Long-term results of submandibular duct transposition for drooling

Burton, M.J.; Leighton, S. E. J.; Lund, W. S.

doi:10.1017/s0022215100115051

Cited by 25 publications

(12 citation statements)

References 12 publications

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“…In some of the studies, measurement scales was scored by the researcher before and after interventions (Chang & May-Kuen Wong a, 2001;Martin & Conley, 2007), while in another study parents were asked to rate the drooling changes (Burton, Leighton, & Lund, 1991). …”

Section: Studies On Questionnaire-based Scalesmentioning

confidence: 99%

Drooling quantification: Correlation of different techniques

Rashnoo

Daniel

2015

International Journal of Pediatric Otorhinolaryngology

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Section: Studies On Questionnaire-based Scalesmentioning

confidence: 99%

Drooling quantification: Correlation of different techniques

Rashnoo

Daniel

2015

International Journal of Pediatric Otorhinolaryngology

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“…However, our evidence can be interpreted to suggest that more-invasive procedures that aggressively target all 4 major salivary glands are perhaps more effective than less-invasive procedures. The trend Puraviappan et al 52 Glynn and O'Dwyer 48 McAloney et al 46 O'Dwyer and Conlon 35 Puckett et al 32 Fear et al 24 Pogrel 23 Brown et al 22 Bailey and Wadsworth 21 Cranin and Bennett 19 Crysdale 20 Cotton and Richardson 17 Morgan et al 18 Massengill 14 Chait and Kessler 11 Guerin 13 Dundas and Peterson 12 Massengill 14 Glass et al 10 Brody 7 Wilkie and Brody 8 Wilkie 4 Martln and Conley 51 Syeda et al 47 Greensmith et al 45 De et al 42 Shirley et al 43 Stern et al 41 Panarese et al 39 Wilson and Henderson 38 Klem and Mair 36 Mankarious et al 37 Becmeur et al 34 Webb et al 33 Varma et al 31 Burton et al 30 Rosen et al 29 O'Dwyer et al 27 Shott et al 28 Crysdale and White 26 Brundage and Moore 25 Hornibrook 49 Uppal et al 44 Crysdale et al …”

Section: Commentmentioning

confidence: 99%

Surgical Management of Drooling

Reed¹,

Mans²,

Brietzke³

2009

Arch Otolaryngol Head Neck Surg

110

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“…Numerous studies have reported SMDR to be effective and well tolerated. [5][6][7][8][9] For obvious reasons, this particular procedure is not suitable for children with a high risk of aspiration (posterior drooling).…”

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confidence: 99%

Botulinum toxin versus submandibular duct relocation for severe drooling

Scheffer¹,

Erasmus²,

Hulst³

et al. 2010

Develop Med Child Neuro

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AIM Botulinum neurotoxin type A (BoNT-A) has been described as an effective intervention for drooling and is being increasingly adopted. However, its effectiveness compared with established treatments is still unknown. We undertook a within-participants observational study to examine this.METHOD An historic cohort was formed of 19 children and young adults (10 males, nine females) with severe drooling who underwent BoNT-A injections followed by surgical re-routing of the submandibular duct at least 6 months later. Mean age at time of admission was 11 years 5 months (range 5-17y) and mean age at the time of surgery was 14 years (range 6-23y). Fifteen children were diagnosed with bilateral cerebral palsy (CP), three with unilateral CP, and one with non-progressive developmental delay. Gross Motor Function Classification System levels were the following: level I, n=1; level II, n=2; level III, n=7; level IV, n=6; and level V, n=3). The primary outcome was the drooling quotient, which was assessed before each intervention and 8 and 32 weeks thereafter. A multivariate analysis of variance of repeated measures was performed, with the measurement points as the within-participant variables. RESULTSThe drooling quotient was reduced to a greater extent after surgery than after BoNT-A administration (p=0.001). Compared with a baseline value of 28, the mean drooling quotient 8 weeks after surgery was 10, and 32 weeks after surgery was 4 (p<0.001). Among the group treated with BoNT-A, the drooling quotient showed a significant reduction from a baseline value of 30 to 18 after 8 weeks (p=0.02), and a continued but diminished effect after 32 weeks (drooling quotient 22; p=0.05).INTERPRETATION Both interventions are effective, but surgery provides a larger and longer-lasting effect.Drooling is a significant problem for many people with neurological disorders. In particular, children with cerebral palsy (CP), the most common paediatric physical disability, are frequently affected. Approximately 10 to 37% of children with CP suffer to some degree from drooling, 1 mostly as a result of poor oral sensitivity, spasticity, and infrequent swallowing, coupled with insufficient control of the mechanism for coordinating the activity of the orofacial, palatolingual, and head and neck musculature. This leads to excessive pooling of saliva in the anterior oral cavity and, consequently, to unintentional saliva loss. 2,3 Although the amount of drooling varies depending on the severity of the associated developmental disorder, the lifelong physical and emotional consequences for both children and caregivers have been amply described. These can include stigmatization, impaired self-esteem, and community exclusion, as well as chronic dryness and irritation of the facial skin. Personal hygiene can also be cumbersome, as some children require multiple daily clothing changes as a result of their drooling.A wide range of treatments have been proposed over the years, including correction of situational factors, speech therapy, biofeedback therapy, va...

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Long-term results of submandibular duct transposition for drooling

Cited by 25 publications

References 12 publications

Drooling quantification: Correlation of different techniques

Drooling quantification: Correlation of different techniques

Surgical Management of Drooling

Botulinum toxin versus submandibular duct relocation for severe drooling

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