{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T20:14:00Z","timestamp":1783368840188,"version":"3.54.6"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the complication rate and outcomes of dogs undergoing multilevel airway surgery for brachycephalic airway syndrome (BOAS) with and without the addition of uni\u2010 or bilateral cuneiformectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>A total of 180 dogs undergoing BOAS surgery: 94 dogs undergoing modified multilevel surgery (non\u2010PC); 86 additionally undergoing cuneiformectomy (PC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Case records from the University of Cambridge and Animal Health Trust databases between 2014 and 2021 were analyzed including data on laryngeal collapse grade, respiratory functional grading scores, BOAS index, hospitalization length and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Neither the incidence risk of overall (non\u2010PC\u2009=\u200919.4%, PC\u2009=\u200916.3%, <jats:italic>p<\/jats:italic>\u2009=\u2009.758), nor major (non\u2010PC\u2009=\u20097.4%, PC\u2009=\u200911.6%, <jats:italic>p<\/jats:italic>\u2009=\u2009.482) complications differed between non\u2010PC and PC dogs. Median hospitalization duration (non\u2010PC\u2009=\u20091\u2009day, PC\u2009=\u20091\u2009day) did not differ between the two groups (<jats:italic>p<\/jats:italic>\u2009=\u2009.743). Both BOAS grade (median reduction\u2009=\u20091, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.0001) and BOAS index (median reduction\u2009=\u200928.5%, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.0001) reduced in dogs that underwent cuneiformectomy. Lower BCS was associated with increased postoperative complications (odds ratio\u2009=\u20090.452, <jats:italic>p<\/jats:italic>\u2009=\u2009.004) when preoperative BOAS grade and gender were controlled.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cuneiformectomy was not associated with a higher incidence risk of complications than multilevel BOAS surgery alone. Significant improvements in respiratory parameters were observed following cuneiformectomy in addition to multilevel airway surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Cuneiformectomy represents a safe and effective adjunctive technique to manage higher grade laryngeal collapse in dogs with BOAS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.14270","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T01:23:37Z","timestamp":1748913817000},"page":"1043-1052","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Complication rate and outcomes of laryngeal cuneiformectomy in dogs with advanced laryngeal collapse"],"prefix":"10.1111","volume":"54","author":[{"given":"Alexander J.","family":"Chan","sequence":"first","affiliation":[{"name":"Bristol Veterinary Specialists  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1919-1412","authenticated-orcid":false,"given":"Nai\u2010Chieh","family":"Liu","sequence":"additional","affiliation":[{"name":"Institute of Veterinary Clinical Science, School of Veterinary Medicine National Taiwan University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8076-4021","authenticated-orcid":false,"given":"Jane F.","family":"Ladlow","sequence":"additional","affiliation":[{"name":"Granta Veterinary Specialists  Cambridge UK"},{"name":"Department of Veterinary Medicine University of Cambridge  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.1989.tb01531.x"},{"key":"e_1_2_8_3_1","first-page":"25","article-title":"Upper airway obstruction in brachycephalic dogs","volume":"1","author":"Knecht C","year":"1979","journal-title":"Compend Contin Educ Pract Vet"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2005.tb00320.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0181928"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/vru.13221"},{"key":"e_1_2_8_7_1","first-page":"360","article-title":"Collapse of the larynx and adjacent structures in the dog","volume":"137","author":"Leonard H","year":"1960","journal-title":"J Am Vet Med Assoc"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.13159"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.22233\/9781910443347.6"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118997505"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.12408"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2006.00057.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2006.00059.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/vr.100289"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.12763"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-5616(85)50101-1"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2006.00056.x"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.12608"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/vru.12526"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jvim.13933"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0130741"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.12447"},{"key":"e_1_2_8_23_1","volume-title":"Textbook of small animal surgery","author":"Monnet E","year":"2003"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2011.01156.x"},{"key":"e_1_2_8_25_1","first-page":"113","volume-title":"ENT and Oral Surgery of the Dog and Cat","author":"Lane JG","year":"1982"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tvjl.2016.01.017"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.1983.tb00742.x"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.1983.tb00741.x"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.3390\/ani12091118"},{"issue":"4","key":"e_1_2_8_30_1","first-page":"548","article-title":"Upper airway obstruction surgery. 4. 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