Treatments can be offered in a stepwise fashion, from least invasive, nonsurgical therapies to most invasive | Saliva is secreted by the six major salivary glands two parotid, two submandibular, and two sublingual and several hundred minor salivary glands |
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Although this is the most invasive of treatment options, the severity of sialorrhea may be sufficient to require such an aggressive therapy | This condition is normal in infants but usually stops by 15 to 18 months of age |
Patients are trained to associate a behavior with a cue; for example, swallowing or wiping the face is associated with an electronic beep.
19Unfortunately, neither of these conditions is easily remedied | The parasympathetic nervous system innervates the parotid, submandibular, and sublingual glands with fibers that originate in the pons and medulla, and synapse in the otic and submandibular ganglia |
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Reprints are not available from the authors | One system rates the severity of drooling on a five-point scale and the frequency of drooling on a four-point scale |
Appliance for chronic drooling in cerebral palsy patients.
6The procedure is relatively simple and fast, and does not require general anesthesia | Ann R Coll Surg Engl |
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Glycopyrrolate treatment of chronic drooling | Sialorrhea causes a range of physical and psychosocial complications, including perioral chapping, dehydration, odor, and social stigmatization, that can be devastating for patients and their families |
These devices can be used for several hours a day.
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