title: [The current approach to hyper-sialorrhea].
abstract: Drooling (sialorrhea or excessive salivation) is a common problem in neurologically impaired children and in adults who have Parkinson-disease. It is most commonly caused by poor oral and facial muscle control (aetiology) and worsened by some contributing factors. Treatment is best managed by a clinical team (speech pathologists, occupational therapists, dentists, otorhinolaryngologists) Treatment options range from conservative to more aggressive measures such as medication (anticholinergic medication, botulinum toxin type A injections in the glands), radiation and surgical therapy.
authors.affiliation: Chirurgie maxillo-faciale, Imeldaziekenhuis 2820 Bonheiden, AZ Jan Portaels 1800, Vilvoorde.
authors.forename: William
authors.initials: W
authors.lastname: Defossez
mesh_terms: D000328:Adult; D001521:Behavior Therapy; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D002648:Child; D018680:Cholinergic Antagonists / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003714:Denervation; D005152:Facial Muscles / Q000503:physiopathology; D006801:Humans; D008026:Ligation; D009465:Neuromuscular Agents / Q000627:therapeutic use; D010300:Parkinson Disease / Q000150:complications; D010348:Patient Care Team; D012798:Sialorrhea / Q000209:etiology / Q000532:radiotherapy / Q000628:therapy*
chemical_list: D018680:Cholinergic Antagonists; D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A