surgery of the trachea

Question 1

signalment for tracheal collapse

Answer 1

old lap dogs

Question 2

a dog with tracheal collapse pass out.should u be that worried about it

Answer 2

syncope is good.it makes the tracheal mm. relax in the cervical region and allows for better passage of air.

Question 3

list the options for tx tracheal collapse

Answer 3

• dorsal membrane plication
• ventral ring chondrotomy(nt used anymore)
• external tracheal splints (ring or spiral)
• internal tracheal stents

Question 4

medical management of tracheal collapse

Answer 4

wt loss

cough suppresants

bronchial dilators

sedation

Question 5

if u have grade 3 tracheal collapse,which techniques can u use to fix this

Answer 5

internal or external stents.

Question 6

whats the disadvantage for tracheal plication

Answer 6

only works for the cervical region

hard to do in the thoracic region

Question 7

discuss the sx procedure for the tracheal spiral splint

Answer 7

prosthetic is placed between the trachea and the neurovascular structures

the prosthesis is secured with a 5-0 monofilament non absorbable sutures

tracheal necrosis may result in longitudinal blood vessels being compressed

Question 8

disadvantage for spiral tracheal splints

Answer 8

necrosis may occur due to vascular area being compressed

Question 9

disadvantages of external tracheal splints

Answer 9

• extensive surgical approach
• anesthetic risks
• prolonged postoperative care and pain
• high cost of anesthesia and care
• tracheal adjacent to supported trachea may be at a high risk for collapse

Question 10

advantages of external tracheal splints

Answer 10

most animals improves post operatively

Question 11

potential advantages of internal stents

Answer 11

catheter delivery-no surgery require

shorter anesthesia

reduced post operative pain

reduced cost

entire traxhea is treated at once

Question 12

potential disadvantages of internal tracheal stents

Answer 12

• endoscopy or fluroscopy required
• stent cannot be retrieved back into delivery catheter if error in placement oe sizing is made

Question 13

possible complications of stenting

Answer 13

• decreased mucociliary clearance
• inflamation and exuberant granulation tissue formation
• pressure granulation

Question 14

postoperative care in stenting

Answer 14

perioperative antibiotics

corticosteroids for 7 days

sedation

cough suppresants

24 hr o2 if needed

humidification

Question 15

discuss sx tech for tracheal resection and anastemosis

Answer 15

• resection of 3-5 rings easily done
• use tension relieve sutures
• up to 8-10 rings(25%) can be resected
• tention sutures are placed 2-3 rings from the suture line on each side
• a pleural patch may be placed over the suture line
• resect trachea around between rings(split cartilage)
• handle trachea with umblical tape or traction sutures
• suture dorsal trachea membrane first
• place sutures around rings,add tention sutures if necessary

Question 16

what should u tell the owner after doing tracheostomy

Answer 16

empty the pool

no beach

no hanging by the window

Question 17

ethods for retreving fb

Answer 17

bronchoscopy and grasping fb

ballon catheter removal

tracheotomy –rarely indicated