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Tensor veli palatini preservation, transection, and transection with tensor tenopexy during cleft palate repair and its effects on eustachian tube function.
Plast Reconstr Surg. 2010 Jan; 125(1):282-289.PR

Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

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).

CONCLUSIONS

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.

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Authors+Show Affiliations

Flores RL
Indianapolis, Ind.; Iowa City, Iowa; and New York, N.Y. From the Division of Plastic Surgery, Riley Hospital for Children, Indiana University Medical Center; the Division of Plastic and Reconstructive Surgery, Department of Surgery, and Department of Otolaryngology, University of Iowa Hospitals and Clinics; and the Department of Otolaryngology and the Institute of Reconstructive Plastic Surgery, New York University Medical Center.
Jones BL
No affiliation info available
Bernstein J
No affiliation info available
Karnell M
No affiliation info available
Canady J
No affiliation info available
Cutting CB
No affiliation info available

MeSH

Cleft PalateEustachian TubeHumansInfantOral Surgical ProceduresPalate, SoftRetrospective StudiesVelopharyngeal Insufficiency

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study

Language

eng

PubMed ID

20048619

Citation

Flores, Roberto L., et al. "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, vol. 125, no. 1, 2010, pp. 282-289.
Flores RL, Jones BL, Bernstein J, et al. Tensor veli palatini preservation, transection, and transection with tensor tenopexy during cleft palate repair and its effects on eustachian tube function. Plast Reconstr Surg. 2010;125(1):282-289.
Flores, R. L., Jones, B. L., Bernstein, J., Karnell, M., Canady, J., & Cutting, C. B. (2010). 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, 125(1), 282-289. https://doi.org/10.1097/PRS.0b013e3181c2a43a
Flores RL, et al. Tensor Veli Palatini Preservation, Transection, and Transection With Tensor Tenopexy During Cleft Palate Repair and Its Effects On Eustachian Tube Function. Plast Reconstr Surg. 2010;125(1):282-289. PubMed PMID: 20048619.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tensor veli palatini preservation, transection, and transection with tensor tenopexy during cleft palate repair and its effects on eustachian tube function. AU - Flores,Roberto L, AU - Jones,Bethany L, AU - Bernstein,Joseph, AU - Karnell,Michael, AU - Canady,John, AU - Cutting,Court B, PY - 2010/1/6/entrez PY - 2010/1/6/pubmed PY - 2010/2/17/medline SP - 282 EP - 289 JF - Plastic and reconstructive surgery JO - Plast Reconstr Surg VL - 125 IS - 1 N2 - BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: 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. SN - 1529-4242 UR - https://www.unboundmedicine.com/medline/citation/20048619/Tensor_veli_palatini_preservation_transection_and_transection_with_tensor_tenopexy_during_cleft_palate_repair_and_its_effects_on_eustachian_tube_function_ L2 - https://Insights.ovid.com/pubmed?pmid=20048619 DB - PRIME DP - Unbound Medicine ER -