title: An evidence-based approach to the child who drools saliva.
abstract: BACKGROUND
  Drooling is a common dysfunction in children with cerebral palsy and may also affect neurologically unimpaired children. It causes significant social handicap to both children and their families.
  
  
  METHODS
  The data in this article are supported by a Medline search (November 2008) utilising the keywords drooling, sialorrhea, botulinum toxin, salivary duct ligation and also by the use of the personal bibliographies of the senior authors.
  
  
  RESULTS
  The majority of the published literature for drooling is of level III/IV evidence.
  
  
  CONCLUSIONS
  Multiple therapeutic interventions are available for paediatric drooling. These are most appropriately introduced in a stepwise progression from behaviour therapy, to pharmacotherapy to surgical procedures.
authors.affiliation: Department of Otolaryngology, Ninewells Hospital & Tayside Children's Hospital, Dundee, UK.
authors.forename: S A
authors.initials: SA
authors.lastname: Little
authors.forename: H
authors.initials: H
authors.lastname: Kubba
authors.forename: S S M
authors.initials: SS
authors.lastname: Hussain
mesh_terms: D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D002547:Cerebral Palsy / Q000150:complications; D002648:Child; D018680:Cholinergic Antagonists / Q000627:therapeutic use; D019317:Evidence-Based Medicine / Q000379:methods*; D006801:Humans; D008297:Male; D008487:Medical History Taking; D018727:Muscarinic Antagonists / Q000627:therapeutic use; D009465:Neuromuscular Agents / Q000627:therapeutic use; D009967:Orthodontic Appliances; D013517:Otorhinolaryngologic Surgical Procedures; D010348:Patient Care Team; D012463:Saliva; D012720:Severity of Illness Index; D012798:Sialorrhea / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D014282:Trihexyphenidyl / Q000627:therapeutic use
chemical_list: D018680:Cholinergic Antagonists; D018727:Muscarinic Antagonists; D009465:Neuromuscular Agents; D014282:Trihexyphenidyl; D019274:Botulinum Toxins, Type A