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 Vol. 15 No. 2, February 2006
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AAP Grand Rounds 15:19-20 (2006)
© 2006 American Academy of Pediatrics

PLASTIC SURGERY

Surgical Management of Drooling

Source: Greensmith AL, Johnstone BR, Reid SM, et al. Prospective analysis of the outcome of surgical management of drooling in the pediatric population: a 10-year experience. Plast Reconstr Surg. 2005;116:1233–1242.[Medline]

The first 20% of the full text of this article appears below.

Sialorrhea (excessive drooling) is a frequent problem in neurologically impaired children. Surgical intervention may be appropriate when conservative measures are ineffective. For this study, data were reviewed on 72 consecutive patients attending a multidisciplinary Salivary Control Clinic at The Royal Children’s Hospital in Melbourne, Australia who underwent bilateral submandibular duct transposition combined with sublingual gland excision from 1993–2001. The mean age at surgery of patients was 10.4 years (range 4–19 years). Results were analyzed prospectively at 2 and 5 years postoperatively.

Sixty-seven patients were available for follow-up at 2 years. A drooling score was assigned to each patient by caregivers and clinicians using a 4-point frequency and 5-point severity . . . [Full Text of this Article]

Fernando D. Burstein, MD, FACS, FAAP
Craniofacial Surgery, Children’s Healthcare of Atlanta, Atlanta, GA

 





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