Abstract
The presence of nasal septum deviation (NSD) and aberrant turbinates alters normal nasal airflow. The role of NSD in brachycephalic obstructive airway syndrome (BOAS) is unclear but, together with other anatomical alterations such as aberrant turbinates, may alter nasal airflow, increasing upper airway resistance. This retrospective study reports the prevalence of rostral (RAT) and caudal (CAT) aberrant turbinates, and NSD in a population of 45 French Bulldogs without clinical manifestations of upper airway obstruction who underwent head computed tomography (CT) for reasons unrelated to BOAS. Forty-five French Bulldogs were studied, and NSD, RAT, and CAT were identified in 69%, 44%, and 64% of cases, respectively. Animals weighing 11 - 14 kg were more likely to have NSD than animals weighing 8 - 11 kg. Conversely, animals weighing 8 – 11 kg were more likely to present CAT than animals weighing 11 - 14 kg, with a marginal statistical significance. No correlations were observed between body weight and RAT, nor between body weight and gender or reproductive status. The higher frequency of NSD-affected French Bulldogs observed in our study, when compared to previous studies in French Bulldogs with BOAS, suggests that NSD may play a minor role in upper airway obstruction within the entire bundle of anatomical aberrations present in the skull of French Bulldogs. On the other hand, RAT may play a more significant role in the development of clinical manifestations of upper airway obstruction.
References
Auger, M., Alexander, K., Beauchamp, G., & Dunn, M. (2016). Use of CT to evaluate and compare intranasal features in brachycephalic and normocephalic dogs. The Journal of Small Animal Practice, 57(10), 529-536. https://doi.org/10.1111/jsap.12541. PMid:27508338.
Bofan, A. B., Ionascu, I., & Șonea, A. (2015). Brachycephalic airway syndrome in dogs. Scientific Works. Series C, Veterinary Medicine (University of Agronomic Sciences and Veterinary Medicine Bucharest), 61(1), 103-112.
Davis, M. S., Cummings, S. L., & Payton, M. E. (2017). Effect of brachycephaly and body condition score on respiratory thermoregulation of healthy dogs. Journal of the American Veterinary Medical Association, 251(10), 1160-1165. https://doi.org/10.2460/javma.251.10.1160. PMid:29099251.
De Lorenzi, D., Bertoncello, D., & Drigo, M. (2009). Bronchial abnormalities found in a consecutive series of 40 brachycephalic dogs. Journal of the American Veterinary Medical Association, 235(7), 835-840. https:// doi.org/10.2460/javma.235.7.835. PMid:19793013.
Ekenstedt, K. J., Crosse, K. R., & Risselada, M. (2020). Canine brachycephaly: Anatomy, pathology, genetics and welfare. Journal of Comparative Pathology, 176, 109-115. https://doi.org/10.1016/j.jcpa.2020.02.008. PMid:32359622.
Heidenreich, D., Gradner, G., Kneissl, S., & Dupré, G. (2016). Nasopharyngeal dimensions from computed tomography of pugs and French bulldogs with brachycephalic airway syndrome. Veterinary Surgery, 45(1), 83-90. https://doi.org/10.1111/vsu.12418. PMid:26731598.
Kaye, B. M., Boroffka, S. A., Haagsman, A. N., & Ter Haar, G. T. (2015). Computed tomographic, radiographic, and endoscopic tracheal dimensions in English bulldogs with grade 1 clinical signs of brachycephalic airway syndrome. Veterinary Radiology & Ultrasound : The Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association, 56(6), 609-616. https://doi.org/10.1111/ vru.12277. PMid:26202379.
Kaye, B. M., Rutherford, L., Perridge, D. J., & Ter Haar, G. (2018). Relationship between brachycephalic airway syndrome and gastrointestinal signs in three breeds of dog. The Journal of Small Animal Practice, 59(11), 670-673. https://doi.org/10.1111/jsap.12914. PMid:30094894.
Koch, D. A., Arnold, S., Hubler, M., & Montavon, P. M. (2003). Brachycephalic syndrome in dogs. Compendium On Continuing Education For The Practising Veterinarian - North American Edition, 25(1), 48-55.
Liu, N. C., Genain, M. A., Kalmar, L., Sargan, D. R., & Ladlow, J. F. (2019). Objective effectiveness of and indications for laser‐assisted turbinectomy in brachycephalic obstructive airway syndrome. Veterinary Surgery, 48(1), 79-87. https://doi.org/10.1111/vsu.13107. PMid:30303538.
Liu, N. C., Oechtering, G. U., Adams, V. J., Kalmar, L., Sargan, D. R., & Ladlow, J. F. (2017). Outcomes and prognostic factors of surgical treatments for brachycephalic obstructive airway syndrome in 3 breeds. Veterinary Surgery, 46(2), 271-280. https://doi.org/10.1111/vsu.12608. PMid:28146288.
MacPhail, C. M. (2020). Laryngeal disease in dogs and cats: An update. The Veterinary Clinics of North America: Small Animal Practice, 50(2), 295-310. https://doi.org/10.1016/j.cvsm.2019.11.001. PMid:31882166.
Meola, S. D. (2013). Brachycephalic airway syndrome. Topics in Companion Animal Medicine, 28(3), 91-96. https:// doi.org/10.1053/j.tcam.2013.06.004. PMid:24182996.
Miles, S., & Schwarz, T. (2020). Canine nasal septum deviation can be a normal variation and correlates with increasing skull indices. Veterinary Radiology & Ultrasound : The Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association, 61(3), 279-284. https://doi.org/10.1111/ vru.12846. PMid:31994816.
Neskey, D., Eloy, J. A., & Casiano, R. R. (2009). Nasal, septal, and turbinate anatomy and embryology. Otolaryngologic Clinics of North America, 42(2), 193-205, vii. https://doi.org/10.1016/j.otc.2009.01.008 PMid:19328886.
Oechtering, G. U., Pohl, S., Schlueter, C., Lippert, J. P., Alef, M., Kiefer, I., Ludewig, E., & Schuenemann, R. (2016a). A novel approach to brachycephalic syndrome. 1. Evaluation of anatomical intranasal airway obstruction. Veterinary Surgery, 45(2), 165-172. https://doi.org/10.1111/vsu.12446. PMid:26790550.
Oechtering, G. U., Pohl, S., Schlueter, C., & Schuenemann, R. (2016b). A novel approach to brachycephalic syndrome. 2. Laser‐assisted turbinectomy (LATE). Veterinary Surgery, 45(2), 173-181. https://doi.org/10.1111/ vsu.12447. PMid:26790634.
Oechtering, T. H., Oechtering, G. U., & Nöller, C. (2007). Structural characteristics of the nose in brachycephalic dog breeds analysed by computed tomography. Tierärztliche Praxis Ausgabe K Kleintiere Heimtiere, 35(3), 177-187. https://doi.org/10.1055/s-0038-1622615. PMid:33504120.
Oshita, R., Katayose, S., Kanai, E., & Takagi, S. (2022). Assessment of Nasal Structure Using CT Imaging of Brachycephalic Dog Breeds. Animals (Basel), 12(13), 1636. https://doi.org/10.3390/ani12131636. PMid:35804535.
Pichetto, M., Arrighi, S., Roccabianca, P., & Romussi, S. (2011). The anatomy of the dog soft palate. II. Histological evaluation of the caudal soft palate in brachycephalic breeds with grade I brachycephalic airway obstructive syndrome. The Anatomical Record : Advances in Integrative Anatomy and Evolutionary Biology, 294(7), 1267- 1272. https://doi.org/10.1002/ar.21417. PMid:21634020.
Pink, J. J., Doyle, R. S., Hughes, J. M. L., Tobin, E., & Bellenger, C. R. (2006). Laryngeal collapse in seven brachycephalic puppies. The Journal of Small Animal Practice, 47(3), 131-135. https://doi.org/10.1111/j.1748-5827.2006.00056.x. PMid:16512844.
Roedler, F. S., Pohl, S., & Oechtering, G. U. (2013). How does severe brachycephaly affect dog’s lives? Results of a structured preoperative owner questionnaire. The Veterinary Journal, 198(3), 606-610. https://doi.org/10.1016/j.tvjl.2013.09.009. PMid:24176279.
Scales, C., & Clancy, N. J. (2019a). Brachycephalic anaesthesia, part 2: The peri-anaesthetic period. Veterinary Nursing, 34(10), 260-265. https://doi.org/10.1080/17415349.2019.1646618.
Scales, C., & Clancy, N. J. (2019b). Brachycephalic anaesthesia, part 1: The pre-anaesthetic period. Veterinary Nursing, 34(6), 146-150. https://doi.org/10.1080/17415349.2018.1553643.
Schuenemann, R., Pohl, S., & Oechtering, G. U. (2017). A novel approach to brachycephalic syndrome. 3. Isolated laser‐assisted turbinectomy of caudal aberrant turbinates (CAT LATE). Veterinary Surgery, 46(1), 32-38. https://doi.org/10.1111/vsu.12587. PMid:28052420.
Selba, M. C., Oechtering, G. U., Heng, H. G., & DeLeon, V. B. (2020). The impact of selection for facial reduction in dogs: Geometric morphometric analysis of canine cranial shape. The Anatomical Record : Advances in Integrative Anatomy and Evolutionary Biology, 303(2), 330-346. https://doi.org/10.1002/ar.24184. PMid:31152493.
Vilaplana Grosso, F., Haar, G. T., & Boroffka, S. A. (2015). Gender, weight, and age effects on prevalence of caudal aberrant nasal turbinates in clinically healthy English bulldogs: A computed tomographic study and classification. Veterinary Radiology & Ultrasound : The Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association, 56(5), 486-493. https://doi.org/10.1111/ vru.12249. PMid:25832130.
Zinram, K. (1933). Über Verbiegungen der Nasenscheidewand bei mopsköpfigen Hunden: Ein Beitrag zur Frage der Mopsköpfigkeit und der Ätiologie der Deviatio septi. Anatomy and Embryology, 99(5), 632-645. https://doi.org/10.1007/BF02118931.

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