ABSTRACT
To report results of 29 patients who underwent surgical management of sialorrhoea in private practice referred from Erlanger Handicap Clinic afterfailure of all other forms of non-surgical treatment to control chronic sialorrhoea. Proactive case series. Twenty-nine patients underwent bilateral submandibular duct relocation with sub-lingual gland excision. At the tie of operation 3 [15%] were children aged < than 18 years, and 16 were neurological impaired adults. Post-operative follow up was for a mean of 4 months. For all those who underwent operation, the total drooling score' [drooling frequency' + 'drooling severity'] was reduced from a pre-operative mean of 7.4 [of a maximum possible 8] to a post-operative mean of 2.6. Best results were seen in children under 18 years old-'total drooling score' reduced from a mean of 7.4 to a mean of 2.2. sialorrhoea was reliably improved by submandibular duct relocation plus sublingual gland excision, with the better results obtained in children