Abstract • A new technique for the treatment of bilateral palatal palsy involves the submucosal transposition of the tensor palati muscles of both sides to form an active muscular sling for the elevation of the paralyzed soft palate. The effect of the rerouted tensor palati muscle on Eustachian tube function and its efficacy as a substitute for the levator palati muscle in lifting the soft palate was evaluated by animal experimentation. Subsequently, two patients with bilateral palatal palsy, who failed to show improvement during a six-month period, were treated successfully with this new surgical technique, "functional veloplasty," without complication. (Arch Otolaryngol 102:436-438, 1976) References 1. Gonzales JB, Aronson AE: Palatal lift prosthesis for treatment of anatomic and neurologic palatopharyngeal insufficiency . Cleft Palate J 7:91-104, 1970. 2. Rich AR: Physiological study of Eustachian tube and its related muscles . Bull Johns Hopkins Hosp 31:306, 1920. 3. Politzer A: Textbook of the Diseases of the Ear , ed 4. London, Bailliers, Tindall & Cox, 1902.
Archives of Otolaryngology – American Medical Association
Published: Jul 1, 1976