Rosen A, Komisar A, Ophir D, Marshak G
Department of Otolaryngology, Lenox Hill Hospital, New York, NY 10021.
Ann Otol Rhinol Laryngol. 1990 Sep;99(9 Pt 1):730-2. doi: 10.1177/000348949009900912.
Sialorrhea (drooling) is most commonly seen in children with cerebral palsy or mental retardation. Surgical procedures for the control of sialorrhea include salivary gland excision, parasympathetic nerve section, and salivary duct ligation and/or rerouting. Eighteen children between the ages of 5 and 17 years underwent bilateral submandibular gland excision and rerouting of Stensen's duct (Wilkie procedure). All children had severe drooling associated with cerebral palsy or mental retardation. Follow-up at 7 years showed satisfactory control of sialorrhea in 16 of 18 patients (89%). There was one major complication: xerostomia. Our results indicate that submandibular gland excision together with parotid duct retropositioning provides effective control of sialorrhea in most cases. Unfavorable head and mandibular posturing seemed to cause persistent sialorrhea in one case.
流涎（流口水）在脑瘫或智力障碍儿童中最为常见。控制流涎的外科手术包括唾液腺切除、副交感神经切断以及唾液导管结扎和/或改道。18名年龄在5至17岁之间的儿童接受了双侧下颌下腺切除及腮腺导管改道（威尔基手术）。所有儿童均有与脑瘫或智力障碍相关的严重流涎症状。7年的随访显示，18例患者中有16例（89%）流涎得到了满意控制。有1例主要并发症：口干症。我们的结果表明，下颌下腺切除联合腮腺导管后置在大多数情况下能有效控制流涎。在1例患者中，不良的头部和下颌姿势似乎导致了持续性流涎。
