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Endoscopic Balloon Dilatation of Nasopharyngeal Stenosis in a Dog

  • Hwang, Ji-Hye (College of Veterinary Medicine, Chungnam National University) ;
  • Kim, Jae-Hoon (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Young-Won (College of Veterinary Medicine, Chungnam National University) ;
  • Song, Kun-Ho (College of Veterinary Medicine, Chungnam National University) ;
  • Seo, Kyoung-Won (College of Veterinary Medicine, Chungnam National University)
  • Received : 2016.02.15
  • Accepted : 2016.08.24
  • Published : 2016.12.30

Abstract

A four-year old, intact male, mixed-breed dog had a history of chronic snoring sound and dyspnea. Based on the results of computed tomography, the patient was diagnosed as nasopharyngeal stenosis. Balloon dilatation in the area of stenosis was performed using a balloon dilator inserted retrograde fashion through the working channel of an endoscope. Clinical signs were relieved but reappeared after 3 weeks. Thirty-four days following the first balloon dilatation treatment, a second procedure was performed; the balloon catheter was inserted in antegrade fashion through the left nostril and was filled with contrast agent under fluoroscopic guidance. Because of the relapse of clinical signs after 6 months, the patient received additional balloon dilatation procedure by the antegrade approach. At the one-year follow-up, the owner said that the clinical signs of nasopharyngeal stenosis had been completely resolved. Balloon dilatation could be a minimally invasive and effective treatment for nasopharyngeal stenosis, although the repetition of the procedure may be required.

Keywords

References

  1. Berent AC, Kinns J, Weisse C. Balloon dilatation of nasopharyngeal stenosis in a dog. J Am Vet Med Assoc 2006; 229: 385-388. https://doi.org/10.2460/javma.229.3.385
  2. Berent AC, Weisse C, Todd K, Rondeau MP, Reiter AM. Use of a balloon-expandable metallic stent for treatment of nasopharyngeal stenosis in dogs and cats: six cases (2005-2007). J Am Vet Med Assoc 2008; 233: 1432-1440. https://doi.org/10.2460/javma.233.9.1432
  3. Boswood A, Lamb CR, Brockman DJ, Mantis P, Witt AL. Balloon dilatation of nasopharyngeal stenosis in a cat. Vet Radiol Ultrasound 2003; 44: 53-55. https://doi.org/10.1111/j.1740-8261.2003.tb01449.x
  4. Chang Y, Thompson H, Reed N, Penderis J. Clinical and magnetic resonance imaging features of nasopharyngeal lymphoma in two cats with concurrent intracranial mass. J Small Anim Pract 2006; 47: 678-681. https://doi.org/10.1111/j.1748-5827.2006.00151.x
  5. Cook AK, Mankin KT, Saunders AB, Waugh CE, Cuddy LC, Ellison GW. Palatal erosion and oronasal fistulation following covered nasopharyngeal stent placement in two dogs. Irish Vet J 2013; 66: 8. https://doi.org/10.1186/2046-0481-66-8
  6. Coolman BR, Marretta SM, McKiernan BC, Zachary JF. Choanal atresia and secondary nasopharyngeal stenosis in a dog. J Am Anim Hosp Assoc 1998; 34: 497-501. https://doi.org/10.5326/15473317-34-6-497
  7. Giannoni C, Sulek M, Friedman EM, Duncan NO 3rd. Acquired nasopharyngeal stenosis: a warning and review. Arch Otolaryngol Head Neck Surg 1998; 124: 163-167. https://doi.org/10.1001/archotol.124.2.163
  8. Glaus TM, Tomsa K, Reusch CE. Balloon dilation for the treatment of chronic recurrent nasopharyngeal stenosis in a cat. J Small Anim Pract 2002; 43: 88-90. https://doi.org/10.1111/j.1748-5827.2002.tb00036.x
  9. Griffon DJ, Tasker S. Use of a mucosal advancement flap for the treatment of nasopharyngeal stenosis in a cat. J Small Anim Pract 2000; 41: 71-73. https://doi.org/10.1111/j.1748-5827.2000.tb03166.x
  10. Jones LM, Guillory VL, Mair EA. Total nasopharyngeal stenosis: treatment with laser excision, nasopharyngeal obturators, and topical mitomycin-c. Otolaryngol Head Neck Surg 2005; 133: 795-798. https://doi.org/10.1016/j.otohns.2005.07.005
  11. Kirberger RM, Steenkamp G, Spotswood TC, Boy SC, Miller DB, van Zyl M. Stenotic nasopharyngeal dysgenesis in the dachshund: seven cases (2002-2004). J Am Anim Hosp Assoc 2006; 42: 290-297. https://doi.org/10.5326/0420290
  12. Mitten RW. Nasopharyngeal stenosis in four cats. J Small Anim Pract 1988; 29: 341-345. https://doi.org/10.1111/j.1748-5827.1988.tb02294.x
  13. Novo RE, Kramek B. Surgical repair of nasopharyngeal stenosis in a cat using a stent. J Am Anim Hosp Assoc 1999; 35: 251-256. https://doi.org/10.5326/15473317-35-3-251