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Alapexy - an uncommon surgery in dogs
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Alapexy, the surgical correction of stenotic nares, is sometimes indicated in dogs. In this recently published article a novel and promising surgical technique is evaluated, leading to the optimal improvement of the nare diameter if compared with other surgical techniques.
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Alapexy involves the creation and apposition of two small elliptical incisions, which fix the alae in an abducted position.
Permanent alapexy was achieved in four of five dogs (eight of nine nostrils) that were operated.
Four animals had significant improvement in their respiratory efforts because of reduced nasal obstruction. Although the alapexy procedure was somewhat more difficult to perform than simple wedge resection techniques, it may be a viable option in those animals where other techniques have failed or in animals that have dystrophic or flaccid alar cartilage.
The alapexy technique may also improve the diameter of the nares compared to previously described techniques.
Source: Gary W. Ellison: Alapexy: An Alternative Technique for Repair of Stenotic Nares in Dogs (2004). In: Journal of the American Animal Hospital Association 40:484-489 (2004)
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