Evaluation of Pharyngeal Function in Dogs with Laryngeal Paralysis Before and After Unilateral Arytenoid Lateralization

OBJECTIVE: To evaluate pharyngeal and laryngeal function using esophagography, topical pharyngeal/laryngeal sensitivity testing, and electromyography (EMG) in normal and dogs with idiopathic laryngeal paralysis (ILP) before and after unilateral arytenoid lateralization. STUDY: Prospective controlled...

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Veröffentlicht in:Veterinary surgery 2015-11, Vol.44 (8), p.1021-1028
Hauptverfasser: Andrade, Natalia, Kent, Marc, Howerth, Elizabeth W., Radlinsky, MaryAnn G.
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container_end_page 1028
container_issue 8
container_start_page 1021
container_title Veterinary surgery
container_volume 44
creator Andrade, Natalia
Kent, Marc
Howerth, Elizabeth W.
Radlinsky, MaryAnn G.
description OBJECTIVE: To evaluate pharyngeal and laryngeal function using esophagography, topical pharyngeal/laryngeal sensitivity testing, and electromyography (EMG) in normal and dogs with idiopathic laryngeal paralysis (ILP) before and after unilateral arytenoid lateralization. STUDY: Prospective controlled cohort study. ANIMALS: Dogs with laryngeal paralysis (ILP; n = 8) and age/breed‐matched (AB, n = 8) and young breed‐matched dogs (B, n = 8) were recruited. METHODS: Evaluation consisted of esophagography, topical pharyngeal/laryngeal sensitivity testing, and electrodiagnostic testing. Esophagography was performed with liquid and canned phases. Pharyngeal and laryngeal sensitivity was tested by applying a cotton‐tipped applicator to the mucosa of pharynx/larynx at anesthetic induction. In all dogs, electrophysiological testing included EMG, direct evoked muscle potentials, motor nerve conduction velocities, and F wave testing. These were performed in the thoracic/pelvic limbs, extrinsic laryngeal muscles, epaxial, and masticatory muscles. RESULTS: Topical pharyngeal and laryngeal sensitivity testing was decreased in LP dogs compared with age‐matched healthy control dogs. Esophagram showed dysmotility in the cranial and caudal esophagus. Gastroesophageal reflux was significantly higher in ILP dogs compared with the other 2 groups (P 
doi_str_mv 10.1111/vsu.12410
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STUDY: Prospective controlled cohort study. ANIMALS: Dogs with laryngeal paralysis (ILP; n = 8) and age/breed‐matched (AB, n = 8) and young breed‐matched dogs (B, n = 8) were recruited. METHODS: Evaluation consisted of esophagography, topical pharyngeal/laryngeal sensitivity testing, and electrodiagnostic testing. Esophagography was performed with liquid and canned phases. Pharyngeal and laryngeal sensitivity was tested by applying a cotton‐tipped applicator to the mucosa of pharynx/larynx at anesthetic induction. In all dogs, electrophysiological testing included EMG, direct evoked muscle potentials, motor nerve conduction velocities, and F wave testing. These were performed in the thoracic/pelvic limbs, extrinsic laryngeal muscles, epaxial, and masticatory muscles. RESULTS: Topical pharyngeal and laryngeal sensitivity testing was decreased in LP dogs compared with age‐matched healthy control dogs. Esophagram showed dysmotility in the cranial and caudal esophagus. Gastroesophageal reflux was significantly higher in ILP dogs compared with the other 2 groups (P &lt; .03). In all affected dogs, EMG abnormalities were limited to the interosseous muscles of both pelvic and thoracic limbs bilaterally. CONCLUSION: Dogs with ILP not only have recurrent laryngeal nerve (RLN) and pararecurrent laryngeal nerve (pRLN) dysfunction, but may also have concurrent cranial laryngeal nerve dysfunction.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/vsu.12410</identifier><identifier>PMID: 26509938</identifier><language>eng</language><publisher>United States: Blackwell [etc.]</publisher><subject>Animals ; Arytenoid Cartilage - surgery ; Dog Diseases - etiology ; Dog Diseases - physiopathology ; Dog Diseases - surgery ; Dogs ; Electromyography - veterinary ; Larynx - physiopathology ; Pharynx - physiopathology ; Prospective Studies ; Recurrent Laryngeal Nerve - physiopathology ; Surgical outcomes ; Throat ; Veterinary medicine ; Vocal Cord Paralysis - etiology ; Vocal Cord Paralysis - physiopathology ; Vocal Cord Paralysis - surgery ; Vocal Cord Paralysis - veterinary</subject><ispartof>Veterinary surgery, 2015-11, Vol.44 (8), p.1021-1028</ispartof><rights>Copyright 2015 by The American College of Veterinary Surgeons</rights><rights>Copyright 2015 by The American College of Veterinary Surgeons.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4150-5bac849d732e606f75c123221bfcea59004deb981476504d6805fbbfd3e9f3c83</citedby><cites>FETCH-LOGICAL-c4150-5bac849d732e606f75c123221bfcea59004deb981476504d6805fbbfd3e9f3c83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvsu.12410$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvsu.12410$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26509938$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Andrade, Natalia</creatorcontrib><creatorcontrib>Kent, Marc</creatorcontrib><creatorcontrib>Howerth, Elizabeth W.</creatorcontrib><creatorcontrib>Radlinsky, MaryAnn G.</creatorcontrib><title>Evaluation of Pharyngeal Function in Dogs with Laryngeal Paralysis Before and After Unilateral Arytenoid Lateralization</title><title>Veterinary surgery</title><addtitle>Veterinary Surgery</addtitle><description>OBJECTIVE: To evaluate pharyngeal and laryngeal function using esophagography, topical pharyngeal/laryngeal sensitivity testing, and electromyography (EMG) in normal and dogs with idiopathic laryngeal paralysis (ILP) before and after unilateral arytenoid lateralization. STUDY: Prospective controlled cohort study. ANIMALS: Dogs with laryngeal paralysis (ILP; n = 8) and age/breed‐matched (AB, n = 8) and young breed‐matched dogs (B, n = 8) were recruited. METHODS: Evaluation consisted of esophagography, topical pharyngeal/laryngeal sensitivity testing, and electrodiagnostic testing. Esophagography was performed with liquid and canned phases. Pharyngeal and laryngeal sensitivity was tested by applying a cotton‐tipped applicator to the mucosa of pharynx/larynx at anesthetic induction. In all dogs, electrophysiological testing included EMG, direct evoked muscle potentials, motor nerve conduction velocities, and F wave testing. These were performed in the thoracic/pelvic limbs, extrinsic laryngeal muscles, epaxial, and masticatory muscles. RESULTS: Topical pharyngeal and laryngeal sensitivity testing was decreased in LP dogs compared with age‐matched healthy control dogs. Esophagram showed dysmotility in the cranial and caudal esophagus. Gastroesophageal reflux was significantly higher in ILP dogs compared with the other 2 groups (P &lt; .03). In all affected dogs, EMG abnormalities were limited to the interosseous muscles of both pelvic and thoracic limbs bilaterally. CONCLUSION: Dogs with ILP not only have recurrent laryngeal nerve (RLN) and pararecurrent laryngeal nerve (pRLN) dysfunction, but may also have concurrent cranial laryngeal nerve dysfunction.</description><subject>Animals</subject><subject>Arytenoid Cartilage - surgery</subject><subject>Dog Diseases - etiology</subject><subject>Dog Diseases - physiopathology</subject><subject>Dog Diseases - surgery</subject><subject>Dogs</subject><subject>Electromyography - veterinary</subject><subject>Larynx - physiopathology</subject><subject>Pharynx - physiopathology</subject><subject>Prospective Studies</subject><subject>Recurrent Laryngeal Nerve - physiopathology</subject><subject>Surgical outcomes</subject><subject>Throat</subject><subject>Veterinary medicine</subject><subject>Vocal Cord Paralysis - etiology</subject><subject>Vocal Cord Paralysis - physiopathology</subject><subject>Vocal Cord Paralysis - surgery</subject><subject>Vocal Cord Paralysis - veterinary</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kk1v1DAQhi0EokvhwB8AS1zgkHb8lcTHpbQFFMGKdoGb5ST21iUbFzvpsvx6zKbdAxKWLI_Gz_vanjFCzwkckTSOb-N4RCgn8ADNiGA0kwK-P0QzIDnJGJfyAD2J8RoAJOfsMTqguQApWTlDm9Nb3Y16cL7H3uLFlQ7bfmV0h8_GvtmlXY_f-VXEGzdc4Wq_v9BBd9voIn5rrA8G677FczuYgJe963QKEjUP28H03rVJucu437vDnqJHVnfRPLtbD9Hy7PTy5H1WfT7_cDKvsoYTAZmodVNy2RaMmhxyW4iGUEYpqW1jtJAAvDW1LAkv0pN4m5cgbF3blhlpWVOyQ_R68r0J_udo4qDWLjam63Rv_BgVKRjkZZ6MEvrqH_Taj6FPt0sUlSCAcpmoNxPVBB9jMFbdBLdOVVEE1N9uqNQNtetGYl_cOY712rR78r78CTiegI3rzPb_TurrxfLeMpsULg7m116hww-VF6wQ6tunc3W5EF8-Aq1UlfiXE2-1V3oVXFTLC5o-BqTJGCXsDwgirLw</recordid><startdate>201511</startdate><enddate>201511</enddate><creator>Andrade, Natalia</creator><creator>Kent, Marc</creator><creator>Howerth, Elizabeth W.</creator><creator>Radlinsky, MaryAnn G.</creator><general>Blackwell [etc.]</general><general>Blackwell Publishing Ltd</general><scope>FBQ</scope><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201511</creationdate><title>Evaluation of Pharyngeal Function in Dogs with Laryngeal Paralysis Before and After Unilateral Arytenoid Lateralization</title><author>Andrade, Natalia ; Kent, Marc ; Howerth, Elizabeth W. ; Radlinsky, MaryAnn G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4150-5bac849d732e606f75c123221bfcea59004deb981476504d6805fbbfd3e9f3c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Animals</topic><topic>Arytenoid Cartilage - surgery</topic><topic>Dog Diseases - etiology</topic><topic>Dog Diseases - physiopathology</topic><topic>Dog Diseases - surgery</topic><topic>Dogs</topic><topic>Electromyography - veterinary</topic><topic>Larynx - physiopathology</topic><topic>Pharynx - physiopathology</topic><topic>Prospective Studies</topic><topic>Recurrent Laryngeal Nerve - physiopathology</topic><topic>Surgical outcomes</topic><topic>Throat</topic><topic>Veterinary medicine</topic><topic>Vocal Cord Paralysis - etiology</topic><topic>Vocal Cord Paralysis - physiopathology</topic><topic>Vocal Cord Paralysis - surgery</topic><topic>Vocal Cord Paralysis - veterinary</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Andrade, Natalia</creatorcontrib><creatorcontrib>Kent, Marc</creatorcontrib><creatorcontrib>Howerth, Elizabeth W.</creatorcontrib><creatorcontrib>Radlinsky, MaryAnn G.</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Andrade, Natalia</au><au>Kent, Marc</au><au>Howerth, Elizabeth W.</au><au>Radlinsky, MaryAnn G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of Pharyngeal Function in Dogs with Laryngeal Paralysis Before and After Unilateral Arytenoid Lateralization</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Veterinary Surgery</addtitle><date>2015-11</date><risdate>2015</risdate><volume>44</volume><issue>8</issue><spage>1021</spage><epage>1028</epage><pages>1021-1028</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>OBJECTIVE: To evaluate pharyngeal and laryngeal function using esophagography, topical pharyngeal/laryngeal sensitivity testing, and electromyography (EMG) in normal and dogs with idiopathic laryngeal paralysis (ILP) before and after unilateral arytenoid lateralization. STUDY: Prospective controlled cohort study. ANIMALS: Dogs with laryngeal paralysis (ILP; n = 8) and age/breed‐matched (AB, n = 8) and young breed‐matched dogs (B, n = 8) were recruited. METHODS: Evaluation consisted of esophagography, topical pharyngeal/laryngeal sensitivity testing, and electrodiagnostic testing. Esophagography was performed with liquid and canned phases. Pharyngeal and laryngeal sensitivity was tested by applying a cotton‐tipped applicator to the mucosa of pharynx/larynx at anesthetic induction. In all dogs, electrophysiological testing included EMG, direct evoked muscle potentials, motor nerve conduction velocities, and F wave testing. These were performed in the thoracic/pelvic limbs, extrinsic laryngeal muscles, epaxial, and masticatory muscles. RESULTS: Topical pharyngeal and laryngeal sensitivity testing was decreased in LP dogs compared with age‐matched healthy control dogs. Esophagram showed dysmotility in the cranial and caudal esophagus. Gastroesophageal reflux was significantly higher in ILP dogs compared with the other 2 groups (P &lt; .03). In all affected dogs, EMG abnormalities were limited to the interosseous muscles of both pelvic and thoracic limbs bilaterally. CONCLUSION: Dogs with ILP not only have recurrent laryngeal nerve (RLN) and pararecurrent laryngeal nerve (pRLN) dysfunction, but may also have concurrent cranial laryngeal nerve dysfunction.</abstract><cop>United States</cop><pub>Blackwell [etc.]</pub><pmid>26509938</pmid><doi>10.1111/vsu.12410</doi><tpages>8</tpages></addata></record>
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source Wiley Online Library - AutoHoldings Journals; MEDLINE
subjects Animals
Arytenoid Cartilage - surgery
Dog Diseases - etiology
Dog Diseases - physiopathology
Dog Diseases - surgery
Dogs
Electromyography - veterinary
Larynx - physiopathology
Pharynx - physiopathology
Prospective Studies
Recurrent Laryngeal Nerve - physiopathology
Surgical outcomes
Throat
Veterinary medicine
Vocal Cord Paralysis - etiology
Vocal Cord Paralysis - physiopathology
Vocal Cord Paralysis - surgery
Vocal Cord Paralysis - veterinary
title Evaluation of Pharyngeal Function in Dogs with Laryngeal Paralysis Before and After Unilateral Arytenoid Lateralization
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