12/09/2025
今日在 《Journal of Small Animal Practice》劉醫師與劍橋團隊發表關於短吻犬 #翼狀骨 (pterygoid bones) 變異對 #短吻犬上呼吸道矯正手術 成效的限制相關論文，說明鼻後段骨性構造異常可能導致即便已經做了手術，術後氣道仍狹窄、臨床改善有限。
此發現有助解釋部分矯正手術效果不佳之原因，強調術前 #影像評估 鼻後段骨架的重要性，對提升 #短吻犬阻塞性呼吸道症候群 個別化治療策略具臨床與解剖學指標意義。
評估翼狀骨的黃金診斷為 #電腦斷層，然而有經驗的外科醫師仍可以以 #觸診 的方式判斷翼狀骨造成鼻咽骨性狹窄的程度，以作為手術預後的評估。
文章連結：https://onlinelibrary.wiley.com/doi/10.1111/jsap.70028
Dr Liu and the Cambridge research team have just published a new study in the Journal of Small Animal Practice on the role of pterygoid bone malformations in limiting the effectiveness of upper airway surgery in brachycephalic dogs.
Their findings suggest that abnormal skull architecture in the nasopharyngeal region may explain why some dogs continue to experience airway obstruction even after surgery.
This highlights the clinical and anatomical importance of preoperative imaging, especially CT scans, in evaluating the caudal nasal skeleton, and supports more individualised treatment strategies for BOAS.
While CT remains the gold standard for assessing pterygoid bones, experienced surgeons may also detect bony nasopharyngeal narrowing by careful palpation, which can help inform surgical prognosis.
Read the article: https://onlinelibrary.wiley.com/doi/10.1111/jsap.70028
