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Writer's pictureRinat Bytton

Why Is My Brachycephalic Dog or Cat Having Difficulty Breathing, and How Can We Help?

Updated: Nov 10

Brachycephalic breeds, known for their unique short-muzzled appearance, are cherished companions for numerous dog owners. Popular breeds such as Bulldogs, French Bulldogs, Pugs, Boston Terriers, and Persian cats belong to this category. Despite their endearing personalities, it is essential for pet owners to have a thorough understanding of the distinctive anatomy of brachycephalic breeds to safeguard their health and overall well-being. This article delves into the causes and symptoms of 'BOAS' (Brachycephalic Obstructive Airway Syndrome), as well as the surgical interventions that can enhance the quality of life for these particular breeds.


Anatomical Changes

Head Structure: Brachycephalic breeds have a distinct head structure that sets them apart from other breeds. This anatomy is characterised by a shortened skull and muzzle, resulting in a flattened facial appearance. While this gives these breeds their adorable look, it also comes with specific anatomical features that can impact their health.


Symptoms of BOAS

Recognising the signs of BOAS is crucial for early intervention. Common symptoms include noisy breathing, excessive panting, exercise intolerance, coughing, gagging, and in severe cases, collapse. This means dogs with BOAS may struggle to cool down, especially in hot weather, making them susceptible to heat-related issues.


  1. Stenotic Nares (Narrowed Nostrils):

  2. One common feature of brachycephalic anatomy is stenotic nares, or narrowed nostrils

  3. These narrow openings can obstruct airflow, making breathing more challenging for these breeds


  1. Elongated Soft Palate:

  2. Brachycephalics often have a longer soft palate (the tissue at the back of the throat)

  3. The excessive length of the soft palate can partially obstruct the airway, leading to respiratory difficulties


  1. Everted Laryngeal Saccules:

  2. The laryngeal saccules (small pouches at the back of the throat) may protrude into the airway

  3. This further contributes to airway obstruction and can cause increased respiratory effort


  1. Hypoplastic Trachea:

  2. Brachycephalic breeds may have a trachea (windpipe) that is more narrow than normal

  3. A hypoplastic trachea can add to the overall respiratory challenges faced by these breeds

Understanding the Challenges:

As previously mentioned, the unique anatomy of brachycephalic breeds can lead to several health challenges, primarily related to breathing and thermoregulation.

Owners should be aware of the following issues:

Respiratory Distress:

  • Brachycephalic breeds may exhibit noisy breathing, snoring, snorting, or even wheezing due to their compromised airways Heat Sensitivity:

  • These breeds are more susceptible to heat-related issues due to their limited ability to cool down through panting Exercise Intolerance:

  • Brachycephalic breeds may tire quickly during exercise due to the increased effort required for breathing Potential Need for Surgical Interventions:

  • In severe cases, brachycephalic breeds may require surgical interventions, such as widening the nostrils, trimming the end of the soft palate, and resecting the laryngeal saccules

Responsible Ownership:

When you first notice signs of BOAS in your dog, conservative management may be taken to alleviate the syndrome. This includes weight control, avoiding excessive exercise, and environmental modifications such as ensuring they are comfortable and cool. When conservative management doesn't provide sufficient relief, surgical intervention may be recommended.

Additionally, owners should be cautious about exposing these breeds to excessive heat and strenuous exercise, and be able to recognise if their pet is suffering from Brachycephalic Obstructive Airway Syndrome (BOAS).


Surgical intervention

The BOAS operation involves addressing the specific anatomical issues contributing to the airway obstruction.

  1. Nasal Surgery (Nare Resection): Stenotic nares (narrowed nostrils) are widened to improve airflow. This procedure is typically performed during the early stages of life to alleviate respiratory difficulties.

  2. Soft Palate Trim (Palatoplasty): The elongated soft palate is surgically shortened to prevent it from obstructing the airway.

  3. Laryngeal Saccule Resection: Everted laryngeal saccules, which contribute to airway obstruction, are removed to facilitate better airflow. This helps reduce respiratory effort and minimise the risk of laryngeal collapse.

  4. Tracheostomy (in severe cases): In extreme cases where the trachea is severely narrowed, a tracheostomy may be considered to bypass the upper airway obstruction temporarily.

Post-Operative Care

After BOAS surgery, diligent post-operative care is crucial for a successful recovery. This may include pain management, restricted activity, and close monitoring for any signs of complications. Owners should follow the veterinarian's instructions carefully to ensure the best outcome for their furry companions.



BOAS is a serious health concern for brachycephalic breeds, affecting their respiratory function, happiness, and overall well-being. Recognising the symptoms and seeking veterinary care early on is essential. While surgical intervention is not a cure, BOAS operation can significantly improve the quality of life for affected dogs by addressing the underlying anatomical issues and allowing them to breathe more comfortably. Responsible breeding practices and informed ownership are vital in preventing the perpetuation of BOAS in susceptible breeds.


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