{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T18:49:03Z","timestamp":1775328543959,"version":"3.50.1"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2009,3,2]],"date-time":"2009-03-02T00:00:00Z","timestamp":1235952000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2009,9]]},"abstract":"Abstract<\/jats:title>Objective:<\/jats:title>Multiple surgical procedures have been advocated for the management of problematic drooling in neurologically impaired children. Parotid duct ligation is a quick and simple operation conducted via an intra-oral approach and usually performed simultaneously with other procedures. In this study, we aimed to evaluate the effectiveness of parotid duct ligation as a discrete procedure.<\/jats:p><\/jats:sec>Methods:<\/jats:title>All children who underwent bilateral parotid duct ligation as the solitary operative intervention at that time, between February 2003 and September 2006, were included in the study.<\/jats:p><\/jats:sec>Results:<\/jats:title>Ten children were studied. Surgery was successful in 80 per cent of cases. One patient (10 per cent) had a post-operative wound infection.<\/jats:p><\/jats:sec>Conclusions:<\/jats:title>Bilateral parotid duct ligation is an effective yet conservative operation for drooling in neurologically impaired children. It requires minimal surgical dissection and has a low morbidity rate. It should be considered as a potential first-line procedure in children who aspirate, and as a further surgical option in anterior droolers or those who continue to drool unacceptably following prior surgical intervention.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215109004733","type":"journal-article","created":{"date-parts":[[2009,3,2]],"date-time":"2009-03-02T06:24:35Z","timestamp":1235975075000},"page":"997-1001","source":"Crossref","is-referenced-by-count":9,"title":["Parotid duct ligation for treatment of drooling in children with neurological impairment"],"prefix":"10.1017","volume":"123","author":[{"given":"R L","family":"Heywood","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L A","family":"Cochrane","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B E J","family":"Hartley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2009,3,2]]},"reference":[{"key":"S0022215109004733_ref10","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.1999.3122"},{"key":"S0022215109004733_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100098273"},{"key":"S0022215109004733_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2006.01263.x"},{"key":"S0022215109004733_ref5","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.7.801"},{"key":"S0022215109004733_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1989.tb04000.x"},{"key":"S0022215109004733_ref16","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1111\/j.1365-2273.1988.tb00759.x","article-title":"Management of the drooling child","volume":"13","author":"Bailey","year":"1988","journal-title":"Clin Otolaryngol Allied Sci"},{"key":"S0022215109004733_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(99)70266-4"},{"key":"S0022215109004733_ref11","doi-asserted-by":"publisher","DOI":"10.1080\/08035320600649697"},{"key":"S0022215109004733_ref15","first-page":"1","article-title":"Xerostomia. Clinical aspects, pathology and pathogenesis","volume":"25","author":"Bertram","year":"1967","journal-title":"Acta Odontol Scand"},{"key":"S0022215109004733_ref14","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2003-1104-L"},{"key":"S0022215109004733_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(02)00281-1"},{"key":"S0022215109004733_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162201000718"},{"key":"S0022215109004733_ref7","first-page":"1138","volume-title":"Pediatric Otolaryngology","author":"Crysdale","year":"2002"},{"key":"S0022215109004733_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200104010-00001"},{"key":"S0022215109004733_ref9","doi-asserted-by":"publisher","DOI":"10.1177\/00220345990780110801"},{"key":"S0022215109004733_ref6","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1001\/archotol.125.7.796","article-title":"Four duct ligation. A simple and effective treatment for chronic aspiration from sialorrhea","volume":"125","author":"Klem","year":"1999","journal-title":"Arch Otolaryngol Head Neck Surg"}],"container-title":["The Journal of Laryngology & Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215109004733","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T07:55:11Z","timestamp":1556610911000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215109004733\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,3,2]]},"references-count":16,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2009,9]]}},"alternative-id":["S0022215109004733"],"URL":"https:\/\/doi.org\/10.1017\/s0022215109004733","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,3,2]]}}}