Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-23T14:31:29.898Z Has data issue: false hasContentIssue false
  • English
  • Français

Long-term results of submandibular duct transposition for drooling

Published online by Cambridge University Press:  29 June 2007

M. J. Burton ,
S. E. J. Leighton  and
W. S. Lund
M. J. Burton
Affiliation:
Oxford
S. E. J. Leighton*
Affiliation:
Oxford
W. S. Lund
Affiliation:
Oxford
*
Mrs S. E. J. Leighton, F.R.C.S., Registrar in Otolaryngology, Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE.
Get access Rights & Permissions [Opens in a new window]

Abstract

This study examines the long-term results and morbidity of submandibular duct transposition in drooling children. Twenty-two patients, aged 3 to 18 years, with neurological dysfunction and excessive drooling underwent submandibular duct transposition between 1984 and 1987. In January 1990, 20 patients were reviewed. Their degree of drooling pre-operatively, immediately post-operatively and currently was assessed. The rate of improvement and the occurrence of complications were noted. Drooling was ‘much better’ in the early post-operative period in 17 of the 20 patients, and this improvement was invariably noted within three weeks. In the three other patients drooling was ‘better’. Deterioration occurred in only three patients over the entire follow-up period. Complications all occurred in the first 18 months following surgery; they consisted of salivary retention cysts in four and transient submandibular gland swelling in a fifth patient.

Keywords

Submandibular glandSialorrhoea
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 2 , February 1991 , pp. 101 - 103
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bailey, C. M. (1988) Management of the drooling child (Editorial). Clinical Otolaryngology, 13: 319–322.Google Scholar
Bailey, C. M., Wadsworth, P. V. (1985) Treatment of the drooling child by submandibular duct transposition. Journal of Laryngology and Otology, 99: 1111–1117.CrossRefGoogle ScholarPubMed
Cotton, R. T., Richardson, M. A. (1981) The effect of submandibular duct rerouting in the treatment of sialorrhea in children. Otolaryngology—Head and Neck Surgery, 89: 535–541.CrossRefGoogle ScholarPubMed
Cranin, A. N., Bennet, J. (1982) Sialodochoplasty: An alternative surgical approach to the control of drooling. Journal of Oral and Maxillofacial Surgery, 40: 545–548.CrossRefGoogle Scholar
Crysdale, W. S. (1980) The drooling patient: evaluation and current surgical options. Laryngoscope, 90: 775–783.CrossRefGoogle ScholarPubMed
Crysdale, W. S. (1982) How I do it—Submandibular duct relocation for drooling. Journal of Otolaryngology, 11: 286–289.Google Scholar
Crysdale, W. S., Mendelsohn, J. D., Conley, S. (1988) Ranulas— mucoceles of the oral cavity: experience in 26 children. Laryngoscope, 98: 296–298.CrossRefGoogle ScholarPubMed
Crysdale, W. S., White, A. (1989) Submandibular duct relocation for drooling: A 10-year experience with 194 patients. Otolaryngology—Head and Neck Surgery, 101: 87–92.CrossRefGoogle ScholarPubMed
Ekedahl, C. (1974) Surgical treatment of drooling. Acta Otolaryngologica, 77: 215–220.CrossRefGoogle ScholarPubMed
Fear, D. W., Hitchcock, R. P., Fonseca, R. J. (1988) Treatment of chronic drooling: A preliminary report. Oral Surgery, Oral Medicine, Oral Pathology, 66: 163–166.CrossRefGoogle ScholarPubMed
Guerin, R. L. (1979) Surgical management of drooling. Archives of Otolaryngology, 105: 535–537.CrossRefGoogle ScholarPubMed
Laage-Hellman, J. E. (1969) Retroposition av gl submandibularis' utforsgang som benhandling vid dragling. Nordisk Medicin, 82: 1522.Google Scholar
Shott, S. R., Myer, C. M., Cotton, R. T. (1989) Surgical management of sialorrhea. Otolaryngology—Head and Neck Surgery, 101: 47–50.CrossRefGoogle ScholarPubMed