Complications and long-term results after partial laryngectomy for the treatment of idiopathic laryngeal paralysis in 45 dogs.
Forty-five dogs with severe respiratory signs caused by idiopathic, acquired laryngeal paralysis were treated by partial laryngectomy. The predominant postoperative complications were coughing in 28 dogs and pneumonia in 15 dogs. Eight dogs required a second operation to alleviate persistent or recurrent upper airway obstruction. Results of surgery were considered excellent in 11 dogs (25%), good in 18 dogs (40%), fair in 6 dogs (13%), and poor in 10 dogs (22%). Poorer results were obtained by surgical residents than by more experienced surgeons. Death in the immediate postoperative period was related to pneumonia (8 dogs) and laryngeal collapse (1 dog). Nine dogs died later of respiratory disease. Although partial laryngectomy is effective for the treatment of laryngeal paralysis, it is not recommended because of the high incidence of postoperative complications.
Ross
J T
JT
Department of Surgery, Animal Medical Center, New York, New York.
Matthiesen
D T
DT
Noone
K E
KE
Scavelli
T A
TA
D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery / Q000662:veterinary; D000818:Animals; D003371:Cough / Q000209:etiology / Q000662:veterinary; D004283:Dog Diseases / Q000601:surgery*; D004285:Dogs; D005260:Female; D005500:Follow-Up Studies; D007825:Laryngectomy / Q000009:adverse effects / Q000662:veterinary*; D008297:Male; D011014:Pneumonia / Q000209:etiology / Q000662:veterinary; D011183:Postoperative Complications / Q000662:veterinary*; D014826:Vocal Cord Paralysis / Q000601:surgery / Q000662:veterinary*