Brachycephalic Obstructive Airway Syndrome (BOAS)

Understanding Brachycephalic Airway Syndrome in Dogs

The term brachycephalic means “short-headed” or “short-faced,” and it refers to dog breeds with a characteristic flattened facial structure. Breeds such as Pugs, French Bulldogs, Boston Terriers, and English Bulldogs fall into this category—though some cats and other dog breeds may also have similar facial features. While this look is often considered cute or desirable, it unfortunately comes with several health challenges, particularly related to breathing.

What Is Brachycephalic Airway Syndrome?

Brachycephalic Airway Syndrome (BAS) is a condition that affects the upper airway in short-faced breeds, making it more difficult for them to breathe normally. Owners of these dogs often notice symptoms such as loud snoring, snorting, or labored breathing—even when at rest. These signs are typically caused by one or more of the following anatomical abnormalities:

  • ⁠ ⁠Stenotic nares – Narrowed nostrils that restrict airflow
  • ⁠ ⁠Hypoplastic trachea – An underdeveloped or narrowed windpipe
  • ⁠ ⁠Elongated soft palate – A soft palate that extends too far and partially blocks the airway
  • ⁠ ⁠Everted laryngeal saccules – Swollen tissue that protrudes into the airway
  • ⁠ ⁠Chronic airway inflammation – Swelling caused by ongoing breathing effort

These features can lead to a range of complications, including a heightened risk under anesthesia, and a reduced ability to regulate body temperature. Unlike other breeds, brachycephalic dogs are less efficient at cooling themselves through panting. This puts them at serious risk of heatstroke, especially in warm weather or during physical activity.

Additionally, many of these dogs suffer from gastrointestinal issues such as reflux (similar to heartburn), esophagitis, and hiatal hernias, which can further impact their overall comfort and health.

Managing Brachycephalic Breeds

If you share your home with a brachycephalic dog, there are several key lifestyle adjustments that can make a big difference in their quality of life:

  • ⁠ ⁠Avoid overexertion, especially in warm or humid weather
  • ⁠ ⁠Keep them cool in the summer—air conditioning indoors is ideal
  • ⁠ ⁠Maintain a healthy weight to reduce strain on the airway and body
  • ⁠ ⁠Monitor for signs of breathing difficulty or overheating, and seek veterinary advice promptly if symptoms arise

It’s also important to feed an appropriate diet, as these dogs typically require fewer calories due to their limited exercise capacity. Your veterinarian can help tailor a feeding plan that keeps your dog lean and healthy.

Surgical Options

In many cases, surgical intervention may be recommended to improve your pet’s breathing. Surgery can involve widening the nostrils and shortening the elongated soft palate to improve airflow. While surgery can significantly reduce symptoms and improve quality of life, it doesn’t completely eliminate all breathing difficulties. Lifelong management and regular veterinary monitoring remain essential.

Other Health Concerns in Brachycephalic Dogs

In addition to airway challenges, brachycephalic breeds are prone to several other health issues, including:

  • ⁠ ⁠Dental crowding and misalignment, increasing the risk of tooth decay
  • ⁠ ⁠Skin fold infections, especially around the face and tail
  • ⁠ ⁠Reproductive difficulties, often requiring planned caesarean sections
  • ⁠ ⁠Eye problems, such as: Proptosis (eye displacement), Dry eye (inadequate tear production), Lagophthalmos (incomplete eyelid closure), Entropion (inward-rolling eyelids causing corneal irritation).

Conclusion

Owning a brachycephalic breed comes with unique responsibilities. While these dogs are known for their affectionate and charming personalities, it’s important to be aware of their medical needs. Regular veterinary checkups, proactive management, and careful attention to their environment and activity levels can help ensure they live a comfortable, happy life.

If you have concerns about your brachycephalic dog’s breathing or overall health, don’t hesitate to contact our clinic. We’re here to support you every step of the way.