{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T12:22:44Z","timestamp":1783513364453,"version":"3.55.0"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T00:00:00Z","timestamp":1528761600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To report the long\u2010term outcome of permanent tracheostomy for the management of severe laryngeal collapse secondary to brachycephalic airway obstructive syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Retrospective case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Fifteen brachycephalic dogs with severe laryngeal collapse treated with permanent tracheostomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Follow\u2010up data were obtained from medical records or via telephone conversation with the owners. The Kaplan\u2010Meier estimator was used to calculate median survival time. Death was classified as related or unrelated to tracheostomy surgery. Complications were classified as major when they were life\u2010threatening or required revision surgery. Owners were asked to classify the postoperative quality of life as improved, unchanged, or worse and the management of the stoma as simple or demanding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median survival time was 100 days. Major complications were diagnosed in 12 of 15 (80%) dogs, resulting in death in 8 (median survival time 15 days) and revision surgery in 4 dogs. Seven of 15 (47%) dogs died of unrelated causes or were alive at the end of the study (median survival time 1982 days). The postoperative quality of life of 9 dogs was judged as markedly improved. Stoma management was defined as simple in 8 dogs and demanding in 4.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Permanent tracheostomy was associated with a high risk of complications and postoperative death in brachycephalic dogs. However, long\u2010term survival (exceeding 5 years) with a good quality of life was documented in 5 of 15 dogs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Permanent tracheostomy is a suitable salvage option in brachycephalic dogs with severe laryngeal collapse that did not improve following more conservative surgeries.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.12903","type":"journal-article","created":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T07:09:20Z","timestamp":1528787360000},"page":"648-653","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Long\u2010term outcome of permanent tracheostomy in 15 dogs with severe laryngeal collapse secondary to brachycephalic airway obstructive syndrome"],"prefix":"10.1111","volume":"47","author":[{"given":"Matteo","family":"Gobbetti","sequence":"first","affiliation":[{"name":"Clinica Veterinaria Citt\u00e0 di Monza Monza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Romussi","sequence":"additional","affiliation":[{"name":"Department for Veterinary Sciences and Public Health, Faculty of Veterinary Medicine University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Buracco","sequence":"additional","affiliation":[{"name":"Department for Veterinary Science University of Turin Grugliasco Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerio","family":"Bronzo","sequence":"additional","affiliation":[{"name":"Department for Veterinary Sciences and Public Health, Faculty of Veterinary Medicine University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuele","family":"Gatti","sequence":"additional","affiliation":[{"name":"Clinica Veterinaria Citt\u00e0 di Monza Monza Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Cantatore","sequence":"additional","affiliation":[{"name":"Anderson Moores Veterinary Specialists Hursley Winchester United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.1989.tb01531.x"},{"key":"e_1_2_7_3_1","first-page":"369","volume-title":"Disease Mechanisms in Small Animal Surgery","author":"Orsher R.","year":"1993"},{"key":"e_1_2_7_4_1","first-page":"18","article-title":"Brachycephalic airway obstruction syndrome a review of 118 cases","volume":"22","author":"Lorinson D","year":"1997","journal-title":"Canine Pract."},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2006.00056.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2011.01156.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-0279(75)50066-3"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.1983.tb00400.x"},{"key":"e_1_2_7_9_1","first-page":"585","article-title":"Permanent tracheostomy: perioperative and long\u2010term data from 34 cases","volume":"24","author":"Hedlund CS","year":"1988","journal-title":"J Am Anim Hosp Assoc."},{"key":"e_1_2_7_10_1","first-page":"357","article-title":"Long\u2010term outcome of permanent tracheostomies in dogs: 21 cases (2000\u20102012)","volume":"55","author":"Occhipinti LL","year":"2014","journal-title":"Can Vet J."},{"key":"e_1_2_7_11_1","first-page":"360","article-title":"Collapse of the larynx and adjacent structures in the dog","volume":"137","author":"Leonard HC.","year":"1960","journal-title":"J Am Vet Med Assoc."},{"key":"e_1_2_7_12_1","first-page":"570","article-title":"Tracheal diameter analysis of radiographic measurement in brachycephalic and nonbrachycephalic dogs","volume":"18","author":"Harvey CE","year":"1982","journal-title":"J Am Anim Hosp Assoc."},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.1982.tb00658.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2011.00917.x"}],"container-title":["Veterinary Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fvsu.12903","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vsu.12903","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T13:37:15Z","timestamp":1694957835000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/vsu.12903"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,12]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1111\/vsu.12903"],"URL":"https:\/\/doi.org\/10.1111\/vsu.12903","archive":["Portico"],"relation":{},"ISSN":["0161-3499","1532-950X"],"issn-type":[{"value":"0161-3499","type":"print"},{"value":"1532-950X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,12]]},"assertion":[{"value":"2016-12-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-12-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-06-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}