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Updated: Jul 11, 2026

Ultrasound-guided Botulinum Toxin-A Injections: A Method of Treating Sialorrhea
Published on: November 9, 2016
[Sialorrhea--causes and treatment options]
1Elblandkliniken Meissen Radebeul, Standort Radebeul, HNO-Abteilung, Heinrich-Zille-Str. 13, 01445 Radebeul. michael.reiss@elblandkliniken.de
Sialorrhea, or drooling, occurs when swallowing coordination is impaired, leading to saliva pooling and unintentional loss. Management includes conservative methods and more aggressive treatments like medication or surgery.
Area of Science:
- Neurology
- Gastroenterology
- Otolaryngology
Context:
- Sialorrhea is characterized by the involuntary spillage of saliva from the mouth.
- It results from impaired coordination of the swallowing mechanism.
- This leads to saliva pooling in the anterior oral cavity and unintentional loss.
Purpose:
- To outline the pathophysiology of sialorrhea.
- To present a spectrum of management strategies for drooling.
Summary:
- Sialorrhea management involves addressing underlying swallowing dysfunction.
- Treatment options range from conservative approaches like biofeedback and acupuncture.
- More aggressive interventions include medication, radiation, and surgical therapies.
Impact:
- Provides a comprehensive overview of sialorrhea.
- Guides clinicians in selecting appropriate management strategies.
- Highlights the multidisciplinary approach to treating drooling.
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