Becmeur F, Horta-Geraud P, Brunot B, Maniere M C, Prulhiere Y, Sauvage P
Pediatric Surgery Service, Strasbourg University Hospitals, France.
J Pediatr Surg. 1996 Dec;31(12):1629-33. doi: 10.1016/s0022-3468(96)90035-4.
The authors performed six sialodochoplasties between 1991 and 1994 to treat drooling in six children who suffered from cerebral palsy. There were three boys and three girls, aged 13 to 22 years (mean, 16 years). All patients underwent parotid duct rerouting. The first four patients (group I) also underwent associated excision of submandibular ducts, and the last two patients (group II) benefited from rerouting of the submandibular ducts. In group I, results were considered good in two cases, fair in one case, and poor in one case. A fistula of the new Stenon duct appeared in one patient, which required excision and ligation followed by progressive involution of the parotid gland. Both group II patients had excellent and rapid results. The requirements leading to surgical decision are determined. The importance of physiotherapy is emphasized. Surgical techniques are described and discussed, as are objective criteria for the assessment of surgical results, namely salivary radioisotopic scanning.
1991年至1994年间，作者对6名患有脑瘫的儿童进行了6次涎腺导管成形术以治疗流涎。其中有3名男孩和3名女孩，年龄在13至22岁之间（平均16岁）。所有患者均接受了腮腺导管改道手术。前4例患者（第一组）还同时进行了下颌下腺导管切除术，后2例患者（第二组）则受益于下颌下腺导管改道手术。在第一组中，2例效果良好，1例一般，1例较差。1例患者出现了新的斯滕森导管瘘，需要切除并结扎，随后腮腺逐渐萎缩。第二组的2例患者均取得了优异且迅速的效果。确定了导致手术决策的相关因素。强调了物理治疗的重要性。描述并讨论了手术技术以及评估手术效果的客观标准，即唾液放射性同位素扫描。
