Stenotic nares treatment in 37 brachycephalic cats by ala vestibuloplasty: 2017-2025

ObjectivesThe aim of the present study was to describe the clinical implications and surgical treatment of stenotic nares in brachycephalic cats using ala vestibuloplasty and to report the short- and long-term results perceived by veterinarians and owners.MethodsMedical records of cats admitted for stenotic nares between 2017 and 2025 were reviewed. Cats that were treated with ala vestibuloplasty were included. A preoperative questionnaire was also filled out retrospectively. A respiratory grade was assigned based on the severity of respiratory signs exhibited in all cats, both pre- and postoperatively. Long-term follow-up of more than 6 months was evaluated via phone calls and owner questionnaires.ResultsA total of 37 brachycephalic cats that underwent ala vestibuloplasty for stenotic nares treatment were included. Improvement in respiratory signs was observed in all cats postoperatively. The median preoperative respiratory score was 3 compared with 2 postoperatively. No major peri- or postoperative complications occurred in cats undergoing their first nasal surgery during the study period. According to owners, quality of life was improved in 83.8% of cats after surgery.Conclusions and clinical relevanceAla vestibuloplasty is a safe, feasible and effective procedure to address stenotic nares in brachycephalic cats. Age, sex and breed were not significant factors for the outcome. This technique is associated with a long-term improvement in respiratory signs and quality of life. It provided high owner satisfaction and represents a practical option for managing feline brachycephalic airway syndrome.