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A novel approach to brachycephalic syndrome. 3. Isolated laser‐assisted turbinectomy of caudal aberrant turbinates (CAT LATE)
Author(s) -
Schuenemann Riccarda,
Pohl Sabine,
Oechtering Gerhard U.
Publication year - 2017
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/vsu.12587
Subject(s) - medicine , turbinectomy , turbinates , meatus , surgery , forceps , anatomy , nose
Objective To describe isolated laser‐assisted turbinectomy of caudal aberrant turbinates (CAT LATE) as a new minimally invasive surgical procedure for the treatment of brachycephalic dogs with obstructing caudal aberrant turbinates (CAT). Study Design Prospective clinical study. Animals Brachycephalic dogs (24 Pugs, 1 English Bulldog) with CAT but adequate air spaces between the lamellae of the nonobstructing ventral nasal concha. Methods A rhinoscopically guided diode laser fiber introduced from anterior was used to dissect CAT within the nasopharyngeal meatus, while leaving the intranasal turbinates intact. Small grasping forceps were used to extract the dissected CAT from anterior or to push it through the nasopharyngeal meatus for extraction from posterior. Results Isolated CAT LATE was successfully performed on 32 CAT in 25 dogs. Intranasally applied xylometazoline helped shrink the ventral concha, making the approach and extraction easier. Minor bleeding was the only complication observed. Conclusion It is possible to remove CAT with endoscopically applied diode‐laser energy while leaving the nonobstructing ventral nasal concha intact.