Sialorrhoea Management Flashcards
1
Q
Sialorrhoea management
A
Anterior vs posterior
Assess CAUSE: dental disease, CP, SE medication, cleft
Assess COMPLICATIONS: aspiration, skin irritation, breakdown, social impact, damage to devices/QOL
Management - MDT speech, dental, paediatrician
1) Conservative - posture, encourage frequent swallowing/wiping face, exercises to encourage lip closure, waterproof bibs
2) Oral appliances
3) Medications - benzhexol (thickens secretions)
- glycopyrolate (more expensive)
- atropine drops
- hyoscine
- botox injections
4) Surgical - salivary gland excision
