Comparing folded-flap palatoplasty and staphylectomy in brachycephalic dogs: complications and discharge time

In dogs undergoing brachycephalic obstructive airway syndrome (BOAS) surgery, is folded-flap palatoplasty associated with fewer complications and earlier discharge time compared with staphylectomy techniques?

Risk.

Two retrospective cohort studies compared outcomes of folded-flap palatoplasty and staphylectomy. One study performed staphylectomy using the standard cut-and-sew technique, while the other used a CO₂ laser. Folded-flap palatoplasty was carried out using the standard technique described in the literature in both studies.

Weak.

While one study reports similar outcomes in minor and major complications between folded-flap palatoplasty and staphylectomy, with both procedures having comparable hospitalisation durations, another study identifies staphylectomy as one of four factors associated with a complicated recovery, along with increasing age, higher grades of laryngeal collapse, and prolonged anaesthesia time.

To date, there is weak evidence suggesting that staphylectomy may be one of the risk factors for perioperative complications in dogs undergoing surgery for an elongated soft palate. This potential risk should be considered during surgical planning and immediate postoperative period.