Ethunandan M, Macpherson D W
Maxillofacial Unit, St Richard's Hospital, Chichester, West Sussex.
Ann R Coll Surg Engl. 1998 Jul;80(4):279-82.
Persistent drooling in a neurologically impaired patient is often multifactorial and various treatment modalities have been employed to overcome this distressing condition. This study analysed the outcome after bilateral submandibular duct transposition and simultaneous sublingual gland excision in 20 patients with persistent drooling treated between January 1989 and July 1994. Twelve were male and eight were female and were aged 5 years to 40 years. The outcome was considered much better/excellent in 11 cases (55%), better/good in eight cases (40%), no significant improvement in one case (5%) and none were considered worse after the procedure, in the 'early' postoperative period. Long-term results, judged by an 18-point questionnaire sent to the carers after an average duration of 3.2 years post-operatively, were available for 19 patients. In all, 16 carers (84%) felt the drooling had significantly reduced, and three carers (16%) felt that there was no improvement. The three patients who were considered not to have improved were all found to have made a 'good' improvement in the early post-operative period. The morbidity associated with the procedure was of a mild and transient nature and there was a complete absence of ranula formation in our series. The procedure was well accepted by the carers, who were also willing to recommend the procedure to others with a similar problem.
神经功能受损患者的持续性流涎通常是多因素导致的，人们采用了各种治疗方法来克服这种令人苦恼的状况。本研究分析了1989年1月至1994年7月期间接受双侧下颌下腺导管移位术并同期舌下腺切除术治疗的20例持续性流涎患者的治疗结果。其中男性12例，女性8例，年龄在5岁至40岁之间。在术后“早期”，11例（55%）患者的治疗效果被认为非常好/极佳，8例（40%）患者效果较好/良好，1例（5%）患者无明显改善，且术后无一例被认为情况变差。术后平均3.2年，通过向护理人员发放一份18项问卷来判断长期效果，19例患者有相关结果。总体而言，16名护理人员（84%）认为流涎明显减少，3名护理人员（16%）认为没有改善。被认为没有改善的3例患者在术后早期均有“良好”的改善。该手术相关的发病率为轻度且短暂性的，并且我们的系列病例中完全没有出现舌下囊肿。护理人员对该手术接受度良好，他们也愿意向有类似问题的其他人推荐该手术。
