Drooling
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Management of Drooling:

  • Usually resolves by 18 months old
  • Abnormal if persist beyond 4 years old
  • Common in children with neurological problems (10-58% in children with cerebral palsy)

Problems:

  • Physical morbidities - skin excoriation, dehydration
  • Social morbidities (participation restriction) - psychosocial issues (isolation, embarrassment, damage to assistive devices)
  • Caregiver - Increased burden of care

Reasons for drooling:

  • Poor postural control (eg head control)
  • Poor lip and tongue control (eg constant open mouth posture, constant tongue thrusting)
  • Swallowing problem (eg abnormal gag reflex)
  • Abnormal intra-oral sensation (diminished or hypersensitive)

Treatment options:

  • Medication (oral or local)
  • Therapy training
  • Surgery
  • Botulinium toxin ( BTX ) injection

 

 

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