USPOREDBA POSTOPERACIJSKE REGURGITACIJE U PASA NAKON DVIJE TEHNIKE STAFILEKTOMIJE KOD LIJEČENJA BRAHIOCEFALIČNOG SINDROMA

diplomski rad

• Naslov (engleski): COMPARISON OF POSTOPERATIVE REGURGITATION IN DOGS AFTER TWO STAFILECTOMY TECHNIQUES IN THE TREATMENT OF BRACHIOCEPHALIC SYNDROME 10. SUMMARY Brachycephalic syndrome is a disease that is primarily characterized by symptoms by the respiratory system. It develops due to various hereditary anatomical abnormalities, and they primarily include stenotic nares, elongated and thickened soft palate, and everted laryngeal saccules. The most commonly affected breeds are the pug, French and English bulldog and Boston terrier. Further, digestive symptoms are also common and include dysphagia, vomiting or regurgitation, and ptyalism. Elongated soft palate is one of the primary components of brachiocephalic syndrome, which with its excessive length and thickness causes airway obstruction. The purpose of correction of the elongated soft palate is to shorten the sof tpalate by simple resection of the caudal part, and the surgical procedure is calling staphylectomy. It have been described a several surgical techniques for the correction of the elongated soft palate and the most commonly performed are conventional surgical techniques. Nowadays, an innovative surgical technique- Folded flap palatoplasty, is increasingly used. In this study, it will be examined whether the staphylectomy technique has an impact on the occurrence or severity of regurgitation. The dog population was divided into the two groups, those who underwent conventional staphylectomy and those who underwent FFP. The incidence of postoperative regurgitation was monitored by telephone survey of the owner, and based on the obtained data the digestive signs were evaluated according to the point system of Poncetetal. (2005). In conclusion, in both examined groups there was an improvement in respiratory signs as well as digestive ones, regardless of which surgical staphylectomy technique was applied. Keywords: Brachycephalic syndrome, regurgitation, staphylectomy, Folded flap palatoplasty 31
• Autor: Marcela Nađ
• Mentor: Andrija Musulin (mentor)
• Član povjerenstva: Petar Kostešić (predsjednik povjerenstva)
• Član povjerenstva: Dražen Vnuk (član povjerenstva)
• Član povjerenstva: Andrija Musulin (član povjerenstva)
• Član povjerenstva: Marko Pećin (član povjerenstva)
• Ustanova koja je dodijelila akademski / stručni stupanj: Sveučilište u Zagrebu; Veterinarski fakultet; (Klinika za kirurgiju, ortopediju i oftalmologiju); Zagreb
• Datum i država obrane: 2021-01-15, Hrvatska
• Znanstveno / umjetničko područje, polje i grana: BIOMEDICINA I ZDRAVSTVO; Veterinarska medicina; Veterinarske kliničke znanosti

Sažetak

Brahiocefalični sindrom je oboljenje koje prvenstveno obilježavaju simptomi od strane dišnoga sustava. Razvija se zbog različitih nasljednih anatomskih abnormalnosti, a primarno one uključuju sužene nosne otvore, produljeno i zadebljalo meko nepce te izvrnute laringealne vrećice. Najčešće zahvaćene pasmine su mops, francuski i engleski buldog te bostonski terijer. Osim dišnih simptoma česti su i probavni simptomi, a oni najčešće uključuju disfagiju, povraćanje ili regurgitaciju te ptijalizam. Produljeno meko nepce jedna je od primarnih komponenata brahiocefaličnog sindroma, koje svojom pretjeranom duljinom i debljinom uzrokuje opstrukciju dišnih putova. Cilj korekcije produljenog mekog nepca je skraćivanje mekog nepca jednostavnom resekcijom kaudalnog dijela, a sam kirurški postupak naziva se stafilektomija. Opisano je nekoliko kirurških tehnika korekcije produljenog mekog nepca. Najčešće su izvođene konvencionalne kirurške tehnike, no u današnje vrijeme sve se češće primjenjuje i inovativna kirurška tehnika, odnosno Folded flap palatoplastika čija je prednost u rješavanju triju komponenata opstrukcije uzrokovane produljenim mekim nepcem: laringealne, nazofaringealne i orofaringealne opstrukcije. U ovome radu ispitivat će se ima li tehnika stafilektomije utjecaj na pojavu, odnosno ozbiljnost regurgitacije. Ispitivana populacija životinja podijeljena je u dvije skupine. U skupini 1 primijenjena je konvencionalna stafilektomija, a u skupini 2 inovativna stafilektomija, odnosno FFP. Pojavnost postoperacijske regurgitacije praćena je telefonskim anketiranjem vlasnika, a na temelju dobivenih podataka probavni znakovi ocijenjeni su prema bodovnom sustavu Ponceta i sur. (2005). Na temelju dobivenih rezultata može se zaključiti da je u obje ispitane skupine došlo do poboljšanja dišnih znakova, ali i probavnih, neovisno o tome koja kirurška tehnika stafilektomije se primijenila.

Sažetak (engleski)

due to various hereditary anatomical abnormalities, and they primarily include stenotic nares, elongated and thickened soft palate, and everted laryngeal saccules. The most commonly affected breeds are the pug, French and English bulldog and Boston terrier. Further, digestive symptoms are also common and include dysphagia, vomiting or regurgitation, and ptyalism. Elongated soft palate is one of the primary components of brachiocephalic syndrome, which with its excessive length and thickness causes airway obstruction. The purpose of correction of the elongated soft palate is to shorten the sof tpalate by simple resection of the caudal part, and the surgical procedure is calling staphylectomy. It have been described a several surgical techniques for the correction of the elongated soft palate and the most commonly performed are conventional surgical techniques. Nowadays, an innovative surgical technique- Folded flap palatoplasty, is increasingly used. In this study, it will be examined whether the staphylectomy technique has an impact on the occurrence or severity of regurgitation. The dog population was divided into the two groups, those who underwent conventional staphylectomy and those who underwent FFP. The incidence of postoperative regurgitation was monitored by telephone survey of the owner, and based on the obtained data the digestive signs were evaluated according to the point system of Poncetetal. (2005). In conclusion, in both examined groups there was an improvement in respiratory signs as well as digestive ones, regardless of which surgical staphylectomy technique was applied.

• Ključne riječi: brahiocefalični sindrom; regurgitacija; stafilektomija; Folded flap palatoplastika
• Ključne riječi (engleski): Brachycephalic syndrome; regurgitation; staphylectomy; Folded flap palatoplasty
• Jezik: hrvatski
• URN:NBN: urn:nbn:hr:178:049986
• Studijski program: Naziv: Veterinarska medicina; Vrsta studija: sveučilišni; Stupanj studija: integrirani preddiplomski i diplomski; Akademski / stručni naziv: doktor/doktorica veterinarske medicine (dr. med. vet.)
• Vrsta resursa: Tekst
• Način izrade datoteke: Izvorno digitalna
• Prava pristupa: Otvoreni pristup
• Datum i vrijeme pohrane: 2021-03-01 13:44:20