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

Yoram Stern*, Rafael Feinmesser, Michael Collins, Sally R. Shott, Robin T. Cotton

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)801-803
Number of pages3
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume128
Issue number7
DOIs
StatePublished - 2002

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