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Showing posts with label laryngeal paralysis. Show all posts
Showing posts with label laryngeal paralysis. Show all posts

Tuesday, January 18, 2011

Laryngeal Paralysis in Cats


Laryngeal paralysis is the failure of one or both arytenoid cartilages to open outward (abduct) during inspiration, thereby creating an upper airway obstruction. The syndrome has been well documented in dogs. Congenital and acquired laryngeal paralyses have also been sporadically reported in cats. This is a retrospective study of fourteen cats diagnosed with laryngeal paralysis treated by unilateral arytenoid lateralization surgery. Clinical signs noted on physical examination included dyspnea, inspiratory stridor, wheezing, change in voice, lethargy, anorexia, open mouth breathing, hind-limb weakness and dysphagia. The median age of cats was estimated to be 16 years. The cause of the laryngeal paralysis is often elusive. In this study, two cases developed laryngeal paralysis subsequent to trauma. Polyneuropathy and polymyopathy have been associated with laryngeal paralysis and five cats presented with progressive neuromuscular weakness or signs suggestive of this type of etiology. In cats that have signs of a potential polyneuropathy/myopathy, a full neurological evaluation is warranted. Seven cats had no identifiable definitive cause for laryngeal paralysis; therefore they were diagnosed as idiopathic in nature. Intraoperative and postoperative surgical complications were seen in 21% and 50% of the cases, respectively. No cats had recurrence of clinical signs. Based on these results, unilateral arytenoid lateralization appears to be a suitable method for treatment of laryngeal paralysis in cats. [VT]

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More on cat health: Winn Feline Foundation Library

Laryngeal paralysis is the failure of one or both arytenoid cartilages to open outward (abduct) during inspiration, thereby creating an upper airway obstruction. The syndrome has been well documented in dogs. Congenital and acquired laryngeal paralyses have also been sporadically reported in cats. This is a retrospective study of fourteen cats diagnosed with laryngeal paralysis treated by unilateral arytenoid lateralization surgery. Clinical signs noted on physical examination included dyspnea, inspiratory stridor, wheezing, change in voice, lethargy, anorexia, open mouth breathing, hind-limb weakness and dysphagia. The median age of cats was estimated to be 16 years. The cause of the laryngeal paralysis is often elusive. In this study, two cases developed laryngeal paralysis subsequent to trauma. Polyneuropathy and polymyopathy have been associated with laryngeal paralysis and five cats presented with progressive neuromuscular weakness or signs suggestive of this type of etiology. In cats that have signs of a potential polyneuropathy/myopathy, a full neurological evaluation is warranted. Seven cats had no identifiable definitive cause for laryngeal paralysis; therefore they were diagnosed as idiopathic in nature. Intraoperative and postoperative surgical complications were seen in 21% and 50% of the cases, respectively. No cats had recurrence of clinical signs. Based on these results, unilateral arytenoid lateralization appears to be a suitable method for treatment of laryngeal paralysis in cats. [VT]

Related articles:

More on cat health: Winn Feline Foundation Library
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Monday, March 8, 2010

Laryngeal Disease in Cats

Taylor SS, Harvey AM, Barr FJ et al: Laryngeal disease in cats: a retrospective study of 35 cases, J Feline Med Surg 11:954-962, 2009.

This retrospective study reviewed the medical records of 35 cats referred to the University of Bristol for investigation of laryngeal disease. Laryngeal disease is an uncommon yet important cause of dyspnea in the cat. Among the 35 cases, fourteen cats fulfilled the criteria for laryngeal paralysis (LP), 10 for neoplasia, six for inflammatory disease, and five were classified as having miscellaneous disease. The most frequently reported signs in all four groups were dyspnea, stridor and dysphonia with gagging/retching and cough occurring less frequently. Of the cats with a final diagnosis of neoplasia, four had lymphoma, four had squamous cell carcinoma, one had adenocarcinoma, and one had a poorly differentiated round cell tumor. All the cats with neoplasia were FeLV negative and three of eight cats were FIV positive. Because gross appearance of a laryngeal mass and cytology can be misleading, histopathology should always be done to make a definitive diagnosis, assist with treatment options, and offer prognostic information. In all cases of laryngeal neoplasia in this study where cervical radiography was performed, a mass lesion was noted. Thoracic radiography is also recommended in the investigation of LP in cats. Echolaryngography was found to be a useful and non-invasive tool to detect laryngeal masses and identify LP. Treatment for LP can either surgical or conservative and results can be variable, especially if the paralysis is bilateral versus unilateral. Cats with LP, laryngeal lymphoma, or laryngitis had excellent long-term survival following the appropriate treatment. [VT]

Related articles:
Jakubiak MJ, Siedlecki CT, Zenger E et al: Laryngeal, laryngotracheal, and tracheal masses in cats: 27 cases (1998-2003), J Am Anim Hosp Assoc 41:310-316, 2005.

Stepnik MW, Mehl ML, Hardie EM et al: Outcome of permanent tracheostomy for treatment of upper airway obstruction in cats: 21 cases (1990-2007), J Am Vet Med Assoc 234:638-643, 2009.

More on cat health: Winn Feline Foundation Library
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Taylor SS, Harvey AM, Barr FJ et al: Laryngeal disease in cats: a retrospective study of 35 cases, J Feline Med Surg 11:954-962, 2009.

This retrospective study reviewed the medical records of 35 cats referred to the University of Bristol for investigation of laryngeal disease. Laryngeal disease is an uncommon yet important cause of dyspnea in the cat. Among the 35 cases, fourteen cats fulfilled the criteria for laryngeal paralysis (LP), 10 for neoplasia, six for inflammatory disease, and five were classified as having miscellaneous disease. The most frequently reported signs in all four groups were dyspnea, stridor and dysphonia with gagging/retching and cough occurring less frequently. Of the cats with a final diagnosis of neoplasia, four had lymphoma, four had squamous cell carcinoma, one had adenocarcinoma, and one had a poorly differentiated round cell tumor. All the cats with neoplasia were FeLV negative and three of eight cats were FIV positive. Because gross appearance of a laryngeal mass and cytology can be misleading, histopathology should always be done to make a definitive diagnosis, assist with treatment options, and offer prognostic information. In all cases of laryngeal neoplasia in this study where cervical radiography was performed, a mass lesion was noted. Thoracic radiography is also recommended in the investigation of LP in cats. Echolaryngography was found to be a useful and non-invasive tool to detect laryngeal masses and identify LP. Treatment for LP can either surgical or conservative and results can be variable, especially if the paralysis is bilateral versus unilateral. Cats with LP, laryngeal lymphoma, or laryngitis had excellent long-term survival following the appropriate treatment. [VT]

Related articles:
Jakubiak MJ, Siedlecki CT, Zenger E et al: Laryngeal, laryngotracheal, and tracheal masses in cats: 27 cases (1998-2003), J Am Anim Hosp Assoc 41:310-316, 2005.

Stepnik MW, Mehl ML, Hardie EM et al: Outcome of permanent tracheostomy for treatment of upper airway obstruction in cats: 21 cases (1990-2007), J Am Vet Med Assoc 234:638-643, 2009.

More on cat health: Winn Feline Foundation Library
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New for 2010: subscribe to our e-newsletter
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