{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T18:05:16Z","timestamp":1784570716002,"version":"3.55.0"},"reference-count":28,"publisher":"American Veterinary Medical Association (AVMA)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2026,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate short- and long-term patient outcomes retrospectively, investigate anesthetic and surgical times, and assess clinically relevant surgical wound complications associated with the use of needle-tip monopolar electrocautery for folded-flap palatoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective observational study included a cohort of client-owned dogs presented to a single referral hospital (2019 to 2024). All dogs underwent a standardized multilevel surgical approach, including folded-flap palatoplasty, Trader (suture-less) rhinoplasty, ala-vestibuloplasty, and tonsillectomy, as indicated. When available, surgical and anesthetic times and 14-day examinations were recorded. Short-term follow-up was performed at 6 weeks postoperatively with objective functional grading, and long-term follow-up was conducted via a telephone owner questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>66 dogs met the inclusion criteria. At the 6-week follow-up, significant improvement in brachycephalic obstructive airway syndrome functional grades was observed. The mean (\u00b1 SD) anesthetic time was 84 \u00b1 17.59 minutes. The intraoperative complication rate was 9%. The overall postoperative complication rate was 25.7%, with 19.7% minor complications, no surgical wound complications, and a 6% mortality rate. At a median follow-up of 19 months, 94.3% of owners reported high satisfaction and 86.4% to 92.8% of dogs showed excellent improvement in respiratory and gastrointestinal health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>An acceptable overall complication rate was observed in all patients. No clinically relevant surgical wound breakdowns were observed in any patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Needle-tip monopolar electrocautery did not increase the postoperative complication rate or worsen outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2460\/javma.25.11.0713","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T20:51:00Z","timestamp":1775249460000},"page":"1051-1059","source":"Crossref","is-referenced-by-count":0,"title":["Folded-flap palatoplasty performed with a needle-tip monopolar cautery: retrospective cohort of 66 brachycephalic dogs"],"prefix":"10.2460","volume":"264","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3123-8815","authenticated-orcid":true,"given":"Renato","family":"Miloro","sequence":"first","affiliation":[{"name":"Faculty of Veterinary Medicine, The University of Messina, Messina, Italy"},{"name":"Small Animal Referral Hospital, Langford Vets, University of Bristol, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbora","family":"Mala","sequence":"additional","affiliation":[{"name":"Vale Referrals, The Animal Hospital, Stinchcombe, Dursley, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaclav","family":"Ceplecha","sequence":"additional","affiliation":[{"name":"Vale Referrals, The Animal Hospital, Stinchcombe, Dursley, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Vullo","sequence":"additional","affiliation":[{"name":"Faculty of Veterinary Medicine, The University of Messina, Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Vlasin","sequence":"additional","affiliation":[{"name":"Vale Referrals, The Animal Hospital, Stinchcombe, Dursley, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"issue":"5","key":"ref1","series-title":"Compend Contin Educ Vet","first-page":"E1","article-title":"Canine brachycephalic airway syndrome: surgical management","volume":"33","author":"Trappler M","year":"2011","unstructured":"Trappler M, Moore K. Canine brachycephalic airway syndrome: surgical management. Compend Contin Educ Vet. 2011;33(5):E1-E8."},{"issue":"13","key":"ref2","series-title":"Vet Rec","first-page":"375","article-title":"Brachycephalic obstructive airway syndrome","volume":"182","author":"Ladlow J","year":"2018","unstructured":"Ladlow J, Liu NC, Kalmar L, Sargan D. Brachycephalic obstructive airway syndrome. Vet Rec. 2018;182(13):375-378. doi:10.1136\/vr.k1403"},{"issue":"3","key":"ref3","series-title":"Vet Clin North Am Small Anim Pract","first-page":"749","article-title":"Brachycephalic obstructive airway syndrome","volume":"52","author":"Krainer D","year":"2022","unstructured":"Krainer D, Dupr\u00e9 G. Brachycephalic obstructive airway syndrome. 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