Puckett C L, Concannon M J, McNaul D, Barone C
Division of Plastic Surgery, University of Missouri, Columbia 65212.
Cleft Palate Craniofac J. 1993 Sep;30(5):508-10. doi: 10.1597/1545-1569_1993_030_0508_siatwp_2.3.co_2.
The child with an excessive drooling problem often faces similar social deprivation to those with severe craniofacial malformations. Many of these children have other "strikes against them" (such as cerebral palsy) that, when coupled with drooling, isolate them from social interaction. Many methods have been employed to control drooling but surgery has been most consistently successful. The most popular of these has been the Wilke procedure or a modification of it. Several series have been reported, but a detailed correlation of mechanical success with the effects on social activity has not been reported. We reviewed a series of 23 cases of Wilke-type surgery. Analysis of the results showed a convincing improvement in social activity after successful surgery. The Wilke procedure enjoys a relatively high rate of success in preventing excessive drooling, which seems to offer a dramatic improvement in social contact enjoyment.
流口水过多的儿童常常面临与严重颅面畸形儿童类似的社交剥夺。这些儿童中有许多还有其他“不利因素”（如脑瘫），再加上流口水，使他们无法参与社交互动。人们采用了多种方法来控制流口水，但手术一直是最具持续性成功的方法。其中最常用的是威尔克手术或其改良术式。已有多个系列病例报道，但尚未有关于手术在机械性成功与对社交活动影响之间的详细相关性报道。我们回顾了一系列23例威尔克式手术病例。结果分析显示，手术成功后社交活动有明显改善。威尔克手术在预防过多流口水方面成功率相对较高，这似乎能显著改善社交接触体验。
