Little SA, Kubba H, Hussain SS
An evidence-based approach to the child who drools saliva. [Journal Article]
Clin Otolaryngol 2009 Jun; 34(3):236-9.
BACKGROUND: Drooling is a common dysfunction in children with cerebral palsy and may also affect neurologically unimpaired children. It causes significant social handicap to both children and their families.
METHODS: The data in this article are supported by a Medline search (November 2008) utilising the keywords drooling, sialorrhea, botulinum toxin, salivary duct ligation and also by the use of the personal bibliographies of the senior authors.
RESULTS: The majority of the published literature for drooling is of level III/IV evidence.
CONCLUSION: Multiple therapeutic interventions are available for paediatric drooling. These are most appropriately introduced in a stepwise progression from behaviour therapy, to pharmacotherapy to surgical procedures.
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