Related Experiment Videos
Drooling. Experience with team assessment and management.
1Department of Otolaryngology, Hospital for Sick Children, University of Toronto, Ontario.
Clinical Pediatrics
|February 1, 1992
Summary
Persistent drooling in neurologically impaired children often requires intervention. A team approach, starting with oral motor skills programs and potentially surgery like bilateral submandibular duct relocation, is effective.
Area of Science:
- Pediatric Neurology
- Otolaryngology
- Speech-Language Pathology
Background:
- Persistent drooling (sialorrhea) is a common challenge in children with neurological impairments.
- Management requires a multidisciplinary approach to address the complexity of the condition.
Purpose of the Study:
- To evaluate a comprehensive, team-based approach for managing troublesome drooling in neurologically impaired children.
- To assess the long-term efficacy of initial conservative management versus surgical interventions.
Main Methods:
- A 15-year review of a team-based management program for pediatric drooling.
- Initial assessment focused on oral motor skills programs.
- Surgical interventions were considered for persistent cases, with specific procedures noted.
Main Results:
- Over half of the patients required surgical intervention for drooling management.
- Bilateral submandibular duct relocation and sublingual gland excision were the preferred surgical options.
- The team approach facilitated tailored management plans.
Conclusions:
- A structured, team-based approach is crucial for effectively managing pediatric drooling.
- Surgical options, particularly bilateral submandibular duct relocation and sublingual gland excision, are highly effective for severe cases.
- Prioritizing oral motor skills programs initially can optimize outcomes.