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Drooling in oro-motor dyspraxia: is there a role for surgery?

Published online by Cambridge University Press:  08 March 2017

J Rimmer  and
B E J Hartley
J Rimmer*
Affiliation:
Department of Otolaryngology, Great Ormond Street Hospital for Children, London, UK
B E J Hartley
Affiliation:
Department of Otolaryngology, Great Ormond Street Hospital for Children, London, UK
*
Address for correspondence: Miss Joanne Rimmer, 39 Handforth Road, London SW9 0LL, UK. E-mail: [email protected]
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Abstract

Objective:

To report the successful use of a surgical approach for the treatment of drooling in a case of oro-motor dyspraxia.

Case report:

A seven-year-old girl with a diagnosis of oro-motor dyspraxia was referred for management of drooling; this was her only symptom. There were no focal neurological abnormalities. Conservative measures had not helped, and her parents were keen for definitive treatment. Bilateral submandibular duct transposition was performed with no complications. The patient's drooling improved immediately.

Conclusion:

There are currently no reports in the literature of surgery for persistent drooling in children with oro-motor dyspraxia who are otherwise neurologically and developmentally normal. The mainstay of treatment is speech and language therapy. We report the successful use of surgical techniques, usually reserved for children with cerebral palsy or severe neurological disorders, to treat drooling in an otherwise normal seven-year-old child with oro-motor dyspraxia.

Keywords

DroolingDyspraxiaSurgerySubmandibular Duct
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 8 , August 2009 , pp. 931 - 933
Copyright
Copyright © JLO (1984) Limited 2008

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References

1 Bearzotti, F, Tavano, A, Fabbro, F. Development of orofacial praxis of children from 4 to 8 years of age. Percept Mot Skills 2007;104:1355–66CrossRefGoogle ScholarPubMed
2 Simms, MD. Language disorders in children: classification and clinical syndromes. Pediatr Clin North Am 2007;54:437–67CrossRefGoogle ScholarPubMed
3 Dewey, D. What is developmental dyspraxia? Brain Cogn 1995;29:254–74CrossRefGoogle ScholarPubMed
4 What is dyspraxia? http://www.dyspraxiafoundation.org.uk [28 March 2008]Google Scholar
5 Gibbs, J, Appleton, J, Appleton, R. Dyspraxia or developmental coordination disorder? Unravelling the enigma. Arch Dis Child 2007;92:534–9CrossRefGoogle ScholarPubMed
6 Bailey, CM. Management of the drooling child. Clin Otolaryngol 1988;13:319–22Google ScholarPubMed
7 Hussein, I, Kershaw, AE, Tahmassebi, JF, Fayle, SA. The management of drooling in children and patients with mental and physical disabilities: a literature review. Int J Paediatr Dent 1998;8:3–11CrossRefGoogle ScholarPubMed
8 Myer, CM. Sialorrhea. Pediatr Clin North Am 1989;36:1495–500CrossRefGoogle ScholarPubMed
9 Nunn, JH. Drooling: review of the literature and proposals for management. J Oral Rehab 2000;27:735–43CrossRefGoogle ScholarPubMed
10 Crysdale, WS, McCann, C, Roske, L, Joseph, M, Semenuk, D, Chait, P. Saliva control issues in the neurologically challenged. A 30 year experience in team management. Int J Ped Otorhinolaryngol 2006;70:519–27CrossRefGoogle ScholarPubMed
11 Crysdale, WS, Greenberg, J, Koheil, R, Moran, R. The drooling patient: team evaluation and management. Int J Ped Otorhinolaryngol 1985;9:241–8CrossRefGoogle ScholarPubMed
12 Bailey, CM, Wadsworth, PV. Treatment of the drooling child by submandibular duct transposition. J Laryngol Otol 1985;99:1111–17CrossRefGoogle ScholarPubMed
13 Wilke, TF. The problem of drooling in cerebral palsy: a surgical approach. Can J Surg 1967;10:60–7Google Scholar
14 Puckett, CL, Concannon, MJ, McNaul, D, Barone, C. Social improvement after the Wilke procedure for excessive drooling. Cleft Palate Craniofac J 1993;30:508–10CrossRefGoogle ScholarPubMed
15 Mankarious, LA, Bottrill, ID, Huchzermeyer, PM, Bailey, CM. Long-term follow-up of submandibular duct rerouting for the treatment of sialorrhea in the pediatric population. Otolaryngol Head Neck Surg 1999;120:303–7CrossRefGoogle ScholarPubMed
16 Syeda, F, Ahsan, F, Nunez, DA. Quality of life outcome analysis in patients undergoing submandibular duct repositioning surgery for sialorrhoea. J Laryngol Otol 2007;121:555–8CrossRefGoogle ScholarPubMed
17 Talmon, Y, Podoshin, L, Fradis, M. The surgical treatment of drooling in healthy children. Int J Pediatr Otorhinolaryngol 1981;3:55–61CrossRefGoogle ScholarPubMed
18 Johnson, H, King, J, Reddihough, DS. Children with sialorrhoea in the absence of neurological abnormalities. Child Care Health Dev 2001;27:591–602CrossRefGoogle ScholarPubMed