The Cat Specialist Veterinary Clinic

Nasopharyngeal Stenosis in Cats: Advanced Airway Treatment at The Cat Vet

17/03/2026 3 min read

At The Cat Vet Specialist Centre, we specialise in advanced, minimally invasive treatment for cats diagnosed with nasopharyngeal stenosis, a narrowing of the airway at the back of the nasal cavity that can make breathing difficult and affect quality of life.

This condition is most commonly seen in cats and requires a delicate, species-specific approach to achieve the best results.

What is Nasopharyngeal Stenosis in Cats?

Nasopharyngeal stenosis occurs when scar tissue forms at the back of the nasal passages, partially or completely blocking airflow. In cats, it is most often caused by:

  • Previous upper respiratory infections
  • Chronic inflammation
  • Trauma or injury to the nasal passages
  • Complications from prior surgery

Common Symptoms of Nasopharyngeal Stenosis in Cats

Cat owners may notice signs that indicate your cat is struggling to breathe, including:

  • Noisy breathing in cats / Cat wheezing: a raspy or wheezy sound when your cat breathes
  • Cat snoring / Noisy sleep: especially during rest or at night
  • Open-mouth breathing in cats: unusual for a resting cat
  • Sneezing, nasal discharge, or bleeding from the nose: persistent or recurring
  • Exercise intolerance: your cat tires quickly or avoids play
  • Coughing, gagging, or retching during feeding
  • Laboured or noisy breathing during sleep

If you notice any of these symptoms, early evaluation by a specialist can improve outcomes and your cat’s comfort.

Specialist Treatment for Cats

Balloon Dilation – Widening the Airway

The first-line treatment for feline nasopharyngeal stenosis is balloon dilation. Using advanced endoscopic guidance, a balloon catheter is inserted into the narrowed area and gently inflated to widen the airway.

In cats, we often make two precise lateral cuts from the stenotic opening before dilation. This method:

  • Allows controlled expansion of the airway
  • Protects delicate tissue from tearing
  • Preserves wound edges
  • Encourages healthy healing and epithelialisation

Laser Endoscopy – Precise Scar Tissue Removal

In cases where the stenosis is located further back (caudally) or the tissue is very thin, laser endoscopy alone may be sufficient.

Laser treatment provides:

  • Precise removal of scar tissue
  • Minimal damage to surrounding tissues
  • Control of bleeding after balloon dilation

This approach is especially useful in cats, where maintaining delicate airway structures is essential.

Why Choose The Cat Vet Specialist Centre?

At The Cat Vet Specialist Centre, our feline specialists use the latest endoscopic and interventional equipment to provide:

  • Comfortable, minimally invasive treatment
  • Reduced risk of recurrence
  • Cat-centred care designed for delicate anatomy
  • Expert aftercare and follow-up

Early intervention can dramatically improve your cat’s quality of life. If your cat shows signs of noisy breathing, snoring, open-mouth breathing, or nasal discharge, our team is ready to help with a tailored treatment plan.