TY - JOUR
T1 - Bilateral submandibular gland excision with parotid duct ligation for treatment of sialorrhea in children
T2 - Long-term results
AU - Stern, Yoram
AU - Feinmesser, Rafael
AU - Collins, Michael
AU - Shott, Sally R.
AU - Cotton, Robin T.
PY - 2002
Y1 - 2002
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0036310576&partnerID=8YFLogxK
U2 - 10.1001/archotol.128.7.801
DO - 10.1001/archotol.128.7.801
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AN - SCOPUS:0036310576
SN - 0886-4470
VL - 128
SP - 801
EP - 803
JO - Archives of Otolaryngology - Head and Neck Surgery
JF - Archives of Otolaryngology - Head and Neck Surgery
IS - 7
ER -