 |
|
Bilateral Submandibular Gland Excision With Parotid Duct Ligation for Treatment of Sialorrhea in Children
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).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Major Salivary Duct Clipping for Control Problems in Developmentally Challenged Children
El-Hakim et al.
Arch Otolaryngol Head Neck Surg 2008;134:470-474.
ABSTRACT
| FULL TEXT
Advances in the diagnosis and management of chronic pulmonary aspiration in children
Boesch et al.
Eur Respir J 2006;28:847-861.
ABSTRACT
| FULL TEXT
A double-blind placebo-controlled trial of botulinum toxin B for sialorrhea in Parkinson's disease
Ondo et al.
Neurology 2004;62:37-40.
ABSTRACT
| FULL TEXT
|
