Tracheal collapse in dogs is a condition characterized by incomplete formation or weakening of the

cartilaginous Cartilage is a resilient and smooth type of connective tissue. In tetrapods, it covers and protects the ends of long bones at the joints as articular cartilage, and is a structural component of many body parts including the rib cage, the neck and ...

rings of the

trachea The trachea, also known as the windpipe, is a cartilaginous tube that connects the larynx to the bronchi of the lungs, allowing the passage of air, and so is present in almost all air-breathing animals with lungs. The trachea extends from the l ...

resulting in flattening of the trachea. It can be

congenital A birth defect, also known as a congenital disorder, is an abnormal condition that is present at birth regardless of its cause. Birth defects may result in disabilities that may be physical, intellectual, or developmental. The disabilities can ...

or acquired, and extrathoracic or intrathoracic (inside or outside the thoracic cavity). Tracheal collapse is a dynamic condition. Collapse of the cervical trachea or extrathoracic (in the neck) occurs during inspiration; collapse of the thoracic trachea or intrathoracic (in the chest) occurs during expiration. Tracheal collapse is most commonly found in small dog breeds, including the Chihuahua, Pomeranian, Toy Poodle,

Shih Tzu The Shih Tzu (, ; literally " Hsi Shih dog") is a toy dog breed originating from Tibet and was bred from the Pekingese and the Lhasa Apso. Shih Tzus are known for their short snouts and large round eyes, as well as their long coat, floppy ear ...

Lhasa Apso The Lhasa Apso ( ) is a non-sporting dog breed originating in Tibet. It has traditionally been used as an interior sentinel. Etymology Lhasa is the capital city of Tibet, and ''apso'' is a word from the Tibetan language. There is some deb ...

, Maltese,

Pug The Pug is a breed of dog originally from China, with physically distinctive features of a wrinkly, short-muzzled face and curled tail. The breed has a fine, glossy coat that comes in a variety of colors, most often light brown ( fawn) or bl ...

, and

Yorkshire Terrier The Yorkshire Terrier (often shortened as Yorkie) is one of the smallest dog breeds of the terrier type and indeed of any dog breed. The breed developed during the 19th century in Yorkshire, England.glycosaminoglycan Glycosaminoglycans (GAGs) or mucopolysaccharides are long, linear polysaccharides consisting of repeating disaccharide units (i.e. two-sugar units). The repeating two-sugar unit consists of a uronic sugar and an amino sugar, except in the case ...

glycoprotein Glycoproteins are proteins which contain oligosaccharide chains covalently attached to amino acid side-chains. The carbohydrate is attached to the protein in a cotranslational or posttranslational modification. This process is known as glyc ...

calcium Calcium is a chemical element with the symbol Ca and atomic number 20. As an alkaline earth metal, calcium is a reactive metal that forms a dark oxide-nitride layer when exposed to air. Its physical and chemical properties are most similar ...

, and

chondroitin A chondroitin is a chondrin derivative. Types include: * Chondroitin sulfate * Dermatan sulfate Chondroitin as a supplement is now commonly used (often in combination with glucosamine Glucosamine (C6H13NO5) is an amino sugar and a prominent pr ...

. Acquired tracheal collapse can be caused by

Cushing's syndrome Cushing's syndrome is a collection of signs and symptoms due to prolonged exposure to glucocorticoids such as cortisol. Signs and symptoms may include high blood pressure, abdominal obesity but with thin arms and legs, reddish stretch marks ...

, heart disease, and chronic respiratory disease and infection. Symptoms include a cough (often called a "goose honk cough" due to its sound), especially when the dog is excited. This cough is usually

paroxysm Paroxysmal attacks or paroxysms (from Greek παροξυσμός) are a sudden recurrence or intensification of symptoms, such as a spasm or seizure. These short, frequent symptoms can be observed in various clinical conditions. They are usually ...

al in nature. Other symptoms include exercise intolerance, respiratory distress, and gagging while eating or drinking. Tracheal collapse is easily seen on a

radiograph Radiography is an imaging technique using X-rays, gamma rays, or similar ionizing radiation and non-ionizing radiation to view the internal form of an object. Applications of radiography include medical radiography ("diagnostic" and "therapeut ...

as a narrowing of the tracheal lumen. Treatment for mild to moderate cases include

corticosteroid Corticosteroids are a class of steroid hormones that are produced in the adrenal cortex of vertebrates, as well as the synthetic analogues of these hormones. Two main classes of corticosteroids, glucocorticoids and mineralocorticoids, are invo ...

bronchodilator A bronchodilator or broncholytic (although the latter occasionally includes secretory inhibition as well) is a substance that dilates the bronchi and bronchioles, decreasing resistance in the respiratory airway and increasing airflow to the lung ...

s, and

antitussive Cold medicines are a group of medications taken individually or in combination as a treatment for the symptoms of the common cold and similar conditions of the upper respiratory tract. The term encompasses a broad array of drugs, including a ...

s. Medical treatment is successful in about 70 percent of tracheal collapse cases. Severe cases can be treated with surgical implantation of a tracheal

stent In medicine, a stent is a metal or plastic tube inserted into the lumen of an anatomic vessel or duct to keep the passageway open, and stenting is the placement of a stent. A wide variety of stents are used for different purposes, from expandab ...

(inside or outside of the trachea) or prosthetic rings. Extraluminal (outside the trachea) stenting is generally used only for tracheal collapse in the neck region. Intraluminal stenting has shown more promise for success with intrathoracic cases, especially using nitinol, a type of shape memory alloy composed of

nickel Nickel is a chemical element with symbol Ni and atomic number 28. It is a silvery-white lustrous metal with a slight golden tinge. Nickel is a hard and ductile transition metal. Pure nickel is chemically reactive but large pieces are slow to ...

and

titanium Titanium is a chemical element with the symbol Ti and atomic number 22. Found in nature only as an oxide, it can be reduced to produce a lustrous transition metal with a silver color, low density, and high strength, resistant to corrosion in ...

. Potential problems include stent migration and fracture. Tracheal collapse has also been described in

horse The horse (''Equus ferus caballus'') is a Domestication, domesticated, odd-toed ungulate, one-toed, ungulate, hoofed mammal. It belongs to the taxonomic family Equidae and is one of two Extant taxon, extant subspecies of wild horse, ''Equus fer ...

s, both as a congenital condition and as a result of trauma. It is most commonly seen in the cervical trachea.

References

{{reflist Dog diseases

See also

References