Clinical effects of the use of a bipolar vessel sealing device for soft palate resection and tonsillectomy in dogs, with histological assessment of resected tonsillar tissue

OBJECTIVE: To investigate whether soft palate resection and tonsillectomy with a bipolar vessel sealing device (BVSD) improves clinical respiratory score. To document histopathological changes to tonsillar tissue following removal with a BVSD. METHODS & RESULTS: Case series of 22 dogs with clini...

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Published in:Australian veterinary journal Vol. 93; no. 12; pp. 445 - 451
Main Authors: Cook, DA, Moses, PA, Mackie, JT
Format: Journal Article
Language:English
Published: England Australian Veterinary Association 01.12.2015
Blackwell Publishing Ltd
Wiley Subscription Services, Inc
Subjects:
Airway Obstruction - surgery
Airway Obstruction - veterinary
Animals
brachycephalic airway syndrome
Craniosynostoses - surgery
Craniosynostoses - veterinary
Dog Diseases - surgery
Dogs
Female
histopathology
Male
palate
Palate, Soft - surgery
Palatine Tonsil - pathology
Palatine Tonsil - surgery
resection
small animal surgery
soft palate resection
Surgery, Veterinary - methods
tonsillectomy
Tonsillectomy - methods
Tonsillectomy - veterinary
tonsils
Treatment Outcome
upper respiratory obstruction
dogs
soft palate resection
tonsillectomy
upper respiratory obstruction
brachycephalic airway syndrome
small animal surgery
ISSN:0005-0423, 1751-0813, 1751-0813
Online Access:Get full text
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Summary:OBJECTIVE: To investigate whether soft palate resection and tonsillectomy with a bipolar vessel sealing device (BVSD) improves clinical respiratory score. To document histopathological changes to tonsillar tissue following removal with a BVSD. METHODS & RESULTS: Case series of 22 dogs with clinical signs of upper respiratory obstruction related to brachycephalic airway syndrome. Soft palate and tonsils were removed using a BVSD. Alarplasty and saccullectomy were also performed if indicated. A clinical respiratory score was assigned preoperatively, 24‐h postoperatively and 5 weeks postoperatively. Excised tonsillar samples were measured and then assessed histologically for depth of tissue damage deemed to be caused by the device. Depth of tissue damage was compared between two power settings of the device. Soft palate resection and tonsillectomy with a BVSD lead to a significant improvement in respiratory scores following surgery. Depth of tissue damage was significantly less for power setting 1 compared with power setting 2. Using power setting 1, median calculated depth of tonsillar tissue damage was 3.4 mm (range 1.2–8.0). One dog experienced major complications. CONCLUSION: Soft palate resection and tonsillectomy with a BVSD led to significant improvement in clinical respiratory score.
Bibliography:http://dx.doi.org/10.1111/avj.12384
ArticleID:AVJ12384
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ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0005-0423
1751-0813
1751-0813
DOI:10.1111/avj.12384