Salivary gland surgery and nonviral respiratory-related hospitalizations in children with neurodevelopmental impairment

Neurodevelopmentally impaired (NI) children with chronic sialorrhea are at elevated risk for aspiration and respiratory tract infections. Direct resection or ligation (“DROOL”) of the submandibular glands (SMG) with parotid duct ligation are surgical interventions intended to decrease salivary outpu...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2022-12, Vol.163, p.111362-111362, Article 111362
Main Authors: Chen, Diane W., Billings, Kathleen R., Ida, Jonathan B., Lavin, Jennifer, Ghadersohi, Saied, Valika, Taher
Format: Article
Language:English
Subjects:
Aspiration
Cerebral palsy
Neurodevelopmental impairment
Pediatric
Respiratory infection
Sialorrhea
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Summary:Neurodevelopmentally impaired (NI) children with chronic sialorrhea are at elevated risk for aspiration and respiratory tract infections. Direct resection or ligation (“DROOL”) of the submandibular glands (SMG) with parotid duct ligation are surgical interventions intended to decrease salivary output. The objective of this study is to determine the impact of DROOL surgery on the incidence of nonviral respiratory-related (NVR) post-procedure hospital encounters including emergency department visits and admissions. Retrospective case series of NVR related outcomes after DROOL surgery in children performed at a single institution, tertiary referral center. A total of 35 gastrostomy tube-dependent patients (60% male, average age 8.2 [SD 6.0] years) with NI underwent DROOL surgery (86% SMG excision). Pre- and post-surgical follow-up time was 3.6 and 3.2 years, respectively. Presurgical and postsurgical NVR hospital encounters occurred in 28 (80%) and 14 (40%) patients, respectively (p 
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2022.111362