Diagnostic approach to brachycephalic syndrome in dogs: literature review
DOI:
https://doi.org/10.33448/rsd-v10i15.22684Keywords:
Nostril stenosis; Soft palate extension; Laryngoscopy; Rhinoscopy.Abstract
The early recognition of brachycephalic syndrome is extremely important for a better post-surgical prognosis, and the association of various research methods is essential for its determination. The diagnosis of the syndrome is based on an accurate anamnesis together with the observation of characteristic clinical signs and complementary exams, such as hematological exams and imaging exams. Among the imaging tests, radiography, rhinoscopy and computed tomography are commonly used, which help both in the diagnosis of the syndrome and in surgical planning, when indicated. Given the importance of accurate diagnosis of this disease in affected dogs, the current study aimed to carry out an updated literature review addressing the different diagnostic methods for BS. It can then be concluded that the correct identification of brachycephalic syndrome by veterinarians through different diagnostic tools is extremely important to establish an early treatment, minimizing the acute risk of death and increasing the quality of life and welfare of affected animals.
References
Auger, M., Alexander, K., Beauchamp, G., & Dunn, M. (2016). Use of CT to evaluate and compare intranasal features in brachycephalic and normocephalic dogs. The Journal of small animal practice, 57(10), 529–536. https://doi.org/10.1111/jsap.12541
Brockman, D. J., Holt, D. E., & Haar, G. T. (2018). BSAVA manual of canine and feline head, neck and thoracic surgery (No. Ed. 2). British Small Animal Veterinary Association. https://doi.org/10.22233/9781910443347.6
Broux, O., Clercx, C., Etienne, A. L., Busoni, V., Claeys, S., Hamaide, A., & Billen, F. (2018). Effects of manipulations to detect sliding hiatal hernia in dogs with brachycephalic airway obstructive syndrome. Veterinary Surgery, 47(2), 243-251. https://doi.org/10.1111/vsu.12735
Crane, C., Rozanski, E. A., Abelson, A. L., & deLaforcade, A. (2017). Severe brachycephalic obstructive airway syndrome is associated with hypercoagulability in dogs. Journal of Veterinary Diagnostic Investigation, 29(4), 570–573. https://doi.org/10.1177/1040638717703434
Davis, M. S., Cummings, S. L., & Payton, M. E. (2017). Effect of brachycephaly and body condition score on respiratory thermoregulation of healthy dogs. Journal of the American Veterinary Medical Association, 251(10), 1160-1165.https://doi.org/10.2460/javma.251.10.1160
De Lorenzi, D., Bertoncello, D., Mantovani, C., & Bottero, E. (2018). Nasopharyngeal sialoceles in 11 brachycephalic dogs. Veterinary Surgery, 47(3), 431-438. https://doi.org/10.1111/vsu.12771
Dupré, G., & Heidenreich, D. (2016). Brachycephalic Syndrome. The Veterinary clinics of North America. Small animal practice, 46(4), 691–707. https://doi.org/10.1016/j.cvsm.2016.02.002
Emmerson T. (2014). Brachycephalic obstructive airway syndrome: a growing problem. The Journal of small animal practice, 55(11), 543–544. https://doi.org/10.1111/jsap.12286
Heidenreich, D., Gradner, G., Kneissl, S., & Dupré, G. (2016). Nasopharyngeal dimensions from computed tomography of pugs and French bulldogs with brachycephalic airway syndrome. Veterinary Surgery, 45(1), 83-90.https://doi.org/10.1111/vsu.12418
Hernandez, A. B., Kirkness, J. P., Smith, P. L., Schneider, H., Polotsky, M., Richardson, R. A., ... & Schwartz, A. R. (2012). Novel whole body plethysmography system for the continuous characterization of sleep and breathing in a mouse. Journal of applied physiology, 112(4), 671-680. https://doi.org/10.1152/japplphysiol.00818.2011
Kim, Y. J., Lee, N., Yu, J., Lee, H., An, G., Bang, S., Chang, J. & Chang, D. (2018). Three-dimensional volumetric magnetic resonance imaging (MRI) analysis of the soft palate and nasopharynx in brachycephalic and non-brachycephalic dog breeds. Journal of Veterinary Medical Science, 17-0711. https://doi.org/10.1292/jvms.17-0711
Liu, N. C., Adams, V. J., Kalmar, L., Ladlow, J. F., & Sargan, D. R. (2016). Whole‐body barometric plethysmography characterizes upper airway obstruction in 3 brachycephalic breeds of dogs. Journal of veterinary internal medicine, 30(3), 853-865. https://doi.org/10.1111/jvim.13933
Liu, N. C., Sargan, D. R., Adams, V. J., & Ladlow, J. F. (2015). Characterisation of Brachycephalic Obstructive Airway Syndrome in French Bulldogs Using Whole-Body Barometric Plethysmography. PloS one, 10(6), e0130741. https://doi.org/10.1371/journal.pone.0130741
Liu, N. C., Troconis, E. L., Kalmar, L., Price, D. J., Wright, H. E., Adams, V. J., Sargan, D. R., & Ladlow, J. F. (2017). Conformational risk factors of brachycephalic obstructive airway syndrome (BOAS) in pugs, French bulldogs, and bulldogs. PloS one, 12(8), e0181928. https://doi.org/10.1371/journal.pone.0181928
Lodato, D. L., & Hedlund, C. S. (2012). Brachycephalic airway syndrome: management. Compend Contin Educ Vet, 34(8), E4.
Manens, J., Ricci, R., Damoiseaux, C., Gault, S., Contiero, B., Diez, M., & Clercx, C. (2014). Effect of body weight loss on cardiopulmonary function assessed by 6‐minute walk test and arterial blood gas analysis in obese dogs. Journal of Veterinary Internal Medicine, 28(2), 371-378. https://doi.org/10.1111/jvim.12260
Mendes Junior, A. F., Silva, G. S., Soares, A. M., & Almosny, N. R. (2017). Percepção de tutores quanto aos sinais clínicos em cães braquicefálicos portadores de estenose de narina. Enciclopédia Biosfera, 14(26). DOI: 10.18677/EnciBio_2017B46
Meola, S. D. (2013). Brachycephalic airway syndrome. Topics in companion animal medicine, 28(3), 91-96.
Oechtering, G. U., Pohl, S., Schlueter, C., & Schuenemann, R. (2016). A Novel Approach to Brachycephalic Syndrome. 2. Laser-Assisted Turbinectomy (LATE). Veterinary surgery : VS, 45(2), 173–181. https://doi.org/10.1111/vsu.12447
Packer, R. M., & Tivers, M. S. (2015). Strategies for the management and prevention of conformation-related respiratory disorders in brachycephalic dogs. Veterinary medicine (Auckland, N.Z.), 6, 219–232. https://doi.org/10.2147/VMRR.S604
Packer, R. M., O’Neill, D. G., Fletcher, F., & Farnworth, M. J. (2019). Great expectations, inconvenient truths, and the paradoxes of the dog-owner relationship for owners of brachycephalic dogs. PLoS One, 14(7), e0219918. https://doi.org/10.1371/journal.pone.0219918
Planellas, M., Cuenca, R., Tabar, M. D., Bertolani, C., Poncet, C., Closa, J. M., Lorente, J., Cerón, J. J., & Pastor, J. (2012). Evaluation of C-reactive protein, haptoglobin and cardiac troponin 1 levels in brachycephalic dogs with upper airway obstructive syndrome. BMC veterinary research, 8, 152. https://doi.org/10.1186/1746-6148-8-152
Pohl, S., Roedler, F. S., & Oechtering, G. U. (2016). How does multilevel upper airway surgery influence the lives of dogs with severe brachycephaly? Results of a structured pre-and postoperative owner questionnaire. The Veterinary Journal, 210, 39-45.https://doi.org/10.1016/j.tvjl.2016.01.017
Riggs, J., Liu, N. C., Sutton, D. R., Sargan, D., & Ladlow, J. F. (2019). Validation of exercise testing and laryngeal auscultation for grading brachycephalic obstructive airway syndrome in pugs, French bulldogs, and English bulldogs by using whole‐body barometric plethysmography. Veterinary Surgery, 48(4), 488-496. https://doi.org/10.1111/vsu.13159
Roedler, F. S., Pohl, S., & Oechtering, G. U. (2013). How does severe brachycephaly affect dog's lives? Results of a structured preoperative owner questionnaire. Veterinary journal (London, England : 1997), 198(3), 606–610. https://doi.org/10.1016/j.tvjl.2013.09.00
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Copyright (c) 2021 Aguinaldo Francisco Mendes Junior ; Bruna Maria Begami Sanches Tanaka; Joyce Mergulhão de Araújo; Karina Ferreira Vaz; Luana Franco Cardoso; Gabriele Barros Mothé; Ana Maria Barros Soares; Nádia Regina Pereira Almosny
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