Management of drooling for patients in north of Iran: Analysis and evaluation of 32 patients

oleh: Seyed Ebrahim Naghavi, Mir Mohammad Jalali

Format:	Article
Diterbitkan:	Wolters Kluwer Medknow Publications 2010-01-01

Deskripsi

<ul><li></li><li>Background. Drooling is a common problem in children and adults with neuromuscular disorders. This problem is best dealt with using a multidisciplinary team approach. The objective of this paper is to report our experience at the Drooling clinic. Submandibular duct relocation is a procedure that involves the dissection and rerouting of submandibular ducts to the tonsillar fossa.</li><li>Methods. This procedure has been carried out on 32 patients over the past 14 years at the Amiralmomenin Hospital, Rasht between 1994 and 2007. All patients have been followed up with a postoperative telephone survey to determine long-term efficacy. </li><li>Results. The mean presurgical score was 7.59 (range 5 to 10) and the mean postoperative score was 2.71 (range 2 to 5). Short-term control rates was high (P < 0.0001). In 83.4% of patients, long-term result was successful. There were few complications, none of which had any long-term adverse effects. Swelling of submandibular glands was frequently observed in the immediate post-operative period. The major late complication of a ranula was seen in a patient. </li><li>Conclusion. Submandibular duct relocation with simultaneous sublingual gland excision is a safe and consistently efficient procedure for the treatment of chronic sialorrhea. We believe this operation is a more physiological procedure than others. </li><li>&nbsp;Keywords: Drooling, sialorrhea, submandibular relocation, salivary glands</li></ul>

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Management of drooling for patients in north of Iran: Analysis and evaluation of 32 patients

Deskripsi