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February 1986

The Solution for Drooling: Bilateral Tympanic Neurectomy With Chorda Tympani Nerve Section

Arch Otolaryngol Head Neck Surg. 1986;112(2):133. doi:10.1001/archotol.1986.03780020013001

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Tympanic neurectomy is a procedure first introduced in 1946 by Dr Lempert in the hope of curing tinnitus aurium. The procedure, of course, was not effective. In 1970, Richard Goode, MD, and Mansfield F. W. Smith, MD, presented their experience with four adults who had sialorrhea. Since that time, others, including ourselves, have used this procedure along with bilateral chorda tympani neurectomy in an attempt to control sialorrhea in children with cerebral palsy. Conflicting reviews concerning the long-term efficacy of this procedure exist. Consequently, we reevaluated our results over a greater-than-ten-year period (average follow-up of seven years on 55 children) at LeBonheur Children's Medical Center, Memphis. Our findings indicate that 87% of patients had satisfactory results. Significant other findings indicate that those patients who had unsatisfactory results all had a relapse within six months following surgery. After review of the literature and of our technical modifications of the procedure, we

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