We do nares and palate surgeries on brachycephalic breeds here at Family Pet Clinic of Redondo Beach. Most bulldogs coming in these days have airway issues, which is secondary to very poor breeding practices, unfortunately. The surgical risks are moderate—on rare occasion a patient needs overnight “babysitting” after surgery in order to receive a little more oxygen and monitoring. We are confident that the benefits of surgery far out-weigh the risks of anesthesia. Our patients usually wake up from surgery actually breathing better virtually instantaneously.
I can't say enough great things about Dr. Daffner and how she has changed our little potatoes life. Our 3 year old Frenchie Hank has suffered from breathing issues ever since he was 1 years old. From overheating by just walking around the block to not knowing his limits when playing with others, Hank did not know when to let his breathing catch up with him. After seeing a review on Yelp about Dr. Daffner's knowledge on the bully breed we decided to take Hank in for a consult. I was so impressed by how thorough Dr. Daffner was in explaining the procedure, what was anatomically wrong with Hank, and what to expect with the recovery process. Being that these are Covid times and we still could not go in with our little guy, Dr. Daffner ensured she stayed on the phone for as long as we needed to get our questions answered and to put us at ease about how many staff members would be present to ensure Hank would be ok under anesthesia which was my biggest concern.
During the procedure Dr. Daffner called me as soon as Hank was put under anesthesia reassuring me that his vitals were perfect and that he was all prepped and ready to undergo the procedure. I got before and after pictures texted to me along with a detailed phone conversation of how everything went. Dr. Daffner even went out of her way to call me from home that night to check on how Hank was doing with his recovery and making sure he was responding well to the medications we were sent home with. This is how you know you've found a great vet, when they take in your family and care for them as one of their own! I highly recommend Dr. Daffner and if you have any doubts on whether or not a Brachycephalic procedure is necessary for your frenchie, Dr. Daffner's consult will point you into the right direction. Here are some pictures of Hank so you can see the drastic change this has made to positively impact my little guys life!
Hank-Before Stenotic Nares and Soft Palate Surgery
Hank-Post Stenotic Nares and Soft Palate Surgery
Hank-3 Week Checkup Post Stenotic Nares and Soft Palate Surgery
For the stenotic nares surgery, we use a #11 surgical blade to cut a deep wedge of tissue from the lateral nasal folds. We place a few absorbable sutures that will fall out on their own in a few weeks. The surgery sites often look a little “crusty” and lose their pigment for a few weeks and then re-pigment again once the sutures fall out. The surgery site is sometimes itchy so we recommend a cone for the first 2 weeks or so until the nose is no longer itchy.
For the elongated soft palate resection surgery (“staphylectomy”) we use a radiosurgery cutting device—the excess soft palate tissue is removed via high frequency sound waves, which allows for minimal anesthesia time and almost no bleeding. We place 3-5 tiny sutures in the oral mucosa which seems to hasten healing time. The recovery is apparently almost “instantaneous” and the dogs go home ready to eat and drink.
Before - Stenotic Nares Surgery
After - Stenotic Nares Surgery
Dr. Daffner Performing Palate Surgery
We have discovered a number of “tricks” that allow us to safely anesthetize brachycephalic breeds: All patients have a set of chest x-rays taken pre-op in order to determine if they also have hypoplastic trachea, and also to confirm that they do not currently have evidence of aspiration pneumonia or bronchitis. All patients are given nausea medication (Cerenia) and also a prokinetic drug (metoclopramide) to decrease chances of regurgitation. Palate surgery patients are given a steroid as an anti-inflammatory which decreases swelling at surgery sites. We use dental nerve blocks which block pain to the nares surgery sites---- which is a VERY cool discovery found only here, by the way---- and we use pre-and post-surgery cold laser therapy (photobiomodulation) which blocks pain and inflammation and regenerates collagen. We pre and post oxygenate each patient which really helps with anesthesia and recovery. We have an assigned nurse attached to each patient until the patient goes home.
If a patient needs overnight observation, we recommend VCA Advanced Veterinary Care Center in Lawndale.
I always send home pain, relaxation medications (anxiolytics), and a short course of antibiotics to prevent infection at the nares surgery sites, since “boogers” are notoriously bacteria laden.
Our brachycephalic patients benefit greatly from airway corrective surgeries. Our clients tell us that their pets improve 50% to 100% after surgery. Some “brachy” issues cannot be corrected surgically, and so they may still snore, they may still not be as athletic as some breeds, and they may still be heat stroke risks to some degree. Some of the congenital issues that we cannot surgically repair include hypoplastic trachea and “folded” or tortuous nasal turbinates. That being said, opening up the nostrils and resecting back excess palate tissue seems to be a dramatic solution for most affected brachycephalic individuals.
Dr. Kimberly Daffner "Bulldog Expert" (310) 376-0072 [email protected]
Please refer to this website for more detailed information regarding the pathophysiology of these airway syndromes:
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