Parotid duct ligation for treatment of drooling in children with neurological impairment
| Autor: | R L Heywood, L.A. Cochrane, Benjamin Hartley |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Parotid duct Drooling Intellectual Disability medicine Humans Parotid Gland Child Ligation business.industry Mortality rate Sialorrhea General Medicine Parotid gland Surgery Dissection Treatment Outcome medicine.anatomical_structure Otorhinolaryngology El Niño Child Preschool Female Salivary Ducts medicine.symptom business |
| Zdroj: | The Journal of Laryngology & Otology. 123:997-1001 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s0022215109004733 |
| Popis: | Objective:Multiple surgical procedures have been advocated for the management of problematic drooling in neurologically impaired children. Parotid duct ligation is a quick and simple operation conducted via an intra-oral approach and usually performed simultaneously with other procedures. In this study, we aimed to evaluate the effectiveness of parotid duct ligation as a discrete procedure.Methods:All children who underwent bilateral parotid duct ligation as the solitary operative intervention at that time, between February 2003 and September 2006, were included in the study.Results:Ten children were studied. Surgery was successful in 80 per cent of cases. One patient (10 per cent) had a post-operative wound infection.Conclusions:Bilateral parotid duct ligation is an effective yet conservative operation for drooling in neurologically impaired children. It requires minimal surgical dissection and has a low morbidity rate. It should be considered as a potential first-line procedure in children who aspirate, and as a further surgical option in anterior droolers or those who continue to drool unacceptably following prior surgical intervention. |
| Databáze: | OpenAIRE |
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