Stenotic Nare Augmentation

Image of a Pug face.

Stenotic Nares are a congenital condition that lead to abnormally narrow nostrils which inhibit adequate airflow.

Stenotic Nares is one component of the Brachycephalic Obstructive Airway Syndrome (BOAS), which affects brachycephalic dogs. “Brachy-” meaning short and “cephalic” meaning head describes Boxers, Bulldogs, Pugs, Boston Terriers, Pekingese, and other flat-faced dogs and cats. Other possible components of BOAS include elongated soft palate, everted laryngeal saccules, and tracheal hypoplasia.

  • Noisy breathing
  • Retching, gagging, vomiting
  • Exercise intolerance
  • Heat intolerance and overheating

Obesity will worsen these signs.

Pre-surgery, during surgery, and post surgery stenotic nares comparison.
Image courtesy of Melbourne Bulldog Clinic

A definitive diagnosis is made by your pet’s primary care veterinarian during a routine examination.

The goal of treatment is to surgically widen the lumen (or opening) of the nostrils to allow increased airflow. This is accomplished by using a scalpel to remove a small, symmetrical wedge-shaped piece from each nostril.

After surgery your pet will be sent home with pain medication and an Elizabethan collar (e-collar). The e-collar should be worn until the recheck appointment 10-14 days after the procedure to avoid rubbing and pawing at the incision sites.