EXPRESS: Stenotic nares treatment in 37 brachycephalic cats by ala vestibuloplasty: 2017-2025.

Ala vestibuloplasty safely and effectively improves respiratory function in brachycephalic cats with stenotic nares.

This retrospective case series evaluated ala vestibuloplasty as a surgical treatment for stenotic nares in 37 brachycephalic cats between 2017 and 2025. Stenotic nares represent a significant component of feline brachycephalic airway syndrome, causing respiratory compromise and reduced quality of life. All cats demonstrated postoperative improvement in respiratory signs, with median respiratory scores declining from 3 preoperatively to 2 postoperatively. No major perioperative or postoperative complications were documented in cats undergoing their first nasal surgery. Long-term follow-up beyond 6 months revealed improved quality of life in 83.8% of cases according to owner assessments. Patient demographics including age, gender, and breed did not significantly influence surgical outcomes. Ala vestibuloplasty proved to be a safe, feasible, and effective surgical technique for managing stenotic nares in brachycephalic cats. The procedure demonstrated consistent improvement in respiratory function and high owner satisfaction rates. This technique represents a practical surgical option for veterinarians managing feline brachycephalic airway syndrome and addressing the clinical signs associated with stenotic nares.

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