PMID: 8986974Dec 1, 1996Paper

Diversion of salivary flow to treat drooling in patients with cerebral palsy

Journal of Pediatric Surgery
F BecmeurP Sauvage

Abstract

The authors performed six sialodochoplasties between 1991 and 1994 to treat drooling in six children who suffered from cerebral palsy. There were three boys and three girls, aged 13 to 22 years (mean, 16 years). All patients underwent parotid duct rerouting. The first four patients (group I) also underwent associated excision of submandibular ducts, and the last two patients (group II) benefited from rerouting of the submandibular ducts. In group I, results were considered good in two cases, fair in one case, and poor in one case. A fistula of the new Stenon duct appeared in one patient, which required excision and ligation followed by progressive involution of the parotid gland. Both group II patients had excellent and rapid results. The requirements leading to surgical decision are determined. The importance of physiotherapy is emphasized. Surgical techniques are described and discussed, as are objective criteria for the assessment of surgical results, namely salivary radioisotopic scanning.

References

Oct 1, 1992·Journal of Paediatrics and Child Health·D ReddihoughE Ferguson
Feb 1, 1992·Clinical Pediatrics·W S Crysdale
Apr 1, 1992·Australian Dental Journal·B K YoungT C Crewe
Oct 1, 1990·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·C W Gross
Aug 1, 1988·Oral Surgery, Oral Medicine, and Oral Pathology·D W FearR J Fonseca
Nov 1, 1985·The Journal of Laryngology and Otology·C M Bailey, P V Wadsworth
Jul 1, 1974·Acta Oto-laryngologica·C EkedahlN Sandberg

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Citations

Oct 31, 2008·Journal of Pediatric Surgery·Emily T DurkinAimen F Shaaban
Oct 8, 2013·Journal of Pediatric Surgery·François BecmeurIsabelle Lacreuse
Sep 1, 1999·Paediatrics & Child Health·A K Leung, C P Kao

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