Posted 2016-03-08 4:13 PM Subject: RE: Myectomy or Tenectomy for Treatment of Displacing
You get what you give
Posts: 13030 Location: Texas
the idea behind the strap muscle myectomy is it prevents the soft palate from retracting caudally. the two ideas behind treating DDSP are- either pull the epiglottis forward, or prevent the soft palate from going so far back.
The myectomy gives you about 60% success
A lot of times now they combine the myectomy with a tie forward and that increases the success to around 80-87%
All in all, prognosis is based on the nature of the DDSP- is it displacing sometimes, or persistently? the ones who displace persistently have a lower prognosis regardless.
Other methods are thickening the soft palate, or removing extra soft palate. but when you remove the extra soft palate, you get into problems with aspiration pneumonia.