Surgical Opportunities In Brachycephalic Syndrome

Muhtar is a two and a half years old British Bulldog. For a year and a half, he has suffered from the syndrome of Brachycephalic, which decreases his life quality. 

He was brought to the vet because of shortness of breath during he was walking.

Dog breeds with a short skull according to the cephalic index (aspect ratio of the head) are defined as brachycephalic breeds.

British Bulldog, French Bulldog, Bullmastiff, Cavalier, Pug, and Boxer are some of the brachycephalic breeds. The brachycephalic syndrome can be formed by the combination of various abnormalities. Majority of these are the nostrils and the long soft palate, but these structural abnormalities can also cause to various laryngeal problems and hypoplastic trachea, leading to various disorders that may extend to heart failure over time. 

Therefore, early diagnosis and early intervention will give the best results before the patient enters this vicious circle. 


The main symptoms are breathing difficulty, exercise intolerance, and vomiting. Exercise, stress and hot weather trigger the symptoms in patients with the brachiocephalic syndrome.

British Bulldogs, like Muhtar, are among the most predisposed breeds of Bradycephalic syndrome because of their structural stenosis and large size.

The owner of Muhtar did not know that the surgical options could improve the quality of life of the patient and prevent any further problems. 

As a result of the consultation, it was understood that Muhtar could benefit from surgical intervention. 

In two hours of operation, Two reconstructive techniques, Folded Flap Palatoplasty and Rhinoplasty, were performed.

 


A1>

A1

A2

A2


Initially, (as can be seen in Figures A1 and A2) Rhinoplasty (nose aesthetics) and the inward-looking structure of the nose wings were corrected. Thus, the head of the airway was widened and breathing was relaxed.

B1 

B1


B2 


B2

 Secondly (picture B1 and B2), the soft palate pressing on the airway was reduced with the “folded flap palatoplasty technique” to relieve breathing. There is no external seam in the operation applied to Muhtar. The patient will be kept under observation for 48 hours after the operation.

C


Even 24 hours after the operation, despite the post-swelling, Muhtar had a noticeable improvement in breathing. In the photo, he is playing with his little friend.

Patient Story What were Muhtar’s pre-op complaints? The pre-operative complaints were bruising in the tongue and booming eye when it exerted long effort. There were a lot of contractions. He was vomiting because of contractions.
How did you decide on the operation? When we asked our veterinarian for his complaints, he said do not tire him. But then we came to Ada Veterinary by means of the recommendation of a friend. At that time a Bulldog just had a similar operation there. Obviously, we decided after seeing him. They said it would be healthier with the operation.
How was the operation process for you? After the operation, he had a fear of four days but obviously, we were relieved when he came out to take a walk and we realized that the contractions and vomits ended. Even if he spent more time on effort, he walked easily without any discomfort, and then when we returned home, we saw that long and difficult breathing decreased dramatically.
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