Page 98 - BSAVA Manual of Canine and Feline Head, Neck and Thoracic Surgery, 2nd Edition

Chapter 6 · Brachycephalic airway disease
Chapter 6 · Brachycephalic airway disease

➜ OPERATIVE TECHNIQUE 6.1 CONTINUED
VetBooks.ir 3 The part of the naris that is to be excised

is grasped with tissue forceps and lifted.

4 The incision is now continued over the
body of the naris, connecting the start and
end of the incision, and the excised part of
the naris is removed.

5 The initial suture is then placed from the
middle of the remaining ventromedial part
of the ala to the more dorsolateral aspect
of the naris to open up the nasal vestibule
adequately and create a maximal opening
medially.

6 Two or three more interrupted sutures are placed to close the wound completely. A larger opening results,
allowing airflow into the nasal vestibule.

7 The procedure is repeated on the other side.

PRACTICAL TIP

The bleeding generally stops after placement of the first suture. Despite the bleeding
associated with sharp excisional techniques, they are preferred over electrocautery or
laser resection of the nares as these techniques cause more scar tissue formation

POSTOPERATIVE CARE

Postoperative care consists of removing the blood clots that will have formed in the nasal vestibules and close
monitoring of the patient. Monitor for complications as described for staphylectomy (see Operative Technique 6.2).

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