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Drooling: Causes and Management (ptyalism, sialorrhea, hypersalivation)


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General Management

Hypersalivation Ptyalism Sialorrhea

Speech Pathology Involvement

Sialorrhea assessment and intervention in Speech Pathology (drooling)

Medical therapy

Transdermal scopolamine and glycopyrrolate for sialorrhea and salivary fistula

Ultrasound Guided Salivary  Botulinum toxin injection

Botox injection to salivary glands for hypersalivation

Video of ultrasound guided Botulinum toxin injection to parotid

Video of onabotulinumtoxinA (Botox) infusion into left parotid gland with 25 gauge Chiba needle

Intraductal Parotid Infusion with Botulinum toxin

Botulinum neurotoxin infusion to the parotid via Stensen's duct Research protocol (IRB approved)

Comparison of submandibular salivary flow before and after intraductal Botulinum toxin infusion

Submandibular Gland Massage (Clinical Exam) Impact of BotulinumToxin (Botox) Ductal Insufflation

Types of Botulinum toxin preparations and mechanism of action

Botulinum neurotoxin preparations