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University of Oklahoma Health Sciences Center

Pediatric sialorrhea (drooling)

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Author/s: 
Karan Gandhi, Julie E Strychowsky, Breanna A Chen
Date Added: 
May 14, 2024
Journal/Publication: 
Canadian Medical Association Journal
Publisher: 
Canadian Medical Association
Publication Date: 
May 12, 2024
Issue: 
18
Volume: 
196
Pages: 
E624
Type: 
Meta-analyses, Reviews, and Guidelines
Format: 
Article
DOI (1): 
10.1503/cmaj.231550
PMID (1): 
38740417

RPR Commentary

A concise review of the causes and management of drooling in young children. James W. Mold, MD, MPH

Abstract

Sialorrhea is common in children with neurologic impairment

Sialorrhea can be normal in children with typical development until age 4 years. It occurs in as many as 44% of children with cerebral palsy.1 It typically results from poor oral motor control and fluctuates alongside the child’s developmental trajectory. Reversible contributors such as nasal obstruction, dental issues, and medication effects (e.g., benzodiazepines and clozapine) should be considered.

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