Comparison of complications and outcome following unilateral, staged bilateral, and single-stage bilateral ventral bulla osteotomy in cats
| Autor: | Joshua S. Montel, Julius M. Liptak, Julia P. Sumner, Stan Veytsman, Allison B. Putterman, Michael B. Mison, Sarah Malek, Michelle L. Oblak, Karl C. Maritato, Ronan A. Mullins, Malgorzata M. J. Bielecki, Claire Legallet, Annika N Haagsman, Leslie E. Fox, Larie Allen, Antoine Dunié-Mérigot, Laura E. Selmic, Brian J. Trumpatori, Shannon H Wainberg |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Horner syndrome Osteotomy Cat Diseases Blister Postoperative Complications medicine Paralysis Animals Clinical significance Ear Diseases Retrospective Studies CATS General Veterinary business.industry Retrospective cohort study medicine.disease Facial nerve Surgery Treatment Outcome Cats medicine.symptom business Bulla (amulet) |
| Zdroj: | Journal of the American Veterinary Medical Association. 255(7) |
| ISSN: | 1943-569X |
| Popis: | OBJECTIVE To compare complications and outcome following unilateral, staged bilateral, and single-stage bilateral ventral bulla osteotomy (VBO) in cats. ANIMALS 282 client-owned cats treated by VBO at 25 veterinary referral and academic hospitals from 2005 through 2016. PROCEDURES Medical records of cats were reviewed to collect information on signalment, clinical signs, diagnostic test results, surgical and postoperative management details, complications (anesthetic, surgical, and postoperative), and outcome. Associations were evaluated among selected variables. RESULTS Unilateral, staged bilateral, and single-stage bilateral VBO was performed in 211, 7, and 64 cats, respectively, representing 289 separate procedures. Eighteen (9%), 2 (29%), and 30 (47%) of these cats, respectively, had postoperative respiratory complications. Cats treated with single-stage bilateral VBO were significantly more likely to have severe respiratory complications and surgery-related death than cats treated with other VBO procedures. Overall, 68.2% (n = 197) of the 289 procedures were associated with Horner syndrome (19.4% permanently), 30.1% (87) with head tilt (22.1% permanently), 13.5% (39) with facial nerve paralysis (8.0% permanently), and 6.2% (18) with local disease recurrence. Cats with (vs without) Horner syndrome, head tilt, and facial nerve paralysis before VBO had 2.6, 3.3, and 5.6 times the odds, respectively, of having these conditions permanently. CONCLUSIONS AND CLINICAL RELEVANCE Findings suggested that staged bilateral VBO should be recommended over single-stage bilateral VBO for cats with bilateral middle ear disease. Cats with Horner syndrome, head tilt, and facial nerve paralysis before surgery were more likely to have these conditions permanently following surgery than were cats without these conditions. |
| Databáze: | OpenAIRE |
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