Submandibular Duct Relocation for Drooling: A 10‐Year Experience with 194 Patients

Crysdale, William S.; White, Anna

doi:10.1177/019459988910100114

Cited by 97 publications

(87 citation statements)

References 5 publications

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“…These studies were completed in 1993, 1996, and 1997. A mail survey tool (Crysdale and White 1989) was used to assess caregiver perceptions of surgical outcome. Of 181 SDRSGE patients surveyed between 1993 and 1997, 113 returned completed forms (a response rate of 62%).…”

Section: Methodsmentioning

confidence: 99%

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Management of drooling in individuals with neurodisability: a surgical experience

Crysdale

Raveh

McCann

et al. 2001

Develop Med Child Neuro

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From 1975 to 1 January 1999, 1103 neurologically involved patients (mean age 13.2 years; 686 males, 417 females) referred with problematic drooling, or sialorrhea, were assessed at a pediatric rehabilitation center by a team consisting of an otolaryngologist, speech pathologist, and a dentist. The initial standard treatment for persistent sialorrhea (in the compliant or aware patient) is oral‐motor training. A group of 522 patients with persistent significant drooling after a minimum of 6 months of oral‐motor training, or profuse drooling in the presence of a low cognitive level, underwent surgery, usually when over 6 years of age. From 1978 to 1 January 1998, the operation of first choice was submandibular duct relocation (SDR), and was completed in a total of 226 patients. Midway through 1988, sublingual gland excision was also completed at the time of submandibular duct relocation (SDRSGE); 249 of these procedures have been completed to January 1st 1999. Those patients who had SDRSGE had significantly fewer complications that required additional surgery than those that had SDR only. However, the impact of surgery on the drooling as evaluated in subsets of both groups (SDR n=115, SDRSGE n=106) was statistically similar. The study of 11 children with salivary gland radionuclitide scans to determine the effect of submandibular duct surgery on gland function was inconclusive. The pattern of oral‐motor function in 26 children studied after SDRSGE surgery suggested that those children with severe impairment of volitional motor function and profuse drooling tended to have a poorer outcome following surgery compared to those with milder impairments.

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Section: Methodsmentioning

confidence: 99%

“…Analysis of this database indicates the surgical procedures completed annually from 1976 to 1 January 1999 (Fig. 3); this data has been the basis for previous reports (Crysdale et al 1985, Crysdale andWhite 1989). Following an early disappointing experience with tympanic neurectomies, the surgical procedure used beginning in 1978 was SDR.…”

Section: Participantsmentioning

confidence: 99%

Management of drooling in individuals with neurodisability: a surgical experience

Crysdale

Raveh

McCann

et al. 2001

Develop Med Child Neuro

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“…Last, a unique form of possible bias is that some author groups contributed multiple studies to the sample: Crysdale et al (4 studies), 15,20,26,40 Wilkie et al (2 studies), 4,8 and O'Dwyer et al (2 studies). 27,35 To assess the possibility of bias from this source, the randomeffects model of overall success was repeated with these studies removed.…”

Section: Commentmentioning

confidence: 99%

“…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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“…Ce procédé est efficace dans le traitement du bavage, comme nous l'avons remarqué chez nos patients. Certaines complications, non observées dans notre série, ont été rapportées chez 8 % des patients telle que l'apparition de kyste rétentionnel, de fistule salivaire, de sialadénite submandibulaire nécessitant un traitement complémentaire [15,16]. Ces complications ont amené des équipes à procéder à l'ablation bilatérale des glandes sublinguales [17,18].…”

Section: Discussionunclassified

Dérivation des canaux de Wharton dans le traitement du bavage. Technique chirurgicale

Turki

2016

Med Buccale Chir Buccale

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Résumé -Introduction :Le bavage est secondaire à une altération de la musculature oro-faciale responsable d'une accumulation excessive de la salive au niveau du plancher antérieur qui entraîne sa fuite hors de la bouche. Il n'est pas généralement accompagné d'une hypersalivation. Matériel et méthodes : Sept patients porteurs d'un handicap psychomoteur présentant un bavage chronique et sévère, dont les thérapeutiques médicales ont abouti à l'échec, étaient candidats à une dérivation bilatérale des canaux de Wharton. Ce procédé était efficace sans aucune morbidité. Discussion : La prise en charge du bavage est multidisciplinaire. La chirurgie est indiquée après échec du traitement médical. Nous décrivons la technique de dérivation des canaux de Wharton et nous faisons l'état de l'art actuel sur les différents moyens chirurgicaux en précisant leurs avantages et leurs inconvénients. Abstract -Submandibular duct relocation in the treatment of drooling. Surgical technique. Introduction:Drooling is secondary to impaired orofacial muscles responsible for an excessive accumulation of saliva in the anterior floor that leads to its escape from the mouth. It is not usually accompanied by hypersalivation. Materials and methods: Seven patients with a psychomotor handicap with chronic and severe drooling, for which medical treatments were not successful, underwent bilateral submandibular duct relocation. This process was efficient without any morbidity. Discussion: The management of drooling is multidisciplinary. Surgery is indicated after failure of medical treatment. We describe the relocation of the submandibular duct and report the current state of the art of different surgical methods, describing their advantages and disadvantages.

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Submandibular Duct Relocation for Drooling: A 10‐Year Experience with 194 Patients

Cited by 97 publications

References 5 publications

Management of drooling in individuals with neurodisability: a surgical experience

Management of drooling in individuals with neurodisability: a surgical experience

Surgical Management of Drooling

Dérivation des canaux de Wharton dans le traitement du bavage. Technique chirurgicale

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