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Laryngeal paralysis
Laryngeal paralysis means the “doorway” to the windpipe doesn’t open properly when a pet breathes in. The muscles that should pull the arytenoid cartilages outward are weak or paralysed, so the opening narrows (or even collapses) during a breath.
Dogs struggle most when hot, excited, or exercising; many have a change in voice and loud, harsh breathing.
In older medium–large dogs, laryngeal paralysis often reflects a broader, slowly progressive nerve problem (GOLPP).
The main surgery, unilateral arytenoid lateralization (“tie-back”), permanently opens one side of the larynx and usually improves breathing and quality of life—while carrying a real, lifelong risk of aspiration pneumonia that owners should understand up front.

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