cavities makes it possible to chew and breathe at the same time. The soft palate only blocks the nasal cavity while swallowing. At rest the soft palate should only stretch caudally from the hard palate to the tip of the epiglottis leaving an opening between the nasal and oral cavities. When the soft palate is elongated, it partially blocks the throat thereby creating breathing and feeding-related issues. The elongation and other accompanying symptoms occur in breeds characterized with “smooshed faces” such as pugs, bulldogs, and Persian cats. This condition is a congenital, meaning it is present when the animal is born. The “smooshed” characteristics is the result of a genetic mutation. The animal’s genetic code causes the bones in their skull to grow to a smaller size. Because the bones are smaller, muscles and other tissues that surround the bones of the skull are out of proportion. These animals are often referred to as brachycephalic, derived from the Greek words for “short” and “head”. An elongated soft palate is a symptom of Brachycephalic Obstructive Airway Syndrome (BOAS) and is common in brachycephalic dog breeds and has been reported in brachycephalic cat breeds as well. Some of the other BOAS related symptoms include stenotic nares, everted laryngeal saccules, and laryngeal collapse.

References

  1. Brooks (DVM, DABVP), Wendy (May 5, 2021). "Brachycephalic Airway Obstruction Syndrome in Flat-Faced Dogs". Vin.com.
  2. 1 2 Core, Daniel (April 2, 2014). "Laser Bloodless Repair of Stenotic Nares". Aesculight. Retrieved February 6, 2017.
  3. Berns, Chanel N; Schmiedt, Chad W; Dickerson, Vanna M; Murphy, Sean M (December 27, 2020). "Single pedicle advancement flap for treatment of feline stenotic nares: technique and results in five cases". Journal of Feline Medicine and Surgery. 22 (12): 1238–1242. doi:10.1177/1098612X20910539. PMC   10814377 . PMID   32175790. S2CID   212729530.
  4. Keats (DVM, DACVS), Matthew M (April 1, 2012). "Brachycephalic airway syndrome, Part 1: Correcting stenotic nares". DVM 360.
  5. Epperley (DVM), Lou Anne (March 22, 2012). "Surgical Lasers Aren't Just For Teaching Hospitals". Veterinary Practice News.
  6. Ravn-Mølby, Eva-Marie; Sindahl, Line; Nielsen, Søren Saxmose; Bruun, Camilla S; Sandøe, Peter; Fredholm, Merete (December 16, 2019). "Breeding French bulldogs so that they breathe well—A long way to go". PLOS ONE. 14 (12): e0226280. Bibcode:2019PLoSO..1426280R. doi: 10.1371/journal.pone.0226280 . PMC   6913956 . PMID   31841527. A lenient way to ensure that the prevalence of BS [Brachycephalic syndrome] is reduced among French bulldogs would be to avoid using dogs with severely stenotic nares for breeding. This would lead to progress, albeit at a very slow pace since dogs with moderately stenotic nares would have a negative impact on the progress. However, slow progress must be accepted to avoid a devastating reduction in genetic diversity within the breed.