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Related Experiment Video

Updated: Mar 22, 2026

Retroductal Nanoparticle Injection to the Murine Submandibular Gland
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Submandibular Duct Re-routing for Drooling in Neurologically Impaired Children.

Prem Sagar1, K K Handa2, Sheffali Gulati3

  • 1Department of Otorhinolaryngology and Head Neck Surgery, AIIMS, ENT Office- 4057, 4th Floor, Teaching Block, New Delhi, 110029 India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|April 12, 2016
PubMed
Summary

This study shows that rerouting salivary ducts and removing sublingual glands effectively treats drooling in children with neurological impairments. The surgical procedure achieved a 95.2% success rate in controlling drooling after three months.

Keywords:
Cerebral palsyDroolingRanulaSubmandibular duct re-routingSubmandibular duct transposition

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Neurology

Background:

  • Sialorrhea (drooling) poses significant management challenges, particularly in pediatric patients with neurological impairments.
  • Existing surgical interventions for drooling lack standardization.
  • Conservative treatments often prove insufficient for severe drooling.

Purpose of the Study:

  • To evaluate the efficacy of bilateral submandibular duct rerouting combined with sublingual gland excision for managing pediatric drooling.
  • To assess the safety and effectiveness of this surgical approach.

Main Methods:

  • A prospective interventional study involving 28 pediatric patients with drooling who had failed conservative treatments.
  • Surgical procedure: bilateral submandibular duct transposition and bilateral sublingual gland excision.
  • Assessment included pre-operative and post-operative evaluations at 7, 30, and 90 days using drooling severity and frequency scales, and daily bib changes.

Main Results:

  • The surgical procedure demonstrated a high success rate of 95.2% in controlling drooling at 3 months post-surgery.
  • A statistically significant reduction (p < 0.001) was observed in drooling severity, frequency, and daily bib usage.
  • Minor, transient complications occurred in 17.8% of patients, with no major adverse events reported.

Conclusions:

  • Bilateral submandibular duct rerouting and sublingual gland excision is a safe and effective surgical option for pediatric drooling.
  • The combined procedure offers significant improvement in drooling control with minimal morbidity.
  • Concurrent sublingual gland excision appears to reduce the incidence of ranula formation.