Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology
Oral MedicineDrooling of saliva: A review of the etiology and management options
Section snippets
Materials and methods
Articles, from 1966 onward, were identified with Medline using key words (drooling and sialorrhea) and the “limits” function. Only original clinical studies written in English and French were retained for review. Articles were selected keeping in mind the specific experience of each author. For the table summarizing the literature on salivary duct and gland procedures, data were gathered only from series including more than 10 patients and using an assessment tool.
Many systems have been
References (98)
- et al.
Toxic psychoses from transdermal scopolamine in a child
Lancet
(1986) Nebulized scopolamine in the management of oral dribbing: three case reports
J Pain Symp Manage
(1999)- et al.
The role of radiation therapy in the management of sialorrhea
Int J Radiation Oncology Biol Phs
(1998) - et al.
External radiation of the parotid glands significantly reduces drooling in patients with motor neurone disease with bulbar paresis
J Neurol Sci
(2001) - et al.
Transtympanic neurectomies for control of drooling
Auris Nasus Larynx
(1984) - et al.
Treatment of drooling by parotid duct ligation and submandibular duct diversion
Br J Plast Surg
(1991) - et al.
Long-term follow-up of submandibular duct rerouting for the treatment of sialorrhea in the paediatric population
Otolaryngol Head Neck Surg
(1999) - et al.
The surgical treatment of drooling in Leicester: 12 years experience
Br J Plast Surg
(1999) - et al.
An experience study of bilateral repositioning of the Stensen's duct orifices with the autologous vein and artery grafts in dog
Br J Plast Surg
(2000) - et al.
Bilateral parotid-duct diversion using autologous vein grafts for the management of chronic drooling in cererbral palsy
Br J Plast Surg
(2002)
Quantitative assessment of parkinsonian sialorrhea and results of treatment with botulinum toxin
Parkinsonism Relat Disord
Botulinum toxin A as a treatment for excessive drooling in children
Pediatr Neurol
Up-to-date report of botulinum toxin therapy in patients with drooling caused by different etiologies
J Oral Maxillofac Surg
Ultrasound-guided versus blind intraparotid injections of botulinum toxin-A for the treatment of sialorrhoea in patients with Parkinson's disease
Clin Neurol Neurosurg
Botulinum toxin decreases the salivation from canine submandibular glands
Otolaryngol Head Neck Surg
Recurrent jaw dislocation after botulinum toxin treatment for sialorrhoea in amyotrophic lateral sclerosis
J Neurol Sci
Traditional Chinese medicine (tongue acupuncture) in children with drooling problems
Pediatr Neurol
Salivary production in Parkinson's disease
Mov Disord
A study of salivary secretion in Parkinson's disease
Clin Neuropharmacol
The role of a saliva control clinic in the management of drooling
J Paediatr Child Health
Effect of botulinum toxin in the treatment of drooling: a controlled clinical trial
Pediatrics
The surgical treatment of drooling. A 10-year review
Plast Reconstr Surg
Intracellular activity of motoneurons of the rostral nucleus ambiguus during swallowing in sheep
J Neurophysiol
The role of the cerebral cortex in swallowing
Dysphagia
Management options for the drooling patients
Ear Nose Throat J
Prevalence and severity of feeding and nutritional problems in children with neurological impairment: Oxford Feeding Study
Dev Med Child Neurol
Prevalence of drooling in children with cerebral palsy attending special schools
Dev Med Child Neurol
Survey of sialorrhea in parkinsonian patients in southwestern Ontario
Can J Neurol Sci
Clinical assessment of dysphagia in early phases of Parkinson's disease
Neurol Sci
A non-surgical method of reducing drooling in cerebral-palsied patients
Dev Med Child Neurol
Biofeedback techniques and behaviour modification in the conservative remediation of drooling by children with cerebral palsy
Dev Med Child Neurol
Orofacial regulation therapy in children with Down syndrome, using the method and appliances of Castillo-Morales
ASDC J Dent Child
Regulation therapy by Castillo-Morales in children with Down's syndrome: primary and secondary orofacial pathology
ASDC J Dent Child
Moebius syndrome with oral involvement
Int J Paediatr Dent
Castillo-Morales orofacial therapy: treatment of 67 children with Down syndrome
Dev Med Child Neurol
Drooling, chewing and swallowing dysfunctions in children with cerebral palsy: treatment according to Castillo-Morales
ASDC J Dent Child
Sublingual atropine for sialorrhea secondary to Parkinsonism: a pilot study
Mov Disord
Use of atropine eye drops for clozepine-induced hypersalivation
Aust N Z J Psychiatry
Scopolamine patch for clozepine-induced sialorrhea
Psychiatr Serv
The use of transdermal scopolamine to control drooling. A case report
Am J Phys Med Rehabil
Control of drooling with transdermal scopolamine in a child with cerebral palsy
Dev Med Child Neurol
Transdermal scopolamine in drooling
J Mental Defic Res
Reduction of salivary flow with Scopoderm TTS
Ann Otol Rhinol Laryngol
Transdermal scopolamine for reduction of drooling in developmentally delayed children
Dev Med Child Neurol
A systematic review for evidence of efficacy of anticholinergic drugs to treat drooling
Arch Dis Child
Results of radiotherapy for drooling in amyotropic lateral sclerosis
Neurology
Transtympanic neurectomy: a solution to drooling problems
Dev Med Child Neurol
Long-term follow-up of tympanic neurectomy for sialorrhoea
Laryngoscope
Surgery of sialorrhoea
J Laryngol Otol
Cited by (133)
Radiation of parotid or submandibular glands is effective for drooling in patients with parkinsonism; a randomised double-blind placebo-controlled trial
2022, Clinical Parkinsonism and Related DisordersPrimary sialorrhea and its surgical treatment with denervation of the submandibular glands in combination with sublingual gland excision
2021, Journal of Cranio-Maxillofacial SurgeryEfficacy of injections of botulinum toxin-A for improving drooling and quality of life in disabled patients
2020, Annals of Physical and Rehabilitation MedicineRelationships of drooling with motor symptoms and dopamine transporter imaging in drug-naïve Parkinson's disease
2020, Clinical Neurology and NeurosurgeryCitation Excerpt :It would be proper to underline that drooling is a cause of psycho-social impairment, being correlated to social embarrassment, isolation and worsening of depressive symptoms but also a life-threatening condition for it is correlated to a higher risk of choking or aspiration pneumonia [5]. Drooling is classified as primary drooling due to excessive production of saliva and secondary drooling caused by a decrease in the clearance of saliva due to disorders of coordinated activity of the orofacial and palatolingual muscles [6]. Since it was shown that the amount of saliva production in PD patients was actually less than that in healthy control, drooling in PD patients is presumed to be mainly secondary drooling [7,8].
Clinical pharmacokinetics of atropine oral gel formulation in healthy volunteers
2024, Clinical and Translational ScienceSalivary Complaints in Burning Mouth Syndrome: A Cross Sectional Study on 500 Patients
2023, Journal of Clinical Medicine
This work was supported by a grant-in-aid 2005/2006 n04 for scientific research from the Fondation des Gueules Cassées.