Page 111 - BSAVA Manual of Canine and Feline Head, Neck and Thoracic Surgery, 2nd Edition

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Neck and
Thoracic Surger
A Manual of Canine and F
BSA
BSAVA Manual of Canine and Feline Head, Neck and Thoracic Surgery
➜ OPERATIVE TECHNIQUE 7.2 CONTINUED
VetBooks.ir The caudal suture has been
tied after the arytenoid has
been brought into position by
pulling on the Allis forceps.

6 The abduction is now verified with the help of the
anaesthetist, using intraoral visualization.

PRACTICAL TIP

Care should be taken to avoid damaging the cranial laryngeal nerve. Inadvertent penetration into the
laryngeal lumen and oesophageal laceration can be prevented by having a thorough knowledge of local
anatomy and using careful surgical technique with appropriate instruments

PRACTICAL TIP
Fragmentation of the arytenoid is less likely to occur if the arytenoid is pulled into position towards the caudal
thyroid, after dissection and preplacement of the sutures, using an Allis forceps on the remnants of the
cricoarytenoideus dorsalis muscle instead of pulling on the sutures themselves

Closure
The thyropharyngeus muscle can be apposed with a
simple continuous pattern with absorbable material.
The subcutaneous tissues and the skin are closed
routinely.

POSTOPERATIVE CARE
Postoperative care consists of close monitoring of the
patient and providing broad-spectrum antibiotics and
analgesics. Monitor for complications such as
haematoma formation, suture avulsion, discomfort
during swallowing, temporary glottic dysfunction and
coughing after eating or drinking, sometimes resulting
in aspiration pneumonia.

Start of the apposition of the thyropharyngeus muscle using a simple
continuous pattern with absorbable material.

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