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The role of the tensor veli palatini muscle in the development of cleft palate-associated middle ear problems.
Clin Oral Investig. 2016 Sep; 20(7):1389-401.CO

Abstract

OBJECTIVE

Otitis media with effusion is common in infants with an unrepaired cleft palate. Although its prevalence is reduced after cleft surgery, many children continue to suffer from middle ear problems during childhood. While the tensor veli palatini muscle is thought to be involved in middle ear ventilation, evidence about its exact anatomy, function, and role in cleft palate surgery is limited. This study aimed to perform a thorough review of the literature on (1) the role of the tensor veli palatini muscle in the Eustachian tube opening and middle ear ventilation, (2) anatomical anomalies in cleft palate infants related to middle ear disease, and (3) their implications for surgical techniques used in cleft palate repair.

MATERIALS AND METHODS

A literature search on the MEDLINE database was performed using a combination of the keywords "tensor veli palatini muscle," "Eustachian tube," "otitis media with effusion," and "cleft palate."

RESULTS

Several studies confirm the important role of the tensor veli palatini muscle in the Eustachian tube opening mechanism. Maintaining the integrity of the tensor veli palatini muscle during cleft palate surgery seems to improve long-term otological outcome. However, anatomical variations in cleft palate children may alter the effect of the tensor veli palatini muscle on the Eustachian tube's dilatation mechanism.

CONCLUSION

More research is warranted to clarify the role of the tensor veli palatini muscle in cleft palate-associated Eustachian tube dysfunction and development of middle ear problems.

CLINICAL RELEVANCE

Optimized surgical management of cleft palate could potentially reduce associated middle ear problems.

Authors+Show Affiliations

Division of Plastic, Reconstructive and Hand Surgery, Wilhelmina Children's Hospital, University Medical Center Utrecht, KE.04.140.0, P.O. Box 85090, 3508 AB, Utrecht, The Netherlands.Division of Plastic, Reconstructive and Hand Surgery, Wilhelmina Children's Hospital, University Medical Center Utrecht, KE.04.140.0, P.O. Box 85090, 3508 AB, Utrecht, The Netherlands.Division of Otorhinolaryngology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.Division of Plastic, Reconstructive and Hand Surgery, Wilhelmina Children's Hospital, University Medical Center Utrecht, KE.04.140.0, P.O. Box 85090, 3508 AB, Utrecht, The Netherlands. c.c.breugem@umcutrecht.nl.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

27153847

Citation

Heidsieck, David S P., et al. "The Role of the Tensor Veli Palatini Muscle in the Development of Cleft Palate-associated Middle Ear Problems." Clinical Oral Investigations, vol. 20, no. 7, 2016, pp. 1389-401.
Heidsieck DS, Smarius BJ, Oomen KP, et al. The role of the tensor veli palatini muscle in the development of cleft palate-associated middle ear problems. Clin Oral Investig. 2016;20(7):1389-401.
Heidsieck, D. S., Smarius, B. J., Oomen, K. P., & Breugem, C. C. (2016). The role of the tensor veli palatini muscle in the development of cleft palate-associated middle ear problems. Clinical Oral Investigations, 20(7), 1389-401. https://doi.org/10.1007/s00784-016-1828-x
Heidsieck DS, et al. The Role of the Tensor Veli Palatini Muscle in the Development of Cleft Palate-associated Middle Ear Problems. Clin Oral Investig. 2016;20(7):1389-401. PubMed PMID: 27153847.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of the tensor veli palatini muscle in the development of cleft palate-associated middle ear problems. AU - Heidsieck,David S P, AU - Smarius,Bram J A, AU - Oomen,Karin P Q, AU - Breugem,Corstiaan C, Y1 - 2016/05/07/ PY - 2015/07/08/received PY - 2016/04/17/accepted PY - 2016/5/8/entrez PY - 2016/5/8/pubmed PY - 2017/10/19/medline KW - Cleft palate KW - Eustachian tube KW - Otitis media with effusion KW - Tensor veli palatini muscle SP - 1389 EP - 401 JF - Clinical oral investigations JO - Clin Oral Investig VL - 20 IS - 7 N2 - OBJECTIVE: Otitis media with effusion is common in infants with an unrepaired cleft palate. Although its prevalence is reduced after cleft surgery, many children continue to suffer from middle ear problems during childhood. While the tensor veli palatini muscle is thought to be involved in middle ear ventilation, evidence about its exact anatomy, function, and role in cleft palate surgery is limited. This study aimed to perform a thorough review of the literature on (1) the role of the tensor veli palatini muscle in the Eustachian tube opening and middle ear ventilation, (2) anatomical anomalies in cleft palate infants related to middle ear disease, and (3) their implications for surgical techniques used in cleft palate repair. MATERIALS AND METHODS: A literature search on the MEDLINE database was performed using a combination of the keywords "tensor veli palatini muscle," "Eustachian tube," "otitis media with effusion," and "cleft palate." RESULTS: Several studies confirm the important role of the tensor veli palatini muscle in the Eustachian tube opening mechanism. Maintaining the integrity of the tensor veli palatini muscle during cleft palate surgery seems to improve long-term otological outcome. However, anatomical variations in cleft palate children may alter the effect of the tensor veli palatini muscle on the Eustachian tube's dilatation mechanism. CONCLUSION: More research is warranted to clarify the role of the tensor veli palatini muscle in cleft palate-associated Eustachian tube dysfunction and development of middle ear problems. CLINICAL RELEVANCE: Optimized surgical management of cleft palate could potentially reduce associated middle ear problems. SN - 1436-3771 UR - https://www.unboundmedicine.com/medline/citation/27153847/The_role_of_the_tensor_veli_palatini_muscle_in_the_development_of_cleft_palate_associated_middle_ear_problems_ L2 - https://dx.doi.org/10.1007/s00784-016-1828-x DB - PRIME DP - Unbound Medicine ER -