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Revista Mexicana de Medicina Física y Rehabilitación

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2018, Number 1-2

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Rev Mex Med Fis Rehab 2018; 30 (1-2)

Management of sialorrhea in children with cerebral palsy with botulinum toxin type A

Bocca-Peralta G, Jiménez-León M, Iglesias-Bernal A, Calero-Chiriboga C
Full text How to cite this article

Language: Spanish
References: 13
Page: 12-14
PDF size: 150.09 Kb.


Key words:

Sialorrhea, botulinum toxin, cerebral palsy, salivary glands.

ABSTRACT

The prevalence of sialorrhea in children with cerebral palsy is high, presenting in up to 58% of the cases. This has an impact on the physical, psycho-social, and economic aspects of the patient and their family’s quality of life. The objective of this study was to evaluate the clinical efficacy of botulinum toxin type A in the management of sialorrhea in patients with cerebral palsy, as well to determine its effectiveness over time. Material and methods: This research was based on a cross-sectional, descriptive study of 15 pediatric patients aged 2-9 years with the diagnosis of cerebral palsy and sialorrhea. No control group was used, all participants received botulinum toxin type A 500 U in both, parotid and submaxillary glands, transcutaneously and under ultrasound guidance. The severity and frequency scale was used. Results: Improvement of the sialorrhea given by the measurement scale, with an average response duration of four months, and with a case of swallowing alteration, were evidenced. Conclusion: The use of botulinum toxin type A as a treatment for sialorrhea in pediatric patients with cerebral palsy is useful, effective and safe.


REFERENCES

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Rev Mex Med Fis Rehab. 2018;30