Objective: The purpose of this study was to compare the effects of VeauWardill-Kilner (VWK) two-flap palatoplasty and Furlow double-opposing Z-plasty operations on eustachian tube (ET) opening in patients with cleft palate (CP).Design: Twenty-six patients underwent CP repair between 1993 and 1997.VWK and Furlow operations were used in 13 patients each. All patients wereexamined by the otorhinolaryngologist before and after the operations; meanfollow-up time was 27.3 months. Secretory otitis media (SOM), as identified bytympanograms, was the comparison criterion used.Results: The prevalence of SOM was 69% (n 5 18) in all CP patients preoperatively. Among those with preoperative SOM, we did not find any statistically significant difference in the frequency of postoperative SOM betweenthe two techniques.Conclusion: This study suggests that there is no difference in postoperativeET function between patients undergoing either VWK or Furlow operations, inspite of the differences in muscle positioning in these operations. We discussthe implications of this finding in relation to surgical anatomy and histologyof the soft palate muscles