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J Pediatr Surg ; 48(10): 2171-4, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24094976

RESUMO

BACKGROUND: Surgery for drooling in patients with cerebral palsy should not produce xerostomia in order not to deteriorate speech, taste, or the status of oral hygiene. It must be a compromise between drooling and quality of life. The purpose of the present report is to describe our surgical strategy that respects the above principles. MATERIALS AND METHODS: Patients were initially operated on depending on the drooling severity. The results were evaluated according to the frequency of residual drooling and the Thomas-Stonel and Greenberg classification. Quantitative assessment was proposed 6 months after surgery. The data have been compared using the nonparametric Wilcoxon matched-pairs test. RESULTS: Thirty-five patients underwent surgery between 1991 and 2012. Owing to incomplete data, only 31 patients could be included, aged 5 to 24 years (mean: 12 years). All patients underwent surgery on the submandibular duct. Only 16 patients underwent a simultaneous surgery on the parotid duct. Six patients were reoperated: 3 because of an insufficient result and 3 because of a surgical complication. Changes/Day ranged from 1 to 7 (median: 3) before surgery and 0 to 2 (median: 1) after surgery (p < 0.01). Number of bibs/day ranged from 0 to 30 (median: 4) before surgery and 0 to 4 (median: 1) after surgery (p < 0.01). No dental deterioration and no caries occurred after surgery. CONCLUSION: Good results for drooling can be obtained with a simple surgical procedure on the submandibular ducts, maintaining quality of life, avoiding deterioration of speech, taste, and the status of oral hygiene.


Assuntos
Paralisia Cerebral/complicações , Glândula Parótida/cirurgia , Sialorreia/cirurgia , Glândula Submandibular/cirurgia , Adolescente , Criança , Pré-Escolar , Seguimentos , Humanos , Reoperação/estatística & dados numéricos , Estudos Retrospectivos , Sialorreia/etiologia , Resultado do Tratamento , Adulto Jovem
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