Saliva control issues in the neurologically challenged

Crysdale, William S.; McCann, C; Roske, L; Joseph, Melissa; Semenuk, Dan; Chait, Peter

doi:10.1016/j.ijporl.2005.07.021

Cited by 69 publications

(59 citation statements)

References 3 publications

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“…Salivary-gland surgery is the last option and may involve relocation of submandibular or parotid ducts, excision of salivary glands, or ligation of the secretory ducts. 5 Botulinum toxin is produced by the bacterium Clostridium botulinum under anaerobic conditions and is the best known neurotoxic substance. There are 8 antigenically distinct toxins, of which botulinum toxin A is most used in medical treatments.…”

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confidence: 99%

Drooling

et al. 2011

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There are several treatment options available for drooling; botulinum toxin injections into the major salivary glands are one. There is no consensus as to how many and which glands should be injected. A research project on this topic was terminated because of adverse effects. Individual results and the adverse effects are described and discussed in this article. Six individuals with cerebral palsy were randomly allocated to 2 treatment groups, with five individuals receiving ultrasound-guided injections to parotid and submandibular glands and one receiving injections to the submandibular glands only. Reduction of observed drooling was registered in 3, while 4 patients reported subjective improvement (Visual Analog Scale). Two participants reported adverse effects, including dysphagia, dysarthria, and increased salivary viscosity. Injections with botulinum toxin can be a useful treatment option but there is a risk of adverse effects. Multidisciplinary evaluation and informed discussions with patients/caregivers are important factors in the decision-making process.

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confidence: 99%

Drooling

et al. 2011

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“…The patients' charts were reviewed to determine the following data: preoperative levels of sialorrhea, previous flap reconstruction types, and operative and postoperative complications after 1 year. Preoperative and postoperative levels of sialorrhea were evaluated based on the Drooling Severity and Frequency Scale that was introduced by Crysdale and White 16,17 and Crysdale et al 16,17 A total score was derived by adding the severity score to the frequency score for a total of up to 10 points ( Table 3).…”

Section: Methodsmentioning

confidence: 99%

Treatment and Long-Term Follow-Up of Oral Cancer Postoperative Sialorrhea With Dermal Sling Operation

Hsieh

Horng

et al. 2015

Annals of Plastic Surgery

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“…Challenging End-of-Life Symptoms in Children with CCC: Excess Oral Secretions and Dyspnea Excess oral secretions, or sialorrhea, is a frequent and challenging problem in severely neurologically impaired children [81][82][83]. In addition to the health problems it can cause [84][85][86], including local skin maceration, perioral infections and aspiration, sialorrhea also negatively impacts the quality of life of these children, as well as their caregivers [82,87].…”

Section: Box 2 Challenging End-of-life Symptoms In Children With CCCmentioning

confidence: 99%

Living Life to the Fullest: Early Integration of Palliative Care into the Lives of Children with Chronic Complex Conditions

Rapoport

Beaune²,

Weingarten³

et al. 2012

CPR

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Increasing numbers of children living with chronic complex conditions also means an increase in the number of children with a potentially life-threatening illness. While curative and life-prolonging therapies continue to stretch the boundaries of what is possible, pediatric mortality remains highest among this group of children. In light of their medical fragility and unpredictable trajectories, children with chronic complex conditions are ideal candidates for palliative care. Integration of palliative care concurrently with curative or life-prolonging therapies results in improved outcomes and is widely endorsed as the most appropriate model of care for this population of children. This paper dispels common misconceptions about pediatric palliative care and outlines the benefits realized by children living with chronic complex conditions, and their families, when palliative care is introduced early in the course of their illness. Practical suggestions to facilitate difficult conversations and to manage challenging clinical situations are provided.

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Saliva control issues in the neurologically challenged

Cited by 69 publications

References 3 publications

Drooling

Drooling

Treatment and Long-Term Follow-Up of Oral Cancer Postoperative Sialorrhea With Dermal Sling Operation

Living Life to the Fullest: Early Integration of Palliative Care into the Lives of Children with Chronic Complex Conditions

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