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Drooling in oro-motor dyspraxia: is there a role for surgery?

Published online by Cambridge University Press:  08 March 2017

J Rimmer  and
B E J Hartley
J Rimmer*
Affiliation:
Department of Otolaryngology, Great Ormond Street Hospital for Children, London, UK
B E J Hartley
Affiliation:
Department of Otolaryngology, Great Ormond Street Hospital for Children, London, UK
*
Address for correspondence: Miss Joanne Rimmer, 39 Handforth Road, London SW9 0LL, UK. E-mail: jrimmer@doctors.org.uk
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Abstract

Objective:

To report the successful use of a surgical approach for the treatment of drooling in a case of oro-motor dyspraxia.

Case report:

A seven-year-old girl with a diagnosis of oro-motor dyspraxia was referred for management of drooling; this was her only symptom. There were no focal neurological abnormalities. Conservative measures had not helped, and her parents were keen for definitive treatment. Bilateral submandibular duct transposition was performed with no complications. The patient's drooling improved immediately.

Conclusion:

There are currently no reports in the literature of surgery for persistent drooling in children with oro-motor dyspraxia who are otherwise neurologically and developmentally normal. The mainstay of treatment is speech and language therapy. We report the successful use of surgical techniques, usually reserved for children with cerebral palsy or severe neurological disorders, to treat drooling in an otherwise normal seven-year-old child with oro-motor dyspraxia.

Keywords

DroolingDyspraxiaSurgerySubmandibular Duct

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 8 , August 2009 , pp. 931 - 933
Copyright
Copyright © JLO (1984) Limited 2008

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