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2018 ; 6
(1
): 99-106
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Surgical Management of the Drooling Child
#MMPMID29651363
Lawrence R
; Bateman N
Curr Otorhinolaryngol Rep
2018[]; 6
(1
): 99-106
PMID29651363
show ga
PURPOSE OF REVIEW: Our goal is to present the most up-to-date options in the
surgical management of drooling in the paediatric population. While the clinical
assessment of the drooling child and conservative management options are
discussed, this review focuses on the most recent evidence for surgical
interventions to treat drooling in children. RECENT FINDINGS: In terms of
advances in the management of drooling, further experience and outcomes with the
use of botulinum toxin injections is discussed. Moreover, the latest
evidence-base for salivary duct ligation and relocation procedures are presented.
Finally, the trans-oral approach to submandibular gland excision for the
management of drooling may gain popularity through the aim of reducing surgical
morbidity. SUMMARY: The drooling child should be managed with an evidence-based
stepwise approach delivered by a multidisciplinary team (MDT). Children with
normal neurological development should be treated conservatively through parental
reassurance. There are numerous interventions available for the drooling child
with impaired neuromuscular development. When conservative measures fail,
treatment options include botulinum toxin injections and surgical procedures such
as salivary duct ligation, salivary duct relocation and salivary gland excision.
Management must be targeted to the individual needs and comorbidities of the
child to maximise treatment outcomes.
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