Surgical Treatment of Drooling

Surgical Management of Drooling

“…Kaplan 9 Ekedahl 6 Diamant and Kumlien 5 Ethunandan and Macpherson 3 Figure 2. Forest plot of the subjective overall surgical success rate for all procedures.…”

Treatment of Sialorrhea With Glycopyrrolate

“…Prevalence of moderate or severe sialorrhea in this population is estimated at between 10% and 37%. 1,2 Five factors may contribute to sialorrhea in this group, including the integrity of the oral structures, oropharyngeal motor function, orofacial sensory perception and feedback, rate of saliva secretion, and cognitive awareness of salivary spill. 3 Consequences are both medical and psychosocial and include irritated and macerated facial skin, dehydration, 4 constant wetness and foul odor of clothing, interference with interpersonal relationships, lowering of selfesteem, and restricted vocational options.…”

Evolução de 31 crianças submetidas à ressecção bilateral das glândulas submandibulares e ligadura dos ductos parotídeos para controlar a sialorréia

“…Objective methods to quantify saliva production require scintigraphy, which is the most specific and less invasive test to assess salivary gland function; nonetheless, we agree with other authors who state that it is not an essential exam and one that should be ordered routinely in order to indicate surgery 5 . Sialography is another method used to assess salivary gland function, but it requires gland catheterization, contrast injection and later radiological assessment.…”

“…About 10% of the children with CP (cerebral palsy) present some important swallowing disorder 5 . Moreover, hundreds of patients with neurologic diseases have dysphagia and motor oral dysfunction in their ability to swallow saliva.…”