Management of drooling in children with cerebral palsy |
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| Affiliation: | 1. Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Department of Rehabilitation, Nijmegen, The Netherlands;2. Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Department of Neurology, Nijmegen, The Netherlands;3. Rehabilitation Center Sint Maartenskliniek, Department of Rehabilitation, Nijmegen, The Netherlands;4. Radboud University, School of Pedagogical and Educational Science, Nijmegen, The Netherlands;5. Radboud University Medical Center, Department of Health Evidence, Nijmegen, The Netherlands;6. Radboud University Center, Radboud Institute for Health Sciences, Department of Otorhinolaryngology, Nijmegen, The Netherlands;1. Laboratory of Clinical Pharmacology and Therapeutics Unit, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal;2. Instituto de Medicina Molecular João Lobo Antunes, Lisbon, Portugal;3. Swallowing Disorders Unit, Department of Otolaryngology, Hospital de Egas Moniz, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal;4. Alcoitão School of Health Sciences, Santa Casa da Misericórdia de Lisboa, Lisbon, Portugal;5. The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada;6. Parkinson Disease and Movement Disorders Centre, Division of Neurology, Department of Medicine, The Ottawa Hospital and the University of Ottawa, Ottawa, Canada;7. Brain and Mind Research Institute, University of Ottawa, Ottawa, Ontario, Canada;8. CNS - Campus Neurológico, Torres Vedras, Portugal;1. Department of Otolaryngology–Head & Neck Surgery, Thomas Jefferson University Sidney Kimmel School of Medicine, 111 South 11th Street, Philadelphia, PA 19107, USA;2. Department of Surgery, Division of Pediatric Otolaryngology, Nemours Children’s Hospital of Delaware, 1600 Rockland Road Wilmington, DE 19803, USA |
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| Abstract: | Drooling, or sialorrhoea, is a common difficulty faced by children with neurological impairment including cerebral palsy. It may lead to a reduction in their quality of life, causing skin irritation, dehydration and high levels of embarrassment and social isolation for both the patient and family. This review will discuss the assessment of patients with sialorrhoea and potential management strategies including conservative management, medical options, botulinum toxin injections and surgery. |
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| Keywords: | anticholinergic botulinum toxin cerebral palsy drooling sialorrhoea |
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