n South African Journal of Child Health - Surgical management of sialorrhoea : a review and outcome report from Red Cross Hospital, Cape Town
|Article Title||Surgical management of sialorrhoea : a review and outcome report from Red Cross Hospital, Cape Town|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||South African Journal of Child Health|
|Author||Graeme J. Copley, Chris A.J. Prescott and Johannes J. Fagan|
|Publication Date||May 2008|
|Pages||46 - 49|
Aim. To review the surgical management of sialorrhoea (submandibular duct transposition with or without bilateral excision of the sublingual salivary glands : the 'drooling procedure', DP) at Red Cross War Memorial Children's Hospital, Cape Town.
Patients and methods. A retrospective review of the medical records of patients who had undergone a DP between 1996 and 2003, to ascertain the results of the procedure and complications. Subsequently a questionnaire was sent to all patients with a recognisable postal address to ascertain long-term satisfaction with the procedure.
Results. Forty-six patients had had a DP, and 32 of the medical records were available for analysis. In 23 cases a comment had been recorded on the result of the procedure; 18 (78%) had shown 'marked' improvement and 5 (22%) 'a little' improvement. The medical records indicated that 2 patients had had immediate postoperative problems : one patient was slow to commence oral feeding and another required a single high dose of intravenous steroids to resolve marked oedema of the floor of the mouth. In the longer term, one patient developed a ranula (a mucus inclusion cyst). Ten postal questionnaires, were returned; of these 8 reported an improvement in the symptoms.
Discussion. Short-term improvement was recorded in 78% of patients, and although only 10 questionnaires were returned, 8 of these indicated satisfaction with the procedure. It is impossible to draw conclusions, however, as the large number of patients (36 of the original 46) lost to follow-up could have had a poor outcome. There is need for prospective studies on the long-term outcome of the DP.
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