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Surgical Management of Drooling
Robert L. Guerin, FRCS(Edin), FRCS(Eng), FRACS
Arch Otolaryngol. 1979;105(9):535-537.
Abstract
• The presence of drooling is an indication of an upset in the coordinated mechanism of facial, tongue, and palate muscles. This upset is particularly common in children with cerebral palsy. After extensive investigation and the establishment of the relative significance of the drooling and the degree of cerebral palsy, positive treatment with physiotherapy is then commenced. Those patients whose conditions fail to improve adequately with positive physiotherapy can be helped by staged surgery. Surgical treatment is carried out as a planned procedure. The submandibular ducts are transposed. Submucosal dissection and redirection of salivary flow from the submandibular glands excludes the necessity for extirpation of the salivary glands.
(Arch Otolaryngol 105:535-537, 1979)
Author Affiliations
From the Department of Otolaryngology, Adelaide Children's Hospital, North Adelaide, South Australia.
Footnotes
Accepted for publication Sept 29, 1978.
Reprint requests to Department of Otolaryngology, Adelaide Children's Hospital, King William Road, North Adelaide, South Australia 5006 (Dr Guerin).
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