DROOLING AND MANAGEMENT OF DROOLING

Drooling is the involuntary spillage of saliva from the mouth and it is a major morbidity associated with cerebral palsy and other neurodegenerative disorders. the consequences of drooling are not restricted to medical issues but can cause severe psycho-social consequences for the patients and their families. a team approach is the key to successful rehabilitation. oromotor therapy is the most useful nonsurgical option. drugs are unsuitable for long-term use due to adverse effects. botulinum toxin a injection is promising, but no data exists on optimal dosage, duration of action and frequency of repeat injections. bilateral submandibuler duct relocation with bilateral sublingual gland excision has been shown to be effective and safe in long-term follow-up of the largest series of patients. other therapies which are using for drooling; anticholinergic drugs, biofeedback, behavioral and speech therapy. in this paper, drooling and developments in the management of drooling were reviewed primary based on the current literature.