{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T02:59:09Z","timestamp":1783047549169,"version":"3.54.6"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T00:00:00Z","timestamp":1731628800000},"content-version":"unspecified","delay-in-days":14,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215124001038_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>Drooling or saliva spillage has been explored widely among children with neurodevelopmental conditions. Yet, the approach to drooling in an otherwise developmentally normal child remains unexplored, as it is regarded as self-limiting. Nonetheless, drooling beyond age 4 in the awake stage should raise concern.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215124001038_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>This narrative review aims to shed light on drooling in developmentally normal children, also known as \u2018healthy droolers\u2019, and the available evidence on its management.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215124001038_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Most notable factors causing saliva spillage include poor oral-motor control and impaired oral sensation. Delayed saliva acquisition may be an early indicator of developmental or intellectual delay. Drooling impairs both the children's and parents' overall quality of life significantly.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215124001038_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Healthy droolers can be managed by simple behavioural therapy and reassurance.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215124001038","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T09:50:17Z","timestamp":1731664217000},"page":"1061-1064","source":"Crossref","is-referenced-by-count":3,"title":["Drooling in developmentally normal children: a review"],"prefix":"10.1017","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1974-4379","authenticated-orcid":false,"given":"Jeyasakthy","family":"Saniasiaya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graeme","family":"van der Meer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ed C","family":"Toll","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,11,15]]},"reference":[{"key":"S0022215124001038_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.infbeh.2018.01.004"},{"key":"S0022215124001038_ref31","doi-asserted-by":"publisher","DOI":"10.1007\/s40136-018-0188-2"},{"key":"S0022215124001038_ref16","doi-asserted-by":"publisher","DOI":"10.1159\/000358793"},{"key":"S0022215124001038_ref21","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2214.2001.00233.x"},{"key":"S0022215124001038_ref27","doi-asserted-by":"publisher","DOI":"10.1080\/14015430903066937"},{"key":"S0022215124001038_ref9","doi-asserted-by":"publisher","DOI":"10.1067\/mpr.2001.113778"},{"key":"S0022215124001038_ref30","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2009.01917.x"},{"key":"S0022215124001038_ref32","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h38"},{"key":"S0022215124001038_ref20","doi-asserted-by":"publisher","DOI":"10.1097\/00004356-198306000-00011"},{"key":"S0022215124001038_ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2005.08.018"},{"key":"S0022215124001038_ref6","doi-asserted-by":"publisher","DOI":"10.1034\/j.1601-0825.2002.1o816.x"},{"key":"S0022215124001038_ref3","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2007.129478"},{"key":"S0022215124001038_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2005.07.021"},{"key":"S0022215124001038_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2023.111500"},{"key":"S0022215124001038_ref8","first-page":"91","article-title":"Saliva secretion, concentration and secretion of human salivary amylase in the 1st year of life [in Portuguese]","volume":"16","author":"Collares","year":"1979","journal-title":"Arq Gastroenterol"},{"key":"S0022215124001038_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paed.2020.05.002"},{"key":"S0022215124001038_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2008.06.001"},{"key":"S0022215124001038_ref26","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2008.00432.x"},{"key":"S0022215124001038_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2016.03.010"},{"key":"S0022215124001038_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(81)90019-7"},{"key":"S0022215124001038_ref15","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12135"},{"key":"S0022215124001038_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/ddrr.16"},{"key":"S0022215124001038_ref10","doi-asserted-by":"publisher","DOI":"10.1044\/0161-1461(2008\/022)"},{"key":"S0022215124001038_ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1993.tb11641.x"},{"key":"S0022215124001038_ref12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2009.00085.x"},{"key":"S0022215124001038_ref5","doi-asserted-by":"publisher","DOI":"10.1076\/apab.105.1.19.13152"},{"key":"S0022215124001038_ref25","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162206001009"},{"key":"S0022215124001038_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s40291-023-00684-9"},{"key":"S0022215124001038_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110657"},{"key":"S0022215124001038_ref28","first-page":"549","article-title":"The surgical treatment of drooling","volume":"45","author":"Wilkie","year":"1970","journal-title":"A follow-up report of five years\u2019 experience. 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