Overview of Canine Soft Palate Disorders
Soft palate disorders are usually congenital defects of the fleshy tissue at the back of the throat that separates the oral and nasal cavities. The most common disorders are a defect or “cleft” in the palate or an elongation of the palate. The soft palate can be traumatized and lacerated, such as following a penetrating stick injury.
Puppies born with palate defects, as in the case of cleft palate, may have problems early on in their development. Dogs with elongated palates frequently do not have clinical signs until 2 or 3 years of age.
Cleft soft palate and elongated soft palate are predominantly seen in brachycephalic, short-faced breeds of dog such as English bulldogs, Boston terriers and pugs. There is no sex predilection.
Untreated cleft soft palate can cause difficulty nursing, failure to thrive, pneumonia and death. Untreated elongated soft palate causes increased airway noise, difficulty breathing when excited and in hot weather, and secondary upper airway diseases such as laryngeal collapse.
What to Watch For
Signs of soft palate disorders in dogs may include:
Puppies that dribble milk from their noses when feeding
Coughing and gagging
Thin and poorly nourished pups
Excitable young brachycephalic dogs with lots of airway noise emanating from the back of their throat, as though they are gagging
Diagnosis of Soft Palate Disorders in Dogs
The diagnosis of a cleft soft palate is usually made from the history; information about the dog’s age, sex and breed (signalment); and physical examination. A defect exists between the two sides of the palate leading to a split, which often involves the hard palate, the bony separation between mouth and nose.
Anesthesia or sedation may be necessary to visualize the tissues in a young squirming puppy.
The diagnosis of an elongated soft palate is made from the history, signalment and physical examination; thorough visualization of the soft palate almost always requires anesthesia.
In cases of traumatic injury to the soft palate, a history of running onto, or chasing a stick is most common, together with a sudden onset of oral tenderness, reluctance to eat or drink and bleeding from the mouth. Anesthesia can be most helpful to visualize the damaged region of the palate.
Chest X-rays are useful in newborn puppies to assess for pneumonia, and, in older dogs with elongated palates, to assess for concurrent diseases such as a narrowed trachea and heart abnormalities.
There are no blood abnormalities specific for soft palate disorders.
Treatment of Soft Palate Disorders in Dogs
Young puppies with a diagnosis of cleft soft palate should be tube fed until at least three months of age before undergoing corrective surgery to close the defect.
Young dogs with elongated soft palates should be treated surgically between 4 and 24 months of age, by shortening the palate to a more normal length. This can be achieved using a scalpel or a laser.
Traumatic injuries to the palate should be repaired shortly after the injury, ensuring that any perforating material is not left behind in the throat or neck to cause future problems.
Whatever the nature of the surgery on your pet’s soft palate, your animal will have been closely monitored for respiratory difficulty in the immediate postoperative period. Your pet will probably stay at your veterinary hospital for a day or two after the procedure.
Once at home your dog should be kept quiet and rested, avoiding excitement and should be watched closely when eating or drinking. Small, easily digested food should be offered initially. Avoid chew toys and rawhide.
All sutures used at the time of surgery will be absorbable, so suture removal will not be necessary. Your veterinarian may suggest you return some two weeks after the procedure for a check-up.
Since cleft soft palate is a congenital problem, it is usually detected by breeders, and the sire and dam should be avoided in a breeding program.
Elongated soft palate is seen in slightly older animals and is a common problem in certain brachycephalic dogs. When choosing these breeds, dog owners should be aware of this disorder and how early surgical intervention can minimize future respiratory disorders later on.
Avoid throwing sharp objects for your dog to chase and catch; use a ball or a Frisbee instead.
In-depth Information on Soft Palate Disorders in Dogs
Clefts of the soft palate should be distinguished from clefts involving the hard palate alone (although they can be in conjunction with hard palate clefts) and clefts involving the lips and nostrils, a primary cleft or harelip. The latter is usually easy to define on physical examination.
Traumatic clefts should be distinguished from congenital clefts. Traumatic clefts may not have a defined history of trauma, but they usually occur in older, active, outdoor animals.
Since congenital clefts of the soft palate are frequently associated with nasal discharge, other causes of rhinitis, or inflammation of the mucus membrane of the nose, should be considered, such as bacterial or viral disorders or inhalation of a foreign body.
Dogs suspected of having an elongated soft palate must also be evaluated for concurrent airway problems such as stenotic or narrowed nostrils, everted laryngeal saccules and laryngeal collapse.
In theory, upper airway noise from an elongated soft palate may be similar in nature to the noise associated with the disorder of laryngeal paralysis. For the most part, the affected breeds of dog and age groups are quite different, with laryngeal paralysis being uncommon in younger brachycephalic dogs and most common in geriatric medium to large breeds of dogs such as Labradors and golden retrievers.
The presence of a mass like an abscess or tumor on the soft palate, the larynx or the trachea can mimic the noise of an elongated soft palate and should be considered, especially in an older dog or non-brachycephalic breed.