Puraviappan Periyanan, Dass Dipak Banarsi, Narayanan Prepageran
Department of ENT, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Asian J Surg. 2007 Jul;30(3):209-15. doi: 10.1016/S1015-9584(08)60024-X.
The efficacy of relocating the submandibular duct to treat drooling in children with cerebral palsy was studied.
This was a prospective study to assess, using a visual analogue score by the parents of the patients, the efficacy of relocating the submandibular duct to treat drooling, comparing pre- and postoperative drooling. Complications were also recorded.
Eight children were included in this study. Their mean age was 9.75 years (range, 6-14 years). Seven patients (87.5%) had significant reduction of drooling (from a score of > or = 7 before surgery to < or = 2 after surgery). All the parents of the eight children (100%) were happy with the outcome and would recommend the procedure to the parents of other children. Mean length of hospital stay was 4 days (range, 2-7 days). Three patients developed complications; one patient developed ranula 1 month postoperatively. This was successfully treated by marsupialization. Two patients developed bilateral submandibular sialoadenitis 3 days postoperatively, which resolved with antibiotic therapy.
We conclude that this procedure is effective and safe in reducing drooling in patients with cerebral palsy.
研究将下颌下腺导管重新定位治疗脑瘫患儿流涎的疗效。
这是一项前瞻性研究，通过患者家长使用视觉模拟评分法评估将下颌下腺导管重新定位治疗流涎的疗效，比较术前和术后的流涎情况。同时记录并发症。
本研究纳入了8名儿童。他们的平均年龄为9.75岁（范围6 - 14岁）。7名患者（87.5%）流涎明显减少（从术前评分≥7分降至术后≤2分）。8名儿童的所有家长（100%）对结果满意，并会向其他儿童的家长推荐该手术。平均住院时间为4天（范围2 - 7天）。3名患者出现并发症；1名患者术后1个月出现舌下囊肿，通过袋形缝合术成功治疗。2名患者术后3天出现双侧下颌下腺涎腺炎，经抗生素治疗后痊愈。
我们得出结论，该手术在减少脑瘫患者流涎方面有效且安全。
