Peer-reviewed veterinary case report
Survival and complications in dogs with laryngeal paralysis and nerve
By Bookbinder, Lauren C et al.·Published in Veterinary surgery : VS·2016·Department of Clinical Sciences, United States·View original on PubMed →
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Original publication title: Idiopathic Canine Laryngeal Paralysis as One Sign of a Diffuse Polyneuropathy: An Observational Study of 90 Cases (2007-2013).
- Species:
- dog
Plain-English summary
A group of dogs with idiopathic laryngeal paralysis (a condition that affects their ability to breathe properly) underwent surgery to improve their breathing. The study found that these dogs had a significantly better chance of survival after surgery, and their quality of life improved right after the procedure. However, dogs with additional neurological issues faced a higher risk of complications after surgery. Overall, while surgery was beneficial, pet owners should be aware that if their dog has other health problems, it could affect recovery.
People also search for: dog laryngeal paralysis surgery · dog breathing problems treatment · complications after dog surgery
Abstract
OBJECTIVE: To determine survival and incidence of complications in dogs with idiopathic laryngeal paralysis (ILP) and concurrent neurologic signs. STUDY DESIGN: Observational study. ANIMALS: Dogs (n = 90) with ILP. METHODS: Medical records (January 2007-June 2013) of dogs with ILP were reviewed. Neurologic comorbidities, including pelvic limb neurologic abnormalities and esophageal abnormalities were identified. Using medical record information and client interviews, the relationship between these comorbidities and postoperative survival (primary outcome measure) and postoperative complications (secondary outcome measure) was identified. RESULTS: Dogs that had surgical correction of ILP had a 2.6-fold reduction in the hazard of death throughout the study period (HR = 2.6; 95% CI: 1.34-4.84, P = .006). Owner assessed patient quality of life (10-point scale) increased by an average of 4.1 ± 1.4 units immediately postoperatively, and 4.9 ± 0.9 units until death or followup compared with preoperative values. Thirty-five of 72 dogs available for followup had evidence of diffuse neurologic comorbidities. Overall complication rate for dogs with neurologic comorbidities was 74%, compared with 32% for dogs without neurologic comorbidities. Presence of any neurologic comorbidity was associated with a significantly greater odds of any complication (OR = 4.04; 95% CI: 1.25-13.90, P = .019) as well as recurring complications (OR = 8.00; 95% CI: 1.49-54.38; P = .015). CONCLUSION: Surgical correction of ILP was positively associated with survival, and dogs with neurologic comorbidities were at greater risk for developing postoperative complications.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/26757180/