Meet Louis the pug – he paid us a visit last month for a thorough assessment of his respiratory system, during which time he was diagnosed with Brachycephalic Obstructive Airway Syndrome.

Brachycephalic Obstructive Airway Syndrome is a condition seen in short-muzzled and flattened faced dogs resulting in a reduced amount of air movement through the upper airways (nose, mouth and back of the throat).

Common abnormalities seen in these brachycephalic dogs, includes stenotic nares, an elongated soft palate, laryngeal collapse, hypoplastic trachea and everted laryngeal saccules. In Louis’ case, we identified both stenotic nares (abnormally narrowed or small nostrils) and an elongated soft palate – all of which reduced the amount of airflow for little Louis.

In addition to these abnormalities, it was noted that Louis had an excess skin fold around his nose – creating a humid environment – perfect for the growth of both bacteria and yeast. Excess pigment on his eye was also identified, referred to as Exposure Keratopathy. This condition commonly occurs in breeds with prominent eyes and abnormally large eyelid openings. These characteristics see a decreased ability to blink normally and rapid tear evaporation – ultimately causing scar tissue formation and blood vessel infiltration.

Louis was scheduled for some ‘plastic surgery’. Dr. Tracy successfully opened his nares and reduced his soft palate, allowing him to breathe more easily. His nasal skin fold was resected to reduce the development of bacterial and fungal infections, and his eyelid openings were reduced in size to help minimise exposure.

Louis returned some days later for a revisit appointment. We’re pleased to report he is doing remarkably well and is enjoying his new lease on life!