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Publication year
2010Source
Archives of Otolaryngology--Head & Neck Surgery, 136, 9, (2010), pp. 873-877ISSN
Annotation
1 september 2010
Publication type
Article / Letter to editor

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Organization
Otorhinolaryngology
Neurology
Rehabilitation
Paediatrics
Journal title
Archives of Otolaryngology--Head & Neck Surgery
Volume
vol. 136
Issue
iss. 9
Page start
p. 873
Page end
p. 877
Subject
DCN 1: Perception and Action; DCN 2: Functional Neurogenomics; NCEBP 2: Evaluation of complex medical interventionsAbstract
OBJECTIVE: To address the efficacy of botulinum toxin and the duration of its effect when used on a large scale for the treatment of drooling in children with neurological disorders. DESIGN: Prospective cohort study. SETTING: Academic multidisciplinary drooling clinic. PATIENTS: A total of 131 children diagnosed as having cerebral palsy or another nonprogressive neurological disorder and who also have moderate to severe drooling. INTERVENTION: Injection of botulinum toxin to the submandibular glands. MAIN OUTCOME MEASURES: Direct observational drooling quotient (DQ) (0-100) and caretaker visual analog scale (VAS) scores (0-100). Results : A clinically notable response was found in 46.6% of children, reflected in a significant mean reduction in DQ from a baseline of 29 to 15 after 2 months and 19 after 8 months (P < .001). The mean VAS score decreased from 80 at baseline to 53 after 2 months and increased to 66 after 8 months (P < .001). Kaplan-Meier analysis showed that patients who initially responded to treatment experienced relapse after a median of 22 weeks (interquartile range, 20-33 weeks). CONCLUSIONS: Our study provides further support for botulinum toxin's efficacy for treatment of drooling in approximately half of patients for a median of 22 weeks. Further optimization of patient selection should be an area of attention in future studies.
This item appears in the following Collection(s)
- Academic publications [202863]
- Electronic publications [101052]
- Faculty of Medical Sciences [80039]
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