Drooling

Abstract

A team approach is the key to successful rehabilitation. Oromotor therapy is the most useful nonsurgical option. Drugs are unsuitable for long-term use due to adverse effects causing serious medical complications or noncompliance. Botulinum toxin A injection is promising, but no data exists on optimal dosage, duration of action and frequency of repeat injections. Bilateral submandibular duct relocation with bilateral sublingual gland excision has been shown to be effective and safe in long-term follow-up of the largest series of patients. At present, it is the best available surgical option.

Botulinum toxin type-B improves sialorrhea and quality of life in bulbaronset amyotrophic lateral sclerosis

“…Other treatment options include nonsurgical methods such as oral motor therapy, behaviour modification via biofeedback, orofacial regulation therapy, drug therapy (in particular cholinergic muscarinic receptor antagonists), radiotherapy, and surgical methods, such as neurectomy and salivary duct and gland procedures [30][31][32].…”

Neurological manifestations in Wilson’s disease –possible treatment options for symptoms

“…Drooling as 'the unintentional, involuntary loss of saliva from the mouth due to lack of control over oral secretions' [19] is a very common symptom of WD, occurring in 32-46% of all patients with WD and 68% of those with neurological symptoms. [27,29] In WD, it usually occurs as a consequence of swallowing dysfunction or orofacial dystonia ('open mouth smile') rather than saliva overproduction.…”

“…[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] Therefore, such treatments should also be considered as potentially effective in patients with WD, especially those with severe neurological presentations who are not responding to or perhaps even deteriorating while receiving anticopper therapy. However, so far only case reports have been published describing such therapy in patients with WD (Table 1).…”

Utilização da toxina botulínica no tratamento do bruxismo em pacientes portadores de paralisia cerebral: revisão de literatura

“…Hypersalivation is an involuntary increase in the salivary flow due to an inability to handle oral secretion, which can occur in patients with CP (65,66). The consequences include facial dermatitis, foul odor, increased perioral and oral infections, difficulty with hygiene, necessity of frequent changes of clothes, changes in the chewing process, and speech-related and aspiration risk (64,67).…”