Submandibular duct transposition for drooling in children: A Casuistic review and evaluation of grade of satisfaction

International Journal of Pediatric Otorhinolaryngology
Sofia SousaMarques Dos Santos

Abstract

Drooling of saliva is the unintentional loss of saliva from the mouth resulting in excess pooling of saliva in the anterior portion of the oral cavity. It is considered normal in infants and usually resolves itself by 15-18 months of age. It is a common problem in pediatric patients with cerebral palsy or other neurological disorders. Drooling interferes with speech, impairs oral hygiene and contributes to oral dermatitis, aspiration pneumonias and fluid electrolyte imbalances. It has a profoundly negative impact on quality of life and contributes to social exclusion, self-esteem problems and significant discomfort, especially amongst school-aged children. In addition, it can present a serious challenge for caregivers. Various approaches to manage this condition have been described in the literature. Submandibular duct relocation allows salivary flow and is the surgical approach undertaken by the authors. The aim of this study is to share our experience with the surgical approach to drooling children and to evaluate clinical outcomes and long-term caregiver satisfaction outcomes. The authors conducted a retrospective study with a review of the medical records of 43 children and adolescents who had been submitted to submandibula...Continue Reading

Citations

Jul 17, 2020·Frontiers in Pediatrics·Rachael MarpoleAndrew C Wilson

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