Salivary gland surgery for chronic pulmonary aspiration in children

Vijayasekaran, Shyan; Ünal, Faruk; Schraff, Scott A.; Johnson, Romaine F.; Rutter, Michael J.

doi:10.1016/j.ijporl.2006.10.001

Cited by 19 publications

(22 citation statements)

References 12 publications

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“…Two retrospective studies resulted in a reduction of hospitalizations and of LRTI after surgery for the reduction of saliva [12,14]. In another study, surgery of the salivary glands did not influence the rate of LRTI, though there was a significant improvement in the basal saturation of oxygen [16].…”

Section: Discussionmentioning

confidence: 99%

Salivary gland surgery for control of chronic pulmonary aspiration in children with cerebral palsy

Manrique

Sato

2009

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 99%

Salivary gland surgery for control of chronic pulmonary aspiration in children with cerebral palsy

Manrique

Sato

2009

International Journal of Pediatric Otorhinolaryngology

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“…Data about surgical treatments are conflicting. Some authors reported that surgical saliva reduction was effective in reducing respiratory infections, but others found no significant reduction in respiratory infections . The usefulness of oral motor therapy has not been systematically studied in children with CP.…”

Section: Recurrent Aspirationmentioning

confidence: 99%

Respiratory morbidity in children with cerebral palsy: an overview

Boel

Pernet²,

Toussaint³

et al. 2018

Develop Med Child Neuro

121

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Respiratory problems have a significant impact on morbidity and mortality in patients with cerebral palsy (CP). In particular, recurrent aspiration, impaired airway clearance, spinal and thoracic deformity, impaired lung function, poor nutritional status, and recurrent respiratory infections negatively affect respiratory status. Bronchopulmonary dysplasia may contribute to pulmonary problems, but asthma is not more common in CP than in the general population. We discuss treatment options for each of these factors. Multiple coexisting and interacting factors that influence the respiratory status of patients with CP should be recognized and effectively addressed to reduce respiratory morbidity and mortality. What this paper adds Respiratory problems are a significant cause of morbidity in patients with cerebral palsy (CP). Respiratory status in patients with CP is influenced by recurrent aspiration and impaired airway clearance. Spinal and thoracic deformity, impaired lung function, poor nutrition, and respiratory infections also negatively affect respiratory status. These factors should all be addressed to reduce respiratory problems in patients with CP.

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“…Removal of salivary glands and ligation of the parotid ducts can reduce hypersecretory states. [90][91][92] The use of Botox injection into the submandibular or parotid glands showed initial promise, especially in children with cerebral palsy. 93 It is a technically difficult procedure with a time-limited effect of a few months, and the need for repeated injections and the potential for antibody development have limited its acceptance.…”

Section: Secretion Controlmentioning

confidence: 99%