Cotton R T, Richardson M A
Otolaryngol Head Neck Surg. 1981 Jul-Aug;89(4):535-41. doi: 10.1177/019459988108900405.
Sialorrhea is an indication of an upset in the coordinated mechanism control of facial tone and palate musculature. Disturbance in this coordination results in excess pooling of saliva in the anterior mouth and resultant drooling. In addition to the hygienic problems associated with drooling, sialorrhea also interferes with speech clarity and nutrition. It may also cause increased infections and dehydration, and may provide for further isolation of the afflicted from the mainstream of life. Current therapeutic modalities are reviewed and compared with submandibular duct rerouting. Twenty-five consecutive pediatric patients in whom submandibular duct rerouting was performed are evaluated for postoperative drooling and submandibular gland function. The procedure was found to have low morbidity and to be effective in control of sialorrhea in pediatric patients.
流涎是面部肌张力和腭部肌肉组织协调控制机制紊乱的一种表现。这种协调功能的紊乱会导致唾液在前口腔过度积聚，进而引起流口水。除了与流口水相关的卫生问题外，流涎还会影响言语清晰度和营养状况。它还可能导致感染增加和脱水，并可能使患者进一步与主流生活隔离。本文回顾了当前的治疗方式，并与下颌下导管改道术进行了比较。对连续25例行下颌下导管改道术的儿科患者的术后流口水情况和下颌下腺功能进行了评估。结果发现该手术发病率低，对控制儿科患者的流涎有效。
