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Know how to Brachycephalic Obstructive Airway Syndrome (BOAS) & Managing dogs during surgery.

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"Brachycephalic" means "short-headed" The French bulldog, bulldog pug, pekingese, shih tzu, boxer, Japanese chin and Boston dog are just a few examples of breeds with brachycephalic characteristics. One of the most distinct characteristics of these breeds is their small muzzle.
This webinar covers the following aspects of the surgery procedure.
- Components of the BOAS
- Patient Position
- Equipment
- Protocol
- Staphylectomy
- Alaplasty
- Laryngeal sacculectomy
- Recovery

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Know how to Brachycephalic Obstructive Airway Syndrome (BOAS) & Managing dogs during surgery.

  1. 1. Know-how… …BOAS surgery Matteo Rossanese DVM SPSA CertAVP MSc MRCVS
  2. 2. What we can address? • Stenotic nares • Elongated soft palate • Everted laryngeal saccules
  3. 3. Patient position • Sternal recumbency • Tilted table
  4. 4. Equipment • N° 11 blade • Metzenbaum scissors • Mosquito forceps • Long thumb forceps • Needle holder • Urinary catheter • Suction • An assistant would be helpful
  5. 5. Protocol • Omeprazole 1mg/kg IV q12h • Metoclopramide CRI 1mg/kg/day • Dexamethasone 0.2-0.5mg/kg IV • Preoxygenation • Quick intubation • Cuffed endotracheal tube
  6. 6. Staphylectomy • Middle to caudal border of palatine tonsils • Minimal traction on palate or tongue
  7. 7. Staphylectomy
  8. 8. Staphylectomy
  9. 9. Staphylectomy • 3-0 or 4-0 monofilament rapidly absorbable • Appose oropharyngeal and nasopharyngeal epithelial surfaces
  10. 10. Staphylectomy
  11. 11. Staphylectomy
  12. 12. Staphylectomy Findji , L. & Dupré, G. (2008) Folded flap palatoplasty for treatment of elongated soft palates in 55 dogs. Wiener Tierärztliche Monatsschrift 95, 56-63
  13. 13. Alaplasty
  14. 14. Alaplasty • Wedge excision • Vertical • Horizontal • Lateral • Made with: • No 11 blade • No 15 blade • Punch
  15. 15. Alaplasty
  16. 16. Alaplasty
  17. 17. Alaplasty • 3-0 or 4-0 monofilament rapidly absorbable • Align the rostroventral margins
  18. 18. Alaplasty
  19. 19. Laryngeal sacculectomy
  20. 20. Laryngeal sacculectomy
  21. 21. Laryngeal sacculectomy
  22. 22. Ready for recovery • Suction blood or accumulation of mucous/fluids • No ongoing bleeding • Calm and slow recovery • Oxygen near by • Ongoing monitoring • Intubation kit • Ready for temporary tracheostomy • Withhold the food
  23. 23. To go home • The day after • Omeprazole 1mg/kg PO q12h for 14 days • Metoclopramide 0.5mg/kg PO q8-12h for 14 days • Paracetamol 10mg/kg PO q8-12h for 5 days • Harness • Weight control • Exercise restriction • Soft food (handfed with meatballs)
  24. 24. Do you have any question? Drop us an email or leave a feedback at: info@vetspoke.com We will get back to you as soon as possible!
  25. 25. Bespoke Advice for Better Care Contact us at: info@vetspoke.com

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