Scully Crispian, Limeres Jacobo, Gleeson Michael, Tomás Inmaculada, Diz Pedro
Eastman Dental Institute, University College London, London, UK.
J Oral Pathol Med. 2009 Apr;38(4):321-7. doi: 10.1111/j.1600-0714.2008.00727.x. Epub 2009 Feb 23.
Drooling is the overflowing of saliva from the mouth. It is mainly due to neurological disturbance and less frequently to hypersalivation. Drooling can lead to functional and clinical consequences for patients, families, and caregivers. The aim of this review is to emphasize the clinical aspects of the assessing and management of drooling.
All papers and clinical reviews of drooling in the electronic data bases (Medline, PubMed, Embase and the Cochrane Library) for the past 40 years in any languages have been evaluated.
The severity of drooling and the effects on the quality of life of the patient and family, help to establish a prognosis and to decide the therapeutic regimen. Treatment options range from conservative therapy to medication, radiation, or surgery, and often a combination is needed.
Chronic drooling remains a problem that can be difficult to manage. Despite the acceptable results obtained with most of the treatments, none is free of undesirable effects.
流口水是指唾液从口腔中溢出。其主要原因是神经功能紊乱,较少见的原因是唾液分泌过多。流口水会给患者、家庭和护理人员带来功能和临床方面的影响。本综述的目的是强调流口水评估与管理的临床要点。
对过去40年电子数据库(Medline、PubMed、Embase和Cochrane图书馆)中任何语言的所有关于流口水的论文和临床综述进行了评估。
流口水的严重程度以及对患者和家庭生活质量的影响,有助于确定预后并决定治疗方案。治疗选择范围从保守治疗到药物治疗、放射治疗或手术治疗,通常需要综合治疗。
慢性流口水仍然是一个难以处理的问题。尽管大多数治疗取得了可接受的结果,但没有一种治疗是没有不良影响的。