Those animals not receiving surgery must be monitored very closely indeed for signs of deterioration in function or aspiration pneumonia and these patients MUST avoid heat stress.Unfortunately, once diagnosed the condition is usually progressive and so there will always be a degree of anxiety when considering those cases with some remaining function of the recurrent laryngeal nerves. Less severe cases may only need anti-inflammatory medications to reduce laryngeal swelling, weight loss, and activity restriction. Unfortunately, recovery from general anaesthesia is associated with increased risks if an animal is suffering from laryngeal paralysis, and therefore definitive diagnosis is usually made immediately before surgical treatment is carried out under the same anaesthetic.Before induction of general anaesthesia to definitively diagnose and treat the condition, it is important to carry out a number of checks in order to decide on the likely cause of the condition and therefore help in deciding whether surgical treatment is appropriate. As the term implies, laryngeal paralysis is a paralysis that affects the dog’s larynx, better known as voice box. It is less and less common for aspiration pneumonia to be fatal, and pets can make a full recovery even in severe cases. The hind leg weakness and incoordination usually start after laryngeal paralysis is complete but sometimes begins earlier. Adrienne Kruzer, RVT, has worked with a variety of animals for over 15 years, including birds of prey, reptiles, and small mammals. The barks and other noises your dog makes may also sound different and it could also have trouble breathing. Laryngeal tieback surgery is usually only performed on patients suffering clinical signs and often only those suffering bilateral paralysis. This is due to the cartilage of the larynx that is partially covering the opening to the airway. Other tests may be run to rule out other diseases or to ensure there isn't an underlying cause for the laryngeal paralysis. This involves permanently fixing one of the patient’s vocal cords in an open position.Approximately 90-95% of animals undergoing a tieback procedure have a significantly improved airway and, therefore, improved quality of life following the procedure.Complications that can occur in the minority of cases include:Permanently holding one of the vocal cords open can greatly improve the air flow in an animal suffering complete paralysis of both sides of the larynx. I live in south Texas and its hot outside.The Labrador Site is a participant in the Amazon EU Associates Programme, an affiliate advertising programme designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.co.uk.Does the dog in your life have a cat in theirs? The investigation will commonly involve:The most effective and commonly performed surgical treatment for laryngeal paralysis is called a ‘Tieback’ or Unilateral Arytenoid Lateralisation (UAL). Laryngeal paralysis can occur in any dog. In the veterinary world, we tend to call it “Lar Par." The surgical procedures described to correct laryngeal paralysis are unilateral or bilateral arytenoid cartilage lateralization, ventricular cordectomy and partial arytenoidectomy via the oral or ventral laryngotomy approach, modified castellated laryngofissure, and permanent tracheostomy.