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Acta Oto-Laryngologica Volume 77, 1974 - Issue 1-6
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Original Article

Surgical Treatment of Drooling

C. Ekedahl Department of Otolaryngology, Sahlgrenska Sjukhuset, University of Göteborg, Göteborg, Sweden
Pages 215-220 | Received 10 Apr 1973, Published online: 08 Jul 2009

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Robert S Zeller, Jennifer Davidson, Hak-Myung Lee & Paul F Cavanaugh. (2012) Safety and efficacy of glycopyrrolate oral solution for management of pathologic drooling in pediatric patients with cerebral palsy and other neurologic conditions. Therapeutics and Clinical Risk Management 8, pages 25-32.
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Robert S Zeller, Hak-Myung Lee, Paul F Cavanaugh & Jennifer Davidson. (2012) Randomized Phase III evaluation of the efficacy and safety of a novel glycopyrrolate oral solution for the management of chronic severe drooling in children with cerebral palsy or other neurologic conditions. Therapeutics and Clinical Risk Management 8, pages 15-23.
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Articles from other publishers (55)

Imen Mehri Turki. (2023) Bilateral submandibular duct relocation for chronic sialorrhea: a 15 years of experience in children with a neurological disorder. Journal of Oral Medicine and Oral Surgery 29:2, pages 26.
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Angelos Mantelakis, Harry Spencer, Jean-Luc Duval & Anil Joshi. (2020) Botulinum Toxin in the Management of Hyperhidrosis and Other Salivary Conditions. Current Otorhinolaryngology Reports 8:4, pages 358-363.
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Omer Faruk Calim, Hasan N. H. Hassouna, Yavuz Selim Yildirim, Remzi Dogan & Orhan Ozturan. (2018) Pediatric Sialorrhea: Submandibular Duct Rerouting and Intraparotid Botulinum Toxin A Injection With Literature Review. Annals of Otology, Rhinology & Laryngology 128:2, pages 104-112.
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Sofia Sousa, Magda Rocha, Francisco Patrão, Gabriel Pereira, Sofia Reis, Patrícia Horta, Conceição Salgado & Marques dos Santos. (2018) Submandibular duct transposition for drooling in children: A Casuistic review and evaluation of grade of satisfaction. International Journal of Pediatric Otorhinolaryngology 113, pages 58-61.
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Kirk Withrow & Thomas Chung. 2018. Gland-Preserving Salivary Surgery. Gland-Preserving Salivary Surgery 185 192 .
Bruno Leonardo Scofano Dias, Alexandre Ribeiro Fernandes & Heber de Souza Maia Filho. (2016) Sialorrhea in children with cerebral palsy. Jornal de Pediatria (Versão em Português) 92:6, pages 549-558.
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Bruno Leonardo Scofano Dias, Alexandre Ribeiro Fernandes & Heber de Souza Maia Filho. (2016) Sialorrhea in children with cerebral palsy. Jornal de Pediatria 92:6, pages 549-558.
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Mehri Turki Imen. (2016) Dérivation des canaux de Wharton dans le traitement du bavage. Technique chirurgicale. Médecine Buccale Chirurgie Buccale 22:3, pages 265-268.
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H. IroJ. Zenk. (2014) Speicheldrüsenerkrankungen im Kindesalter. Laryngo-Rhino-Otologie 93:S 01, pages S103-S125.
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François Becmeur, Anne Schneider, Valérie Flaum, Clémence Klipfel, Caroline Pierrel & Isabelle Lacreuse. (2013) Which surgery for drooling in patients with cerebral palsy?. Journal of Pediatric Surgery 48:10, pages 2171-2174.
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Ji Yong JooSung Ha KimBon Seok KooYeo-Hoon Yoon. (2013) A Case of Drooling during Sleep Treated with Wharton's Duct Relocation. Korean Journal of Otorhinolaryngology-Head and Neck Surgery 56:2, pages 102.
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Zee-Ihn LeeDong-Hyun ChoWon-Duck ChoiDong-Hwi ParkSeung-Deuk Byun. (2011) Effect of Botulinum Toxin Type A on Morphology of Salivary Glands in Patients with Cerebral Palsy. Annals of Rehabilitation Medicine 35:5, pages 636.
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CORRIE E ERASMUS, KAREN VAN HULST, LISELOTTE J C ROTTEVEEL, PETER H JONGERIUS, FRANK J A VAN DEN HOOGEN, NEL ROELEVELD & JAN J ROTTEVEEL. (2009) Drooling in cerebral palsy: hypersalivation or dysfunctional oral motor control?. Developmental Medicine & Child Neurology 51:6, pages 454-459.
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S M Reid, B R Johnstone, C Westbury, B Rawicki & D S Reddihough. (2008) Randomized trial of botulinum toxin injections into the salivary glands to reduce drooling in children with neurological disorders. Developmental Medicine & Child Neurology 50:2, pages 123-128.
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S M Reid, B R Johnstone, C Westbury, B Rawicki & D S Reddihough. (2008) Randomized trial of botulinum toxin injections into the salivary glands to reduce drooling in children with neurological disorders. Developmental Medicine & Child Neurology 50:2, pages 123-128.
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Periyanan Puraviappan, Dipak Banarsi Dass & Prepageran Narayanan. (2007) Efficacy of Relocation of Submandibular Duct in Cerebral Palsy Patients with Drooling. Asian Journal of Surgery 30:3, pages 209-215.
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Dayse Manrique, Osiris de Oliveira Camponês do Brasil & Hugo Ramos. (2007) Evolução de 31 crianças submetidas à ressecção bilateral das glândulas submandibulares e ligadura dos ductos parotídeos para controlar a sialorréia. Revista Brasileira de Otorrinolaringologia 73:1, pages 41-45.
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Dayse Manrique, Osiris de Oliveira Camponês do Brasil & Hugo Ramos. (2007) Drooling: analysis and evaluation of 31 children who underwent bilateral submandibular gland excision and parotid duct ligation. Brazilian Journal of Otorhinolaryngology 73:1, pages 40-44.
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Jean-Paul Meningaud, Poramate Pitak-Arnnop, Luc Chikhani & Jacques-Charles Bertrand. (2006) Drooling of saliva: A review of the etiology and management options. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 101:1, pages 48-57.
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Heakyung Kim, Yung Lee, Daniel Weiner, Robin Kaye, Anne Marie Cahill & Marc Yudkoff. (2006) Botulinum Toxin Type A Injections to Salivary Glands: Combination With Single Event Multilevel Chemoneurolysis in 2 Children With Severe Spastic Quadriplegic Cerebral Palsy. Archives of Physical Medicine and Rehabilitation 87:1, pages 141-144.
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Andrew L. Greensmith, Bruce R. Johnstone, Susan M. Reid, Catherine J. Hazard, Hilary M. Johnson & Dinah S. Reddihough. (2005) Prospective Analysis of the Outcome of Surgical Management of Drooling in the Pediatric Population: A 10-Year Experience. Plastic and Reconstructive Surgery 116:5, pages 1233-1242.
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J. Zenk, P. Leins & A. Bozzato. 2005. Funktionsstörungen und funktionelle Störungen. Funktionsstörungen und funktionelle Störungen 1 22 .
Peter H. Jongerius, Frank J.A. van den Hoogen, Jacques van Limbeek, Fons J. Gabreëls, Karen van Hulst & Jan J. Rotteveel. (2004) Effect of Botulinum Toxin in the Treatment of Drooling: A Controlled Clinical Trial. Pediatrics 114:3, pages 620-627.
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Hilary M Johnson, Susan M Reid, Catherine J Hazard, James O Lucas, Mala Desai & Dinah S Reddihough. (2007) Effectiveness of the Innsbruck Sensori‐motor Activator and Regulator in improving saliva control in children with cerebral palsy. Developmental Medicine & Child Neurology 46:1, pages 39-45.
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Orlando Guntinas-Lichius. (2003) Management of Frey's syndrome and hypersialorrhea with botulinum toxin. Facial Plastic Surgery Clinics of North America 11:4, pages 503-513.
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Ann Henderson Tilton. (2003) Approach to the rehabilitation of spasticity and neuromuscular disorders in children. Neurologic Clinics 21:4, pages 853-881.
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J. F. Tahmassebi & M. E. J. Curzon. (2003) The cause of drooling in children with cerebral palsy - hypersalivation or swallowing defect?. International Journal of Paediatric Dentistry 13:2, pages 106-111.
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W. Peyton Shirley, J. Scott Hill, Audie L. Woolley & Brian J. Wiatrak. (2003) Success and complications of four-duct ligation for sialorrhea. International Journal of Pediatric Otorhinolaryngology 67:1, pages 1-6.
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Güzin Yeşim Özgenel & Mesut Özcan. (2002) Bilateral parotid-duct diversion using autologous vein grafts for the management of chronic drooling in cerebral palsy. British Journal of Plastic Surgery 55:6, pages 490-493.
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J.E Bothwell, K Clarke, J.M Dooley, K.E Gordon, R Anderson, E.P Wood, C.S Camfield & P.R Camfield. (2002) Botulinum toxin A as a treatment for excessive drooling in children. Pediatric Neurology 27:1, pages 18-22.
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Maria Teresa Botti Rodrigues dos Santos, Danilo Masiero & Maria Regina Lorenzetti Simionato. (2008) Risk factors for dental caries in children with cerebral palsy. Special Care in Dentistry 22:3, pages 103-107.
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Dana L. Suskind & Ann Tilton. (2009) Clinical Study of Botulinum‐A Toxin in the Treatment of Sialorrhea in Children With Cerebral Palsy. The Laryngoscope 112:1, pages 73-81.
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Hilary Johnson, Jane King & Dinah S. Reddihough. (2008) Children with sialorrhoea in the absence of neurological abnormalities. Child: Care, Health and Development 27:6, pages 591-602.
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A. Panarese, S. Ghosh, D. Hodgson, J. McEwan & P.D. Bull. (2001) Outcomes of submandibular duct re-implantation for sialorrhoea. Clinical Otolaryngology and Allied Sciences 26:2, pages 143-146.
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Güzin Yeşim Özgenel, Mesut Özcan & Zeynep Kahveci. (2000) An experimental study of bilateral repositioning of the Stensen's duct orifices with autologous vein and artery grafts in dogs. British Journal of Plastic Surgery 53:2, pages 106-108.
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Steven J. Bachrach, Rhonda S. Walter & Kathleen Trzcinski. (2016) Use of Glycopyrrolate and Other Anticholinergic Medications for Sialorrhea in Children with Cerebral Palsy. Clinical Pediatrics 37:8, pages 485-490.
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K. Webb, D. S. Reddilwugh, H. Johnson, C. S. Bennett & T. Byrt. (2008) LONG‐TFRM OUTCOME OF SALIVA‐CONTROL SURGERY. Developmental Medicine & Child Neurology 37:9, pages 755-762.
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Daniel Daube, Karl L. Horn, Stuart S. Gherini & Shawna L. McDaniel. (1995) Management of chronic sialorrhea with argon laser chorda tympani and tympanic plexus neurectomy. Operative Techniques in Otolaryngology-Head and Neck Surgery 6:3, pages 241-244.
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MARTIN J. BURTON. (2008) The Surgical Management of Drooling. Developmental Medicine & Child Neurology 33:12, pages 1110-1116.
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James Paul Dworkin & Juan Carlos Nadal. (1991) Nonsurgical treatment of drooling in a patient with closed head injury and severe dysarthria. Dysphagia 6:1, pages 40-49.
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M. J. Burton, S. E. J. Leighton & W. S. Lund. (2007) Long-term results of submandibular duct transposition for drooling. The Journal of Laryngology & Otology 105:2, pages 101-103.
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S.K. Varma, H.P. Henderson & B.R. Cotton. (1991) Treatment of drooling by parotid duct ligation and submandibular duct diversion. British Journal of Plastic Surgery 44:6, pages 415-417.
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Arie Rosen, Dov Ophir, Arnold Komisar & Gabriel Marshak. (2016) Experience with the Wilkie Procedure for Sialorrhea. Annals of Otology, Rhinology & Laryngology 99:9, pages 730-732.
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. (1988) Management of the Drooling Child. Clinical Otolaryngology 13:5, pages 319-322.
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Susan R. Harris & Anne H. Purdy. (2008) Drooling and its Management in Cerebral Palsy. Developmental Medicine & Child Neurology 29:6, pages 807-811.
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C. M. Bailey & P. V. Wadsworth. (2007) Treatment of the drooling child by submandibular duct transposition. The Journal of Laryngology & Otology 99:11, pages 1111-1117.
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S. L. Sellars. (2007) Surgery of sialorrhoea. The Journal of Laryngology & Otology 99:11, pages 1107-1109.
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D.S. Grewal, N.L. Hiranandani, Z.A. Rangwalla & J.H. Sheode. (1984) Transtympanic Neurectomies for Control of Drooling. Auris Nasus Larynx 11:2, pages 109-114.
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Robin T. Cotton & Mark A. Richardson. (2016) The Effect of Submandibular Duct Rerouting in the Treatment of Sialorrhea in Children. Otolaryngology–Head and Neck Surgery 89:4, pages 535-541.
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Y. Talmon, L. Podoshin & M. Fradis. (1981) The surgical treatment of drooling in healthy children. International Journal of Pediatric Otorhinolaryngology 3:1, pages 55-61.
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Margaret M. Harris & Peter F. Dignam. (2008) A Non-surgical Method of Reducing Drooling in Cerebral-palsied Children. Developmental Medicine & Child Neurology 22:3, pages 293-299.
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W. S. Crysdale. (1980) THE DROOLING PATIENT. The Laryngoscope 90:5, pages 775???783.
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Ronald S. Drabman, Glenn Cordua Y Cruz, James Ross & Sterling Lynd. (1979) Suppression of chronic drooling in mentally retarded children and adolescents: Effectiveness of a behavioral treatment package. Behavior Therapy 10:1, pages 46-56.
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H. Grady Arnold & Charles W. Gross. (2008) Transtympanic Neurectomy: a Solution to Drooling Problems. Developmental Medicine & Child Neurology 19:4, pages 509-513.
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N. G. Toremalm & I. Bjerre. (2009) Surgical elimination of drooling. The Laryngoscope 86:1, pages 104-112.
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