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Treatment of sialorrhoea with repeated ultrasound-guided injections of botulinum toxin A into the parotid and submandibular glands.
- Source :
- British Journal of Oral & Maxillofacial Surgery; Jun2019, Vol. 57 Issue 5, p442-448, 7p
- Publication Year :
- 2019
-
Abstract
- Botulinum toxin injections are useful in patients with refractory sialorrhoea although the optimum treatment protocol and its efficacy over a long period of follow up are controversial. The aim of our prospective study was to examine the efficacy and complications of a protocol of repeated ultrasound-guided botulinum toxin injections of fixed doses at a tertiary children's hospital. A total of 79 procedures were done in 34 patients who were followed up for two years. The overall complication rate was 3%. The outcome measures considered included the Drooling Frequency Severity Scale (DFSS), visual analogue scale (VAS), and carers' assessments of the reduction in drooling. Our study highlighted two types on non-responders (primary and secondary) of which 3/34 required definitive surgical management. In summary, this study shows that a protocol of repeated injections of fixed doses of botulinum toxin A, while not beneficial in all cases, is a potentially valuable option for the safe and effective treatment of sialorrhoea in children. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 02664356
- Volume :
- 57
- Issue :
- 5
- Database :
- Supplemental Index
- Journal :
- British Journal of Oral & Maxillofacial Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 136768369
- Full Text :
- https://doi.org/10.1016/j.bjoms.2019.04.001