Management of sialorrhoea in neurologically impaired children

Vidulasri N and Deepa G

The aim is to review on management of sialorrhoea in neurologically impaired children. Sialorrhea (drooling) is the unintentional loss of saliva and other oral contents from the mouth. The overflowing of saliva from the mouth, is mainly due to neurological disorder and, less frequently, to hypersalivation. Treatment options include behavioral modification therapy, oral or topical anticholinergic medications, surgical excision of salivary glands or duct relocation, and chemodenervation with botulinum toxin.Drooling is prevalent among children with cerebral palsy (CP) and has a negative impact on their social and physical wellbeing. In this review, an analysis of outcome measures commonly used for assessing response to treatment and studies on various therapeutic options available will be presented. Since no treatment option has proven to be ideal, an optimum approach needs to be tailored to the needs of the child. This article provides an overview of the different treatment approaches and significant research findings.

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