Conservative management of canine cleft palate can be a viable treatment option: 65 cases (2006-2023).

IF 1.6 2区 农林科学 Q2 VETERINARY SCIENCES Javma-journal of The American Veterinary Medical Association Pub Date : 2024-10-03 DOI:10.2460/javma.24.07.0470
Samantha L Monck, Kyle G Mathews, B Duncan X Lascelles, Kim Love, Sarah M Lewis
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Abstract

Objective: To evaluate nonsurgical management outcomes of cleft palate (CP) in dogs and identify any association between cleft size, prevalence of clinical signs, and quality of life (QoL).

Methods: 65 dogs treated conservatively for CP from January 2006 through December 2023 were retrospectively identified. Diet, activity, medical history, and QoL were recorded for dogs that survived to the transition to solid food. Results were compared to those from 24 control dogs. Measurements of cleft area, width, and percentage of the hard palate occupied by the cleft were made with the use of calibrated photographs. Clefts were divided into 3 types: wide throughout, wide rostrally, and slit throughout.

Results: Sneezing was the most frequent clinical sign (43 of 65 over the past month, 34 of 65 when most affected). There was a greater frequency of material lodging in the cleft in the wide-throughout clefts (13 of 16 dogs) compared to the slit-throughout clefts (7 of 19 dogs). Veterinary removal of material was required in 10 of 68 episodes (7 of 31 dogs). There was no correlation between cleft size and prevalence of clinical signs or QoL. Sixty-three percent of dogs had a perfect QoL on a weighted scale, while 83.3% had a perfect score on a visual analog scale. Sixty-four of 65 owners would adopt another dog with a CP.

Conclusions: Measures of QoL were favorable among dogs treated conservatively for CP.

Clinical relevance: Conservative management appears to be a viable option for treatment of CPs in some dogs.

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犬腭裂的保守治疗是一种可行的治疗方案:65 个病例(2006-2023 年)。
目的评估犬腭裂(CP)的非手术治疗效果,并确定腭裂大小、临床症状发生率和生活质量(QoL)之间的关联。方法:对 2006 年 1 月至 2023 年 12 月期间接受保守治疗的 65 只犬进行回顾性鉴定。方法:对 2006 年 1 月至 2023 年 12 月期间接受过 CP 保守治疗的 65 只犬进行了回顾性鉴定,记录了过渡到固体食物的犬的饮食、活动、病史和 QoL。结果与 24 只对照组犬的结果进行了比较。利用校准照片测量了裂隙的面积、宽度和裂隙占硬腭的百分比。裂隙分为 3 种类型:整体宽、喙侧宽和整体狭缝:打喷嚏是最常见的临床表现(过去一个月 65 人中有 43 人打喷嚏,最严重时 65 人中有 34 人打喷嚏)。与缝隙贯穿型裂隙(19 只狗中有 7 只)相比,宽贯穿型裂隙(16 只狗中有 13 只)中的材料滞留在裂隙中的频率更高。68 次中有 10 次(31 只狗中有 7 只)需要兽医清除材料。裂隙大小与临床症状或 QoL 的发生率之间没有相关性。63%的狗在加权量表上的 QoL 满分,83.3%的狗在视觉模拟量表上的 QoL 满分。65只狗中有64只的主人愿意再收养一只患有CP的狗:结论:接受CP保守治疗的狗的生活质量较高:临床意义:保守治疗似乎是治疗某些犬只 CP 的可行方案。
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来源期刊
CiteScore
1.60
自引率
15.80%
发文量
539
审稿时长
6-16 weeks
期刊介绍: Published twice monthly, this peer-reviewed, general scientific journal provides reports of clinical research, feature articles and regular columns of interest to veterinarians in private and public practice. The News and Classified Ad sections are posted online 10 days to two weeks before they are delivered in print.
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Academia must be flexible and innovative in addressing the veterinary medical educator shortage. Auburn University trains well-balanced, resilient veterinarians. I resolve … Getting involved in 2025. The AVMA journals continue to provide, promote, and advance. Utilizing simulated cases in clinical skills education.
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