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Long-term Results

Yoram Stern, MD; Rafael Feinmesser, MD; Michael Collins, BSc; Sally R. Shott, MD; Robin T. Cotton, MD

Arch Otolaryngol Head Neck Surg. 2002;128:801-803.

Background  Multiple procedures have been advocated for the surgical control of chronic sialorrhea in children. However, some of them are associated with significant complications or only short-term success.

Objectives  To evaluate the safety of bilateral submandibular gland excision (SGE) with parotid duct ligation (PDL) and to assess its long-term complications and efficacy in the treatment of chronic sialorrhea in children.

Design  Case series. Telephone interview of patients' families.

Setting  Tertiary care children's hospital.

Patients  Ninety-three patients with chronic sialorrhea who underwent bilateral SGE with PDL from 1988 to 1997.

Main Outcome Measures  Operative and postoperative complications, length of postoperative hospitalization, postoperative drooling, care requirements, xerostomia, dental caries, and overall satisfaction.

Results  The mean postoperative stay was 2.4 days. There were 3 postoperative complications. Seventy-two families were interviewed (follow-up time, 1-10 years): 62 (87%) reported no further drooling or significant improvement; 7 reported the occurrence of dry mouth; and 2 reported an increase in dental caries.

Conclusion  Bilateral SGE with PDL is a safe and consistently efficient procedure for the treatment of chronic sialorrhea in children.

From the Departments of Pediatric Otolaryngology, Schneider Children's Medical Center of Israel, Petah Tiqva, Israel (Drs Stern and Feinmesser), Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel (Dr Stern), and Children's Hospital Medical Center, Cincinnati, Ohio (Mr Collins and Drs Shott and Cotton).

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