Chait L A, Kessler E
S Afr Med J. 1979 Oct 20;56(17):676-8.
Persistent drooling in cases of cerebral palsy can be successfully controlled by a combination of bilateral parotid duct translocation and bilateral submandibular gland excision. Ten children are described who underwent this operation with satisfactory results. Apart from mile transient postoperative swelling of the cheek, there have been no postoperative complications. The importance of bilateral submandibular gland excision is stressed and the operative details are described. These include elevating a flap of buccal mucosa distally from the orifice of the parotid duct and then burying this strip beneath the buccal mucosa posteriorly to emerge in the pharynx just above the tonsillar fossa. The edges are then sutured to the mucosa of the pharynx. In time the parotid secretions pass into the pharynx via the newly created tube of mucous membrane. The technique is simple and the end result is satisfactory.
双侧腮腺导管移位术与双侧下颌下腺切除术联合应用可成功控制脑瘫患儿的持续性流涎。本文描述了10例接受该手术且效果满意的患儿。除了术后脸颊有轻微短暂肿胀外，未出现术后并发症。强调了双侧下颌下腺切除术的重要性并描述了手术细节。这些细节包括从腮腺导管开口向远侧掀起一块颊黏膜瓣，然后将此条带向后埋于颊黏膜下方，在扁桃体窝上方的咽部穿出。然后将边缘缝合于咽部黏膜。随着时间推移，腮腺分泌物通过新形成的黏膜管道进入咽部。该技术操作简单，最终效果令人满意。
