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AAP Grand Rounds 15:19-20 (2006) Surgical Management of DroolingSource: 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;116:12331242.[Medline]
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 Childrens Hospital in Melbourne, Australia who underwent bilateral submandibular duct transposition combined with sublingual gland excision from 19932001. The mean age at surgery of patients was 10.4 years (range 419 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
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