Success and complications of four-duct ligation for sialorrhea.

摘要: Abstract Objective: Sialorrhea can have a significant negative effect on quality of life, impeding social interactions and severely limiting employment opportunities. Many surgical options to control sialorrhea been reported. One the newest procedures is combined ligation submandibular parotid ducts, reported only once in literature one series five patients date. We compared results our first 21 undergoing this procedure with for other treat sialorrhea. Materials methods: retrospectively reviewed medical records all children we treated four-duct ligation, relatively simple intraoral sialorrhea, between August 1999 September 2000 contacted primary caregivers by telephone answer questionnaire regarding objective subjective surgery. Surgery was considered successful when rated as ‘much better’ or ‘better’ after Results: Follow-up completed 1–14 months The success rate (‘much surgery) 81%, no patient's problem worse Major complications occurred two (10%) (one ranula case sialoadenitis), which were both successfully surgically. Minor four (19%) patients, tongue swelling that prolonged hospitalization, resolved, gland resolved (two cases). More than half discharged day Conclusions: Four-duct should be surgery indicated