Bilateral parotid-duct diversion using autologous vein grafts for the management of chronic drooling in cerebral palsy
Date
2002-09
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Churchill Livingstone
Abstract
Chronic drooling is a major problem in patients with cerebral palsy and other neurological dysfunctions. Various treatments, ranging from speech therapy to radical surgery, have been used to overcome this distressing problem, with surgery the most consistently successful. In this study, we used a new surgical technique to manage severe drooling. This involved the dissection of both parotid-duct orifices, and their relocation, via a submucosal tunnel, into the tonsillar pillar using autologous vein grafts. Four patients were treated using this technique together with bilateral submandibular duct rerouting. The results were analysed by subjective judgements of drooling and retrograde sialography at 90 days postoperatively. In all cases, salivary flow was reduced and drooling was significantly improved. Retrograde sialography revealed no signs of obstruction or stricture formation in any of the cases. No postoperative complications occurred. These preliminary results suggest that the bilateral surgical transposition of Stensen's ducts into the tonsillar pillar using autologous vein grafts together with bilateral submandibular duct rerouting can provide effective control of chronic drooling. (C) 2002 The British Association of Plastic Surgeons.
Description
Bu çalışma,16-20 Eylül 2001'de Roma[İtalya]'da düzenlenen 9. Congress of the European-Societies-of-Plastic-Reconstructive-and-Aesthetic-Surgery'de bildiri olarak sunulmuştur.
Keywords
Cerebral palsy, Drooling, Salivation, Sialorrhoea, Surgery, Surgical-management, Reconstruction, Transposition, Experience, Ligation, Surgery
Citation
Özgenel, G. Y. ve Özcan, M. (2002). "Bilateral parotid-duct diversion using autologous vein grafts for the management of chronic drooling in cerebral palsy". British Journal of Plastic Surgery, 55(6), 490-493.