Equis ISSN 2398-2977

Soft palate: trimming

Synonym(s): Staphylectomy

Contributor(s): Graham Munroe, Rachel Murray

Introduction

  • Dorsal displacement of the soft palate (DDSP) may be either persistent or intermittent   Soft palate: dorsal displacement  .
  • Persistent displacement may be a result of either functional or anatomic abnormalities, and often present with clinical signs such as dysphagia and coughing at rest.
  • Intermittent displacement usually only exhibit signs at exercise, particularly upper respiratory tract (URT) obstruction, with serious loss of performance.
  • The exact etiology of the intermittent condition is still obscure   Soft palate: dorsal displacement  but one hypothesis that the soft palate was abnormally long led to treatment of DDSP by resection of the caudal edge of the soft palate.
  • Modern theories regarding the effectiveness of soft palate trimming suggest that stiffening due to scarring reduces the likelihood of DDSP and a shorter palate may be less obstructive and may more easily return to a normal epiglottic position.

Uses

Advantages

  • Relatively simple and cheap to perform.
  • Success rate equivalent to other surgical treatments.

Disadvantages

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

Further Reading

Publications

Refereed papers


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