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Miller et al: Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome
Veterinary Surgery 1, 2024

🔍 Key Findings Summary

  • Sample: 124 dogs (64 S, 60 FFP); French Bulldogs most common (54/124)
  • Pre-op clinical signs: Exercise intolerance (34/124), stertor (22), regurgitation (7), vomiting (12)
  • Operative time (no concurrent procedure): Longer in FFP (75 vs 51 min, p = .02)
  • Anesthetic time: Longer in FFP (111 vs 80 min, p = .02)
  • Anesthetic complications: Similar rates (FFP 50, S 49; p = .30)
  • Post-op regurgitation: 27/124 (S: 17, FFP: 10; p = .18)
  • Post-op aspiration pneumonia: Rare (S: 4, FFP: 5)
  • Major complications: Rare (5/124); 2 dogs euthanized post-op (1 per group)
  • Revision surgery: Needed in 7/124 (3 S, 4 FFP)

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← Articles

Miller et al: Complications and outcome following staphylectomy and folded flap palatoplasty in dogs with brachycephalic obstructive airway syndrome
Veterinary Surgery 1, 2024

🔍 Key Findings Summary

  • Sample: 124 dogs (64 S, 60 FFP); French Bulldogs most common (54/124)
  • Pre-op clinical signs: Exercise intolerance (34/124), stertor (22), regurgitation (7), vomiting (12)
  • Operative time (no concurrent procedure): Longer in FFP (75 vs 51 min, p = .02)
  • Anesthetic time: Longer in FFP (111 vs 80 min, p = .02)
  • Anesthetic complications: Similar rates (FFP 50, S 49; p = .30)
  • Post-op regurgitation: 27/124 (S: 17, FFP: 10; p = .18)
  • Post-op aspiration pneumonia: Rare (S: 4, FFP: 5)
  • Major complications: Rare (5/124); 2 dogs euthanized post-op (1 per group)
  • Revision surgery: Needed in 7/124 (3 S, 4 FFP)

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Multiple Choice Questions on this study

In Miller 2024 et al., which postoperative complication occurred at a similar frequency between groups?

A. Regurgitation
B. Death during surgery
C. Anesthetic death
D. Aspiration pneumonia
E. Dysphagia

Answer: Aspiration pneumonia

Explanation: Postoperative aspiration pneumonia occurred rarely and similarly (S: 4, FFP: 5; no significant difference).
In Miller 2024 et al., how did rates of revision surgery compare between FFP and staphylectomy?

A. Only FFP required revisions
B. Only staphylectomy required revisions
C. FFP had more revisions but not significantly
D. Revisions were significantly higher in FFP
E. Revision rate was higher in S group

Answer: FFP had more revisions but not significantly

Explanation: Revision surgery occurred in 7 dogs (FFP: 4, S: 3); the difference was not statistically significant.
In Miller 2024 et al., what best summarizes the finding regarding major postoperative complications across surgical groups?

A. Major complications were exclusive to FFP
B. Major complications occurred only after concurrent surgeries
C. Major complications were rare and similar across groups
D. Major complications occurred mostly in older dogs
E. Major complications were more frequent in males

Answer: Major complications were rare and similar across groups

Explanation: Only 5 major complications occurred across 124 dogs, with one death in each group.
In Miller 2024 et al., how did anesthesia time compare between FFP and staphylectomy groups?

A. Equal in both groups
B. Shorter in FFP
C. Longer in FFP
D. FFP had fewer concurrent procedures
E. Time not reported

Answer: Longer in FFP

Explanation: Anesthetic time was significantly longer in the FFP group (median 111 min vs 80 min; p = .02).
In Miller 2024 et al., what was the most common breed represented in the surgical cohort?

A. Pug
B. Boston Terrier
C. French Bulldog
D. English Bulldog
E. Pekingese

Answer: French Bulldog

Explanation: French Bulldogs accounted for 54 of 124 dogs, making them the most common breed in the study.

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