title: Feasibility of endoscopic submandibular ganglion neurectomy for drooling.
abstract: We performed endoscopic transoral neurectomy of the submandibular and sublingual glands to treat drooling. We bilaterally operated two adult cases with treatment-resistant drooling. In these patients, conventional treatment had failed. Repeated botilinum toxin type A (BOTOX®, Abdi Ibrahim Pharmaceutical Company, Istanbul, Turkey) injections had been effective but were becoming less so. The patients benefited from surgery in that their saliva scores decreased. No issue emerged over 6 months of follow-up. Endoscopic transoral neurectomy of the submandibular and sublingual glands reduces saliva production and allows management of drooling in treatment-resistant patients. Laryngoscope, 127:1604-1607, 2017.
authors.affiliation: Department of Otolaryngology, Selcuk University, Konya, Turkey.
authors.forename: Kayhan
authors.initials: K
authors.lastname: Ozturk
authors.affiliation: Department of Otolaryngology, Selcuk University, Konya, Turkey.
authors.forename: Omer
authors.initials: O
authors.lastname: Erdur
authors.affiliation: Department of Otolaryngology, Selcuk University, Konya, Turkey.
authors.forename: Osman
authors.initials: O
authors.lastname: Gul
authors.affiliation: Department of Otolaryngology, Selcuk University, Konya, Turkey.
authors.forename: Ayse
authors.initials: A
authors.lastname: Olmez
mesh_terms: D000328:Adult; D000368:Aged; D002544:Cerebral Infarction / Q000150:complications; D002547:Cerebral Palsy / Q000150:complications; D003714:Denervation; D004210:Dissection / Q000379:methods; D004724:Endoscopy; D005240:Feasibility Studies; D005500:Follow-Up Studies; D005726:Ganglia, Parasympathetic / Q000601:surgery*; D006429:Hemiplegia / Q000150:complications; D006801:Humans; D008607:Intellectual Disability / Q000150:complications; D008297:Male; D012798:Sialorrhea / Q000601:surgery*; D013363:Submandibular Gland / Q000294:innervation*
keywords: Drooling; saliva; sialorrhea; sublingual glands; submandibular glands