Surgical management of drooling: Clinical and caregiver satisfaction outcomes

Stamataki, Sofia; Behar, Philomena; Brodsky, Linda

doi:10.1016/j.ijporl.2008.08.012

Cited by 29 publications

(51 citation statements)

References 9 publications

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“…Studies reviewed indicated surgical management of sialorrhoea is effective (Khadivi et al, ; Khan et al, ; Kok et al, ; Puraviappan et al, ; Stamataki et al, ; Stern et al, ). Unfortunately, apart from children with CP, there have been very few clinical studies based on patients with any other sialorrhoea‐related neurological disorders.…”

Section: Resultsmentioning

confidence: 99%

“…Dry mouth and dental caries were also reported in one study (Stern et al, ). Retrospective studies have indicated that there can be some gradual return of sialorrhoea (Khan et al, ; Stamataki et al, ). Although evidence in relation to the results of surgical intervention is of low quality and varied, the majority of patients still experience subjective improvements after surgery, and a positive improvement in social interaction in addition to increased self‐esteem (Kok et al, ).…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of noninvasive and invasive sialorrhoea management

Varley

Denieffe

O’Gorman

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To review published literature pertaining to the management of sialorrhoea while also highlighting the significance of the multidisciplinary approach. Background Sialorrhoea is a common and troublesome problem among certain neurological patients. It is distressing for patients and caregivers, and can be challenging for healthcare professionals. Various sialorrhoea management approaches have been documented. However, there is no clear consensus on best management practices. Therefore, it is necessary to systematically review and synthesise various approaches so as to provide an understanding of the efficacy of management approaches. Design Systematic literature review using PRISMA checklist (see Appendix S1). Method Five databases (ScienceDirect, Wiley Online Library, CINAHL, Cochrane Library and PubMed) were searched (years 2001–2018) following inclusion criteria. Out of 1,294 identified records, 29 studies met the inclusion criteria. Results Various management approaches identified, ranging from noninvasive, such as speech therapy aiming to enhance swallowing behaviour, to invasive treatment including anticholinergic medication, botulinum toxin injection and surgical techniques. However, in the majority of cases, there is no scientific evidence‐based management protocol leading to favourable results, and the evidence base for intervention effectiveness remains weak. Conclusions The multifactor nature of sialorrhoea and its associated complications presents challenges for the medical care team. None of the management strategies stand alone as the best modality; therefore, it is proposed that management strategies follow a multidisciplinary approach to meet the diverse needs of patients. Relevance to clinical practice A comprehensive understanding of different sialorrhoea management approaches will enable healthcare professionals to identify the signs and symptoms regarding sialorrhoea, and to assist in effective management implementation. This will help to improve the management of sialorrhoea, hence, to improve quality of life of patients and provide formative scope to the development of an integrated care pathway.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A systematic review of noninvasive and invasive sialorrhoea management

Varley

Denieffe

O’Gorman

et al. 2019

Journal of Clinical Nursing

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“…66 Studies on the efficacy of the 4-duct ligation procedure had contrasting results. In 2008, Stamataki et al 67 showed that the long-term effectiveness of the 4-duct ligation procedure in controlling anterior drooling is questionable as measured by caregiver satisfaction and need for additional medical and surgical therapies. Martin and Conley 68 reached similar conclusions.…”

Section: Surgical Treatmentmentioning

confidence: 99%

A Review of Options for Treating Sialorrhea in Amyotrophic Lateral Sclerosis

et al. 2014

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Sialorrhea or drooling represents quite a common problem in patients with amyotrophic lateral sclerosis (ALS). In this review, we describe the possible treatments for this issue. Current medical management is not always effective: anticholinergic drugs (atropine, glycopyrrolate, amitriptyline, hyoscyamine, and transdermal scopolamine) are often used, but there is very little evidence of their effectiveness in patients with ALS. More invasive treatments, such as botulinum toxin injections and/or radiation therapy in the salivary glands, can be considered when anticholinergic drugs are not effective. In this review, we also explore the possible surgical options for treatment of sialorrhea. Although no specific studies have been conducted on patients with ALS, surgical therapies might represent a valid option for treatment of sialorrhea since there is no tachyphylaxis or need for repeated therapeutic sessions.

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“…Removal of salivary glands and ligation of the parotid ducts can reduce hypersecretory states. [90][91][92] The use of Botox injection into the submandibular or parotid glands showed initial promise, especially in children with cerebral palsy. 93 It is a technically difficult procedure with a time-limited effect of a few months, and the need for repeated injections and the potential for antibody development have limited its acceptance.…”

Section: Secretion Controlmentioning

confidence: 99%