| 25 per vial Information from references through | Crysdale WS, Raveh E, McCann C, Roske L, Kotler A |
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| , Department of Otorhinolaryngology—Head and Neck Surgery, University of Pennsylvania Health System, 34th and Spruce Sts | Neurologists, otolaryngologists, and primary care physicians can assess the patient for significant cranial neuropathies |
Otolaryngologists identify and correct causes of aerodigestive obstruction like macroglossia and adenotonsillar hypertrophy that contribute to drooling.
| Inga CJ, Reddy AK, Richardson SA, Sanders B | Lancioni GE, Brouwer JA, Coninx F |
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| Under normal circumstances, persons are able to compensate for increased salivation by swallowing | Heine RG, Catto-Smith AG, Reddihough DS |
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18| TABLE 2 System for Assessment of Frequency and Severity of Drooling Drooling Points Severity Dry never drools 1 Mild wet lips only 2 Moderate wet lips and chin 3 Severe clothing becomes damp 4 Profuse clothing, hands, tray, objects become wet 5 Frequency Never drools 1 Occasionally drools 2 Frequently drools 3 Constantly drools 4• The dose may be titrated to reach the desired effect, and treatment can be repeated as necessary | Although this is the most invasive of treatment options, the severity of sialorrhea may be sufficient to require such an aggressive therapy |
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| Several orthodontic appliances may be used for the treatment of sialorrhea | Decreasing drooling with oral motor stimulation in children with multiple disabilities |
RADIATION THERAPY Radiation to the salivary glands is a reasonable treatment option in elderly patients who are not candidates for surgery and cannot tolerate medical therapy.