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A review of the tensor veli palatine function and its relevance to palatoplasty.

Schönmeyr, Björn LU and Sadhu, Partha (2014) In Journal of Plastic Surgery and Hand Surgery 48(1). p.5-9
Abstract
Abstract The main purpose of palatoplasty is to establish normal speech and deglutition. To enhance the chance of successful palatal repair, as well as optimal velopharyngeal competence, the anatomy of the palate has to be thoroughly understood. While carrying out the repair, some surgeons prefer to cut the tensor veli palatini (TVP) tendon, others perform a tenopexy or fracture the hamulus around which the tendon passes, to facilitate mobilisation of palatal tissue. However, the exact anatomy and function of the TVP is still controversial and severing the tendon or its path could be of potential harm. A review of the literature was conducted to summarise the current knowledge of the TVP and its relevance to palatoplasty. It was found that... (More)
Abstract The main purpose of palatoplasty is to establish normal speech and deglutition. To enhance the chance of successful palatal repair, as well as optimal velopharyngeal competence, the anatomy of the palate has to be thoroughly understood. While carrying out the repair, some surgeons prefer to cut the tensor veli palatini (TVP) tendon, others perform a tenopexy or fracture the hamulus around which the tendon passes, to facilitate mobilisation of palatal tissue. However, the exact anatomy and function of the TVP is still controversial and severing the tendon or its path could be of potential harm. A review of the literature was conducted to summarise the current knowledge of the TVP and its relevance to palatoplasty. It was found that there is sufficient evidence that the TVP plays an important part in velar tautening and Eustachian tube opening, under normal circumstances. TVP's role in the cleft patient population is, however, less certain. Whether or not TVP tenotomy or dislocation reduces ET function further in these patients is also unclear. There is, however, little or no evidence of reduced middle ear effusions if such actions are avoided, at least not in children younger than 3 years of age. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Plastic Surgery and Hand Surgery
volume
48
issue
1
pages
5 - 9
publisher
Taylor & Francis
external identifiers
  • wos:000329857200002
  • pmid:23710786
  • scopus:84892659676
ISSN
2000-656X
DOI
10.3109/2000656X.2013.793603
language
English
LU publication?
yes
id
59b36967-0682-4184-af36-5c675c8abfbb (old id 3804113)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23710786?dopt=Abstract
date added to LUP
2013-06-05 14:13:11
date last changed
2017-07-02 03:22:07
@article{59b36967-0682-4184-af36-5c675c8abfbb,
  abstract     = {Abstract The main purpose of palatoplasty is to establish normal speech and deglutition. To enhance the chance of successful palatal repair, as well as optimal velopharyngeal competence, the anatomy of the palate has to be thoroughly understood. While carrying out the repair, some surgeons prefer to cut the tensor veli palatini (TVP) tendon, others perform a tenopexy or fracture the hamulus around which the tendon passes, to facilitate mobilisation of palatal tissue. However, the exact anatomy and function of the TVP is still controversial and severing the tendon or its path could be of potential harm. A review of the literature was conducted to summarise the current knowledge of the TVP and its relevance to palatoplasty. It was found that there is sufficient evidence that the TVP plays an important part in velar tautening and Eustachian tube opening, under normal circumstances. TVP's role in the cleft patient population is, however, less certain. Whether or not TVP tenotomy or dislocation reduces ET function further in these patients is also unclear. There is, however, little or no evidence of reduced middle ear effusions if such actions are avoided, at least not in children younger than 3 years of age.},
  author       = {Schönmeyr, Björn and Sadhu, Partha},
  issn         = {2000-656X},
  language     = {eng},
  number       = {1},
  pages        = {5--9},
  publisher    = {Taylor & Francis},
  series       = {Journal of Plastic Surgery and Hand Surgery},
  title        = {A review of the tensor veli palatine function and its relevance to palatoplasty.},
  url          = {http://dx.doi.org/10.3109/2000656X.2013.793603},
  volume       = {48},
  year         = {2014},
}