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Know-how…
…BOAS surgery
Matteo Rossanese
DVM SPSA CertAVP MSc MRCVS
What we can address?
• Stenotic nares
• Elongated soft palate
• Everted laryngeal saccules
Patient position
• Sternal recumbency
• Tilted table
Equipment
• N° 11 blade
• Metzenbaum scissors
• Mosquito forceps
• Long thumb forceps
• Needle holder
• Urinary catheter
• Suction
• An assistant would be helpful
Protocol
• Omeprazole 1mg/kg IV q12h
• Metoclopramide CRI 1mg/kg/day
• Dexamethasone 0.2-0.5mg/kg IV
• Preoxygenation
• Quick intubation
• Cuffed endotracheal tube
Staphylectomy
• Middle to caudal border
of palatine tonsils
• Minimal traction on
palate or tongue
Staphylectomy
Staphylectomy
Staphylectomy • 3-0 or 4-0 monofilament
rapidly absorbable
• Appose oropharyngeal
and nasopharyngeal
epithelial surfaces
Staphylectomy
Staphylectomy
Staphylectomy
Findji , L. & Dupré, G. (2008) Folded flap
palatoplasty for treatment of elongated soft
palates in 55 dogs. Wiener Tierärztliche
Monatsschrift 95, 56-63
Alaplasty
Alaplasty
• Wedge excision
• Vertical
• Horizontal
• Lateral
• Made with:
• No 11 blade
• No 15 blade
• Punch
Alaplasty
Alaplasty
Alaplasty
• 3-0 or 4-0 monofilament rapidly absorbable
• Align the rostroventral margins
Alaplasty
Laryngeal sacculectomy
Laryngeal sacculectomy
Laryngeal sacculectomy
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
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)
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!
Bespoke
Advice
for
Better
Care
Contact us at:
info@vetspoke.com

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