Intraoperative and major postoperative complications and survival of dogs undergoing surgical management of epiglottic retroversion: 50 dogs (2003‐2017)

Abstract

Objective To report intraoperative and major postoperative complications in dogs treated surgically for epiglottic retroversion (ER), compare the incidence of major postoperative complications between procedures, and report survival of surgically treated dogs. Study design Multi‐institutional retrospective study. Sample population Fifty dogs treated with 78 procedures. Methods Medical records of dogs diagnosed and surgically treated for ER from 2003 to 2017 at 11 institutions were reviewed. Complications were divided into intraoperative and major postoperative complications. Results Intraoperative complications occurred during 2 of 78 (2.6%) procedures. Thirty‐six major postoperative complications were documented in 22 dogs after 36 of 74 (48.7%) procedures. Postoperative complications occurred after 7 of 12 (58.3%) nonincisional epiglottopexy, 23 of 43 (53.5%) incisional epiglottopexy, 2 of 4 (50%) partial epiglottectomy, 2 of 12 (16.7%) subtotal epiglottectomy, and 2 of 3 (66.7%) other surgical procedures. Epiglottopexy failure was the most common major postoperative complication. The incidence of major postoperative complications did not differ between procedures (P = .1239), although, when combined, epiglottopexy procedures (30/55) had a higher incidence of complications than epiglottectomy procedures (4/16; P = .048). Thirty (60%) dogs were alive at a median of 928 days (range, 114‐2805), 8 (16%) were lost to follow‐up after 411 days (range, 43‐1158), and 12 (24%) were dead/euthanized after 301.5 days (range, 3‐1212). Median survival time was not reached after a median of 716 days. Conclusion Although intraoperative complications were uncommon, major postoperative complications were common, especially after epiglottopexy procedures. Clinical significance Although surgical treatment of ER is associated with a high rate of major postoperative complications, especially epiglottopexy procedures, long‐term survival can be achieved.

Description and evaluation of a novel transoral endoscopic arytenopexy in canine cadavers

“…Additionally, they found that fibrinous adhesions formed at the pexy site, so the epiglottis remained fixed even if the sutures at the pexy site loosened 18 . A similar intraoral technique is described for dogs diagnosed with epiglottic retroversion, with good long‐term outcome reported following epiglottopexy 19 …”

“…18 A similar intraoral technique is described for dogs diagnosed with epiglottic retroversion, with good longterm outcome reported following epiglottopexy. 19 The goals of this study were to describe and evaluate a novel minimally invasive surgical technique, the transoral endoscopic arytenopexy (TEA), for potential treatment of canine LP, to evaluate the effects of a TEA on the RGA and LEGS, and to develop and evaluate an endoscopic gag port (EGP) to aid in performing transoral, endoscopic surgery. We hypothesize that: the TEA will be a feasible surgical technique that can be completed using the custom EGP; and the TEA will provide a significant increase in RGA with minimal change to the LEGS.…”