Journal article
Tensor veli palatini preservation, transection, and transection with tensor tenopexy during cleft palate repair and its effects on eustachian tube function
Plastic and reconstructive surgery (1963), Vol.125(1), pp.282-289
01/2010
DOI: 10.1097/PRS.0b013e3181c2a43a
PMID: 20048619
Abstract
During cleft palate repair, levator sling palatoplasty with tensor veli palatini tendon transection significantly improves speech results. However, the procedure may pose a risk to eustachian tube function. This study assesses the impact of three types of palatoplasty techniques on eustachian tube function: no tensor transection, tensor transection alone, and a new addition to the palatoplasty technique, tensor tenopexy.
A retrospective review was conducted of all patients undergoing cleft palate repair at two institutions between 1997 and 2001. Three cleft palate repair groups were studied: no tensor transection (n = 64), tensor transection alone (n = 31), and tensor tenopexy (n = 52). The percentages of patients requiring myringotomy tubes at each year of age were compared among the three groups.
By 7 years of age, there was a significantly decreased need for myringotomy tubes in patients who underwent no tensor transection compared with patients who underwent tensor transection alone (38 percent versus 61 percent, respectively; p = 0.05), as well as for patients who underwent tensor tenopexy compared with patients who underwent tensor veli palatini tendon transection (23 percent versus 61 percent, respectively; p < 0.001). Also, by the age of 7, there was a trend toward a decreased need for myringotomy tubes in patients who underwent tensor tenopexy compared with patients who underwent no tensor transection (23 percent versus 38 percent, respectively; p = 0.11).
No tensor transection and tensor tenopexy significantly decrease the need for myringotomy tubes compared with tensor transection alone. There is a small decrease in the need for myringotomy tubes when comparing tensor tenopexy with no tensor transection.
Details
- Title: Subtitle
- Tensor veli palatini preservation, transection, and transection with tensor tenopexy during cleft palate repair and its effects on eustachian tube function
- Creators
- Roberto L Flores - Division of Plastic Surgery, Riley Hospital for Children, Indiana University Medical Center, Indianapolis, USABethany L JonesJoseph BernsteinMichael KarnellJohn CanadyCourt B Cutting
- Resource Type
- Journal article
- Publication Details
- Plastic and reconstructive surgery (1963), Vol.125(1), pp.282-289
- DOI
- 10.1097/PRS.0b013e3181c2a43a
- PMID
- 20048619
- NLM abbreviation
- Plast Reconstr Surg
- ISSN
- 0032-1052
- eISSN
- 1529-4242
- Publisher
- United States
- Language
- English
- Date published
- 01/2010
- Academic Unit
- Communication Sciences and Disorders; Craniofacial Anomalies Research Center; Otolaryngology
- Record Identifier
- 9984006342402771
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