#golpp

[iheartvmt]

Laryngeal Paralysis

• Other names: "Lar Par," geriatric onset laryngeal paralysis and polyneuropathy (GOLPP)

• Cause:

- The nerves of the muscles controlling the larynx become paretic or paralyzed, causing the cartilage to collapse inwards, blocking the airway.

- Most commonly this is due to an idiopathic neuromuscular disease, called "geriatric onset laryngeal paralysis and polyneuropathy (GOLPP)."

- The breeds most affected by the geriatric form are Labrador retrievers and Irish setters.

- Rarely may be secondary to trauma to the throat/neck or tumors in the neck or chest

- Endocrine diseases (ex. hypothyroidism and Cushing's disease) have also been associated with laryngeal paralysis in dogs.

- The congenital form is most common in Bouvier de Flandres, Siberian Huskies, Bull Terriers and Dalmatians.

• Species: Dogs, rarely cats

• Signs:

- usually middle aged and old, medium and large breed dogs -> owners often report patient as "slowing down" or "just getting older"

- congenital form shows clinical signs by 1 year of age

- shortage of breath

- exercise intolerance

- heat intolerance

- noisy breathing

- panting even when cool and calm

- dysphonia (hoarse or raspy)

- cough, especially with exercise, excitement, eating/drinking, or stress.

- dyspnea

- anxiety

- cyanosis, collapse, and death from asphyxiation in severe cases

• Diagnosis:

- Presumptive based on medical history, clinical signs, and diagnostic tests to rule out other causes of symptoms, such as heart disease

- Confirmation is via examination of the larynx with an endoscope or laryngoscope during voluntary respiration (requires sedation without anesthesia)

• Treatment:

- Medical management, such as anti-inflammatory drugs, antibiotics, and sedatives

- Lifestyle modifications:

avoid hot environments

avoid strenuous exercise

avoid swimming

do not use collars that will put pressure on the neck, but instead use harnesses

feed from elevated bowls

implement weight loss program

- sources were mixed as to whether mild cases can be successfully managed conservatively (with medications and lifestyle modifications alone), or if all cases eventually progress to requiring surgery or euthanasia.

- If in respiratory distress: oxygen therapy, external cooling, sedation, possibly intubation and assisted breathing

- Surgical correction is often successful at reducing or eliminating symptoms, but post-op complications such as aspiration pneumonia (up to 24% of dogs) or surgical failure (4-15%) can occur

- The most common surgical treatment is "unilateral arytenoid lateralization by tie-back" -> an incision is made through the side of the neck and the collapsed cartilage is permanently tied to the side of the larynx with suture to prevent it from creating an obstruction to breathing. [ETA: I shared a video of the surgery in a follow-up post]

- Only one side is tied back to decrease the risk of aspiration

- Recovery involves 6 weeks of post-op exercise restriction and minimizing barking

- Best performed by a boarded veterinary specialist surgeon!

•Sources:

- Video credit: Youtube user rejohnson58

- VCA Hospitals client education

https://vcahospitals.com/know-your-pet/laryngeal-paralysis-in-dogs

- American College of Veterinary Surgeons https://www.acvs.org/small-animal/laryngeal-paralysis

- University of Florida College of Veterinary Medicine Small Animal Hospital

https://smallanimal.vethospital.ufl.edu/clinical-services/surgery/soft-tissue-surgery/laryngeal-paralysis/

[sumnersuzanne]

My sweet girl was diagnosed with GOLPP. It’s a progressive degeneration of nerves, which explains why her legs have been failing her [we thought it was arthritis/old age]. I’m so proud of her for being so strong. Despite her chronic skin allergies, legs that don’t always cooperate + being almost 12 + a half years old...my stubborn Goose barely bats an eye. I constantly pray the universe lets me keep her for as long as her spirit happily allows. My daughter.✨ . . . #lucy #lucille #lucygoose #goose #goosegirl #mybby #mydaughter #mylove #golpp #pleasealwaysstaywithme #pleasealwaysbeokay (at Greenville, South Carolina) https://www.instagram.com/p/CaguK9hLP0O/?utm_medium=tumblr

[kjshcj]

My baby puppy has been struggling lately. I have not written about it at length on social media, and I am not ready to do it here and now. I just want to celebrate how much I love this dog and how much he loves me, even when I do not deserve it. The abbreviated update is that Kennedy was recently diagnosed with #golpp, or #geriatriconsetlaryngealparalysispolyneuropathy (what a mouthful!) and will be starting his physical therapy journey with @healingartsvet in earnest this October. In the meanwhile, we will be focusing on his worsening anxiety and possibly encroaching #ccd, or #caninecognitivedysfunction. I treasure each moment where he is peaceful, lucid, and anxiety-free as a gift. All the other moments are out to break my heart, but I still would not trade away a single moment spent with him. Please think sweet, calm, serene thoughts for my #babypuppy, and if I seem sluggish or down, know that I am just grieving and care for you greatly even when I am quiet. ♡♡♡ . . . . . . #koreanadoptee #koreangirl #koreanamerican #korean #kad #nofilter #denimblue #denimblueombre #denimbluehair #modernselkie #shyselkie #kennedy #kennstagram #케네디 #켄스타 #켄스타그램 #펫스타그램 #펫스타 #petstagram #dogstagram #dogsofinstagram #개스타 #개스타그램 #babykennedy https://www.instagram.com/p/CFf4QxXpHBh/?igshid=k2vsiynufwy

[dawgblogger]

Jake's Laryngeal Paralysis

Jake’s Laryngeal Paralysis

Jake is a senior Labrador Retriever, and his story starts with an emergency veterinary visit. Jake was rushed to the clinic blue and suffocating. Jake has laryngeal paralysis–these days recategorized as geriatric onset laryngeal paralysis polyneuropathy (GOLPP).

It was thought that laryngeal paralysis was just that–paralysis of the voice box (larynx).

The larynx is the organ that…

[armandogolpp]

Prazer Armando Golpp https://www.instagram.com/p/CWtFWqFrmn1/?utm_medium=tumblr

[iheartvmt]

Following up on the last post, here is a video of the tie-back procedure from start to finish.

Just a heads up: it is a detailed surgical video, avoid if you're squeamish.

[kjshcj]

just more of the same

just more of the same

My dog is suffering. I am suffering. I know that there are people who think I’m exaggerating.  I’m not immune to the natural human tendency to wax hyperbolic, so I get it.  I haven’t written extensively about what’s going on with Kennedy.  Kennedy has a condition called Geriatric Onset Laryngeal Paralysis Polyneuropathy [GOLPP] which means that he has some degenerative laryngeal and esophageal…

[dawgblogger]

Breathing Problems in a Dog: Pebbles' Laryngeal Paralysis

Breathing Problems in a Dog: Pebbles' Laryngeal Paralysis

While people might still refer to this condition as laryngeal paralysis, it has been determined that the problem is bigger than that.

It would appear that laryngeal paralysis is a part of a bigger neurological problem. It has been renamed to Geriatric Onset Laryngeal Paralysis Polyneuropathy (GOLPP). GOLPP is a progressive degeneration of nerves that first manifests as laryngeal paralysis—the…