Abstract：
OBJECTIVE: Heavy brows in Chow Chow and Shar-Pei dogs can be associated with pseudoptosis and trichiasis-entropion of the upper eyelids, causing vision impairment and ocular discomfort. This study describes the outcomes of brow rhytidectomy ± Stades-like procedure to address these anatomical abnormalities.
METHODS: Retrospective medical records review (2019-2022).
RESULTS: Twenty-seven dogs (n = 15 Chow Chow, n = 12 Shar-Peis) were included, aged 1.9 ± 1.5 years (0.5-6.5 years). Presenting complaints included recurrent episodes of ocular inflammation (n = 13, 48.1%), blepharospasm (n = 10, 37.0%), corneal ulcers (n = 8, 29.6%), entropion (n = 6, 22.2%), and impaired vision (n = 4, 14.8%). Brow skin was removed as follows: (i) First incision parallel and 10-15 mm dorsal to upper lid, slightly extending beyond medial/lateral canthi; (ii) second incision forming an arc with its apex 15-35 mm dorsal to the first incision; and (iii) standard two or three layers closure. In 22/27 dogs, a Stades-like procedure was performed by removing a 2-4 mm strip of skin above eyelid margin and leaving it to heal by secondary intention (no sutures). At last recheck (follow-up 354.5 ± 187.8 days), 19/27 dogs (70.4%) had an adequate eyelid conformation, 7/27 dogs (25.9%) were considered under-corrected, and 1/27 dogs (3.7%) was over-corrected. Most owners (81.5%) were satisfied with the surgical results. Most cases (96.3%) had no recurrence of the clinical signs during the entire follow-up period.
CONCLUSIONS: Brow rhytidectomy ± Stades-like procedure provide good cosmetic and clinical outcomes in Chow Chow and Shar-Pei dogs, although under correction may occur in severely affected dogs and with advancing time.
METHODS: Retrospective medical records review (2019-2022).
RESULTS: Twenty-seven dogs (n = 15 Chow Chow, n = 12 Shar-Peis) were included, aged 1.9 ± 1.5 years (0.5-6.5 years). Presenting complaints included recurrent episodes of ocular inflammation (n = 13, 48.1%), blepharospasm (n = 10, 37.0%), corneal ulcers (n = 8, 29.6%), entropion (n = 6, 22.2%), and impaired vision (n = 4, 14.8%). Brow skin was removed as follows: (i) First incision parallel and 10-15 mm dorsal to upper lid, slightly extending beyond medial/lateral canthi; (ii) second incision forming an arc with its apex 15-35 mm dorsal to the first incision; and (iii) standard two or three layers closure. In 22/27 dogs, a Stades-like procedure was performed by removing a 2-4 mm strip of skin above eyelid margin and leaving it to heal by secondary intention (no sutures). At last recheck (follow-up 354.5 ± 187.8 days), 19/27 dogs (70.4%) had an adequate eyelid conformation, 7/27 dogs (25.9%) were considered under-corrected, and 1/27 dogs (3.7%) was over-corrected. Most owners (81.5%) were satisfied with the surgical results. Most cases (96.3%) had no recurrence of the clinical signs during the entire follow-up period.
CONCLUSIONS: Brow rhytidectomy ± Stades-like procedure provide good cosmetic and clinical outcomes in Chow Chow and Shar-Pei dogs, although under correction may occur in severely affected dogs and with advancing time.
摘要：
目的：Chow和Shar-Pei犬的眉毛沉重可能与上眼睑的假性上下垂和倒排-内翻有关，导致视力障碍和眼部不适。这项研究描述了眉毛除皱术±Stades样手术的结果，以解决这些解剖异常。
方法：回顾性病历回顾（2019-2022）。
结果：27只狗（n=15周，n=12Shar-Peis)包括在内，年龄1.9±1.5岁（0.5-6.5岁）。主诉包括反复发作的眼部炎症（n=13，48.1%），眼睑痉挛（n=10，37.0%），角膜溃疡（n=8，29.6%），内翻（n=6，22.2%），和视力受损（n=4，14.8%）。按如下方式去除眉皮：（i）第一个切口平行于上眼睑背侧10-15mm，稍微延伸超过内侧/外侧canthi；（ii）第二个切口形成弧形，其顶点在第一个切口的背侧15-35毫米处；（iii）标准的两层或三层闭合。在22/27的狗中，aStades-like程序是通过去除眼睑边缘上方2-4mm的皮肤条，并通过次要意图（无缝线）使其愈合。末次复查(随访354.5±187.8天),19/27只狗（70.4%）有足够的眼睑构象，7/27只狗（25.9%）被认为矫正不足，1/27只狗（3.7％）被过度矫正。大多数所有者（81.5％）对手术结果感到满意。大多数病例（96.3%）在整个随访期间没有临床症状复发。
结论：Brow除皱术±Stades样手术在ChowChow和Shar-Pei犬中提供了良好的美容和临床结果，尽管严重受影响的狗可能会出现矫正不足，并且随着时间的推移。
方法：回顾性病历回顾（2019-2022）。
结果：27只狗（n=15周，n=12Shar-Peis)包括在内，年龄1.9±1.5岁（0.5-6.5岁）。主诉包括反复发作的眼部炎症（n=13，48.1%），眼睑痉挛（n=10，37.0%），角膜溃疡（n=8，29.6%），内翻（n=6，22.2%），和视力受损（n=4，14.8%）。按如下方式去除眉皮：（i）第一个切口平行于上眼睑背侧10-15mm，稍微延伸超过内侧/外侧canthi；（ii）第二个切口形成弧形，其顶点在第一个切口的背侧15-35毫米处；（iii）标准的两层或三层闭合。在22/27的狗中，aStades-like程序是通过去除眼睑边缘上方2-4mm的皮肤条，并通过次要意图（无缝线）使其愈合。末次复查(随访354.5±187.8天),19/27只狗（70.4%）有足够的眼睑构象，7/27只狗（25.9%）被认为矫正不足，1/27只狗（3.7％）被过度矫正。大多数所有者（81.5％）对手术结果感到满意。大多数病例（96.3%）在整个随访期间没有临床症状复发。
结论：Brow除皱术±Stades样手术在ChowChow和Shar-Pei犬中提供了良好的美容和临床结果，尽管严重受影响的狗可能会出现矫正不足，并且随着时间的推移。
