Format

Send to

Choose Destination
Arch Otolaryngol Head Neck Surg. 2002 Jul;128(7):801-3.

Bilateral submandibular gland excision with parotid duct ligation for treatment of sialorrhea in children: long-term results.

Author information

1
Department of Pediatric Otolaryngology, Schneider Children's Medical Center of Israel, 14 Kaplan St, Petah Tiqva 49 202, Israel. sterngoldberg@bezeqint.net

Abstract

BACKGROUND:

Multiple procedures have been advocated for the surgical control of chronic sialorrhea in children. However, some of them are associated with significant complications or only short-term success.

OBJECTIVES:

To evaluate the safety of bilateral submandibular gland excision (SGE) with parotid duct ligation (PDL) and to assess its long-term complications and efficacy in the treatment of chronic sialorrhea in children.

DESIGN:

Case series. Telephone interview of patients' families.

SETTING:

Tertiary care children's hospital.

PATIENTS:

Ninety-three patients with chronic sialorrhea who underwent bilateral SGE with PDL from 1988 to 1997.

MAIN OUTCOME MEASURES:

Operative and postoperative complications, length of postoperative hospitalization, postoperative drooling, care requirements, xerostomia, dental caries, and overall satisfaction.

RESULTS:

The mean postoperative stay was 2.4 days. There were 3 postoperative complications. Seventy-two families were interviewed (follow-up time, 1-10 years): 62 (87%) reported no further drooling or significant improvement; 7 reported the occurrence of dry mouth; and 2 reported an increase in dental caries.

CONCLUSION:

Bilateral SGE with PDL is a safe and consistently efficient procedure for the treatment of chronic sialorrhea in children.

PMID:
12117339
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Silverchair Information Systems
Loading ...
Support Center