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Management of drooling in children
  1. C B R Fairhurst,
  2. H Cockerill
  1. Department of Paediatric Neurosciences, Evelina Children's Hospital, Guy's and Saint Thomas' Foundation NHS Trust, London, UK
  1. Correspondence to Dr Charlie B R Fairhurst, Department of Paediatric Neurosciences, Evelina Children's Hospital, Guy's and Saint Thomas' Foundation NHS Trust, Lambeth Palace Road, London SE1 7EH, UK; charlie.fairhurst{at}gstt.nhs.uk

Abstract

Drooling beyond the age of 4 years is neurodevelopmentally abnormal. Chronic “sialorrhoea” is seen in children with abnormal oral sensation and/or motor control and more infrequently when there is excessive production of saliva. Salivary production from the paired glands is under autonomic parasympathetic control. Management of the problem relies on multidisciplinary teams with a focus on assessment and when appropriate conservative interventions, oral motor training, dental appliances, medical and surgical treatment programs. Medically, the focus is on modifying the neuroglandular control of saliva with the use of anticholinergic agents. The article covers these areas of background, assessment and management in detail.

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Footnotes

  • Competing interests None.

  • Provenance and peer review Commissioned; externally peer reviewed.

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