Traditional Chinese medicine (tongue acupuncture) in children with drooling problems

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.

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“…A small prospective Chinese study [12] found acupuncture to subjectively improve symptoms in 7 of 10 patients.…”

Section: Biofeedback Behavioral Modification and Other Strategiesmentioning

confidence: 98%

Drooling

Lal

Hotaling

2006

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…Acupuncture11 and homeopathic remedies have been used with individual good effects, but no controlled clinical trials have been reported. Similarly, over the counter acupressure, wrist bands are helpful in some individuals, especially for short periods of time, and may, therefore, be used for special occasions, such as family events, parties or photographs.…”

Section: Managementmentioning

confidence: 99%

Management of drooling in children

Fairhurst

Cockerill

2010

Archives of Disease in Childhood - Education and Practice

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“…The different therapeutic options found in the literature include myofunctional therapy, behavioral change programs, drug treatments and surgery designed to correct or avoid drooling (7,(14)(15)(16). Other options have not been considered in this study, due to their side effects (as in the case of radiotherapy) or because of their minority application in current clinical practice (as in the case of acupuncture) (17). Myofunctional therapy is physiotherapy designed to rehabilitate orofacial neuromuscular function from early patient ages, with improvements in nasal breathing, lip sealing and oral closure.…”

Section: Review Of the Literature -Physiopathology Of Drooling And Etmentioning

confidence: 99%

Clinical-therapeutic management of drooling: Review and update

Silvestre‐Rangil¹,

Silvestre²,

Puente-Sandoval³

et al. 2011

Med Oral

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Drooling is the uncontrolled leakage of saliva outside the mouth, generally as a result of difficulty in swallowing the saliva produced. Many factors contribute to drooling, though it is more commonly seen in children with brain paralysis -particularly those receiving anticonvulsivant medication. Drooling is also often seen in patients with lip sealing problems or malocclusions such as anterior open bite. Clinically, the affected patients can develop skin irritation or abrasions, problems of hygiene, unpleasant smell and -in the more severe presentations -the need to wear protectors or frequently change clothing. Treatment of this disorder is complex, and should be addressed from a multidisciplinary perspective, with planning on an individualized basis. Among the different existing managements, myofunctional therapy, behavioral change programs and drug treatments are the most widely used options, though there are also more invasive surgical techniques designed to reduce or cause submandibular saliva secretion to be rerouted towards posterior zones of the oral cavity. In any case, no scientific evidence-based management protocol has yet been established capable of affording favorable results in the majority of cases. The present study offers a review and update on the clinical and dental management aspects of drooling.

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Traditional Chinese medicine (tongue acupuncture) in children with drooling problems

Cited by 9 publications

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Drooling

Drooling

Management of drooling in children

Clinical-therapeutic management of drooling: Review and update

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