Bilateral submandibular gland excision with parotid duct ligation for treatment of sialorrhea in children: long-term results.
نویسندگان
چکیده
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.
منابع مشابه
Bilateral submandibular gland excision and parotid duct ligation.
Sialorrhea affects a significant number of children with cerebral palsy and other neuromuscular disorders. It can lead not only to social embarrassment but also to severe medical issues including chronic aspiration. There are numerous medical and surgical options, which include oral medications and transdermal patches, botulinum injection, and various forms of surgical ligation or excision of t...
متن کاملDrooling : analysis and evaluation of 31 children who underwent bilateral submandibular gland excision and parotid duct ligation . Summary
متن کامل
An anti-drooling operation in cerebral palsy.
Persistent drooling in cases of cerebral palsy can be successfully controlled by a combination of bilateral parotid duct translocation and bilateral submandibular gland excision. Ten children are described who underwent this operation with satisfactory results. Apart from mile transient postoperative swelling of the cheek, there have been no postoperative complications. The importance of bilate...
متن کاملManagement of drooling for patients in the north of Iran: Analysis of the surgical management
BACKGROUND Drooling is a common problem in children and adults with neuromuscular disorders. This problem is best dealt with using a multidisciplinary team approach. The objective of this paper is to assess the results following surgery at the Drooling Clinic of Amiralmomenin Hospital. METHODS The results of the surgical protocol used between 1994 and 2007 at the Drooling Clinic of Amiralmome...
متن کاملSynchronous Parotid and Homolateral Submandibular Gland Pleomorphic Adenoma
Introduction: Pleomorphic adenomas are benign neoplasms of salivary glands. The simultaneous homolateral occurrence of these tumors in salivary glands is exceedingly rare. Case Report: An adult female presenting to our OPD with the swelling of right-sided preauricular and submandibular regions was diagnosed with the pleomorphic adenoma based on fine needle aspiration c...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Archives of otolaryngology--head & neck surgery
دوره 128 7 شماره
صفحات -
تاریخ انتشار 2002