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March 1989

Surgical Management of Sialorrhea

Author Affiliations

Chapel Hill, NC

Arch Otolaryngol Head Neck Surg. 1989;115(3):275. doi:10.1001/archotol.1989.01860270017004

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At the annual meeting of the American Academy of Otolaryngology–Head and Neck Surgery in Washington, DC, Sally R. Shott and colleagues of the Children's Hospital Medical Center, Cincinnati, reported their results with the surgical management of sialorrhea. In a retrospective telephone interview of parents and caretakers, they found none of six patients improved by submandibular duct rerouting alone; five of 20 patients improved by submandibular duct rerouting, bilateral tympanic neurectomy, and unilateral chorda tympani division; none of two patients improved by bilateral tympanic neurectomy and bilateral submandibular gland excision; and 11 of 14 patients improved by bilateral submandibular gland excision and bilateral parotid duct ligation. The latter procedure is now their treatment of choice in the surgical management of sialorrhea. This marks a change in policy since a 1981 publication from the same institution identifying bilateral submandibular duct rerouting as their procedure of choice. With the new procedure they report

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