Outcome of laryngeal web resection with mucosal apposition for treatment of airway obstruction in dogs: 15 cases (1992–2006)

Margo L. Mehl Department of Surgical and Radiological Sciences, University of California, Davis, CA 95616.

Search for other papers by Margo L. Mehl in
Current site
Google Scholar
PubMed
Close
 DVM, DACVS
,
Andrew E. Kyles Department of Surgical and Radiological Sciences, University of California, Davis, CA 95616.

Search for other papers by Andrew E. Kyles in
Current site
Google Scholar
PubMed
Close
 DVM, PhD, DACVS
,
Bruno H. Pypendop Department of Surgical and Radiological Sciences, University of California, Davis, CA 95616.

Search for other papers by Bruno H. Pypendop in
Current site
Google Scholar
PubMed
Close
 DrMedVet, DrVetSci, DACVA
,
Dean E. Filipowicz Veterinary Medical Teaching Hospital, University of California, Davis, CA 95616.

Search for other papers by Dean E. Filipowicz in
Current site
Google Scholar
PubMed
Close
 DVM
, and
Clare R. Gregory Department of Surgical and Radiological Sciences, University of California, Davis, CA 95616.

Search for other papers by Clare R. Gregory in
Current site
Google Scholar
PubMed
Close
 DVM, DACVS

Abstract

Objective—To evaluate long-term clinical outcome in dogs with upper airway obstruction treated with laryngeal web resection and mucosal apposition.

Design—Retrospective case series.

Animals—15 client-owned dogs with laryngeal web formation.

Procedures—Medical records of dogs with laryngeal webs treated with a single procedure of web resection with mucosal apposition by use of a ventral laryngotomy were reviewed. Signalment, history, clinical signs, intraoperative complications, postoperative complications, and hospitalization time were recorded. Owners were interviewed 6 months to 6 years after surgery.

Results—Most dogs had a history of oral ventriculocordectomy. Duration of clinical signs ranged from 3 months to 3 years. The most common clinical sign reported was exercise intolerance. Postoperative complications were observed in 4 dogs. Follow-up information was available in 10 dogs, and clinical outcome was classified as excellent in 7 and good in 3.

Conclusions and Clinical Relevance—A single surgical procedure of web resection with mucosal apposition for the treatment of laryngeal web formation in dogs resulted in low morbidity and was associated with a good to excellent outcome.

Abstract

Objective—To evaluate long-term clinical outcome in dogs with upper airway obstruction treated with laryngeal web resection and mucosal apposition.

Design—Retrospective case series.

Animals—15 client-owned dogs with laryngeal web formation.

Procedures—Medical records of dogs with laryngeal webs treated with a single procedure of web resection with mucosal apposition by use of a ventral laryngotomy were reviewed. Signalment, history, clinical signs, intraoperative complications, postoperative complications, and hospitalization time were recorded. Owners were interviewed 6 months to 6 years after surgery.

Results—Most dogs had a history of oral ventriculocordectomy. Duration of clinical signs ranged from 3 months to 3 years. The most common clinical sign reported was exercise intolerance. Postoperative complications were observed in 4 dogs. Follow-up information was available in 10 dogs, and clinical outcome was classified as excellent in 7 and good in 3.

Conclusions and Clinical Relevance—A single surgical procedure of web resection with mucosal apposition for the treatment of laryngeal web formation in dogs resulted in low morbidity and was associated with a good to excellent outcome.

  • 1.

    Siggers BR, Ross O, Randall C, et al. A rare cause of upper airway obstruction in a 5-year-old girl: a laryngeal web. Paediatr Anaesth 2003;13:722724.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2.

    Lees MJ, Schuh JC, Barber SM, et al. A congenital laryngeal web defect in a quarterhorse filly. Equine Vet J 1987;19:561563.

  • 3.

    Hsueh JY, Tsai CS, Hsu H. Intralaryngeal approach to laryngeal web using lateralization with silastic. Laryngoscope 2000;110:17801782.

  • 4.

    Orton EC. Larynx. In: Orton EC, ed. Small animal thoracic surgery. Baltimore: The Williams & Wilkins Co, 1995;143144.

  • 5.

    Peterson SL, Smith MM, Senders CW. Evaluation of a stented laryngoplasty for correction of cranial glottic stenosis in four dogs. J Am Vet Med Assoc 1987;191:15821584.

    • Search Google Scholar
    • Export Citation
  • 6.

    Schmidt FW, Piazza LS, Chipman TJ, et al. CO2 laser management of laryngeal stenosis. Otolaryngol Head Neck Surg 1986;95:485490.

  • 7.

    Holt D, Harvey C. Glottic stenosis secondary to vocal fold resection: results of scar removal and corticosteroid treatment in nine dogs. J Am Anim Hosp Assoc 1994;30:396400.

    • Search Google Scholar
    • Export Citation
  • 8.

    Dedo HH. Endoscopic Teflon keel for anterior glottic web. Ann Otol Rhinol Laryngol 1979;88:467473.

Advertisement