{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:57:15Z","timestamp":1790744235697,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine the patient population of a tertiary Interdisciplinary Saliva Control Clinic, describe management pathways and identify patients suitable for primary care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective single\u2010centre cohort study in a tertiary hospital reviewing patients referred to the Saliva Control Clinic over a 5\u2010year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 361 referrals, 289 patients were seen. Age at referral ranged from 4\u2009months to 18\u2009years, 8\u2009months (median 4\u2009years, 9\u2009months). Most referrals were from General Paediatricians (163, 58.2%). Severe neurological impairment was the most common primary diagnosis (106, 36.7%). Anterior drooling alone was present in 233 patients (83.5%), with 46 (16.5%) having posterior involvement. Prior to clinic, the most common prior intervention was medication (103, 36.1%). Many children, mostly typically developing, required no treatment (71, 24.6%). Common interventions were medications (138, 47.8%), saliva\u2010specific surgery (74, 25.6%) and botulinum toxin (62, 21.5%). Saliva\u2010specific surgery was more likely in patients with posterior drooling (31, 67.4%) than anterior alone (40, 17.2%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Management of drooling depends on saliva flow and patient phenotype. Typically developing children usually require only reassurance. Anterior drooling in young children can be managed in primary care, while posterior drooling in children with neurodevelopmental disabilities should be prioritised for specialist care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70602","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:14:11Z","timestamp":1790741651000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anterior Drooling Versus Posterior Drooling: A Comparative Analysis"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3191-3365","authenticated-orcid":false,"given":"Kaitlin","family":"Duell","sequence":"first","affiliation":[{"name":"Department of Neurodevelopment and Disability The Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4275-6709","authenticated-orcid":false,"given":"Eric","family":"Levi","sequence":"additional","affiliation":[{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Otolaryngology The Royal Children's Hospital  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Will","family":"Alexander","sequence":"additional","affiliation":[{"name":"Department of Plastic and Maxillofacial Surgery The Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9409-5490","authenticated-orcid":false,"given":"David","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Plastic and Maxillofacial Surgery The Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6589-8451","authenticated-orcid":false,"given":"Monica S.","family":"Cooper","sequence":"additional","affiliation":[{"name":"Department of Neurodevelopment and Disability The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2007.129478"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpn.2020.09.001"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2008.03047.x"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2016.03.010"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162206000235"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-019-1343-1"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14888"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00333"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2012.04382.x"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14316"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14961"},{"key":"e_1_2_12_13_1","unstructured":"L. D. C.Glader A.Hughes J.Parr et\u00a0al. \u201cSialorrhoea: Bottom Line \u2018Evidence\u2010Informed\u2019 Recommendations for Children\/Youth With Cerebral Palsy Who Have Sialorrhea \u201dMilwaukee: American Academy for Cerebral Palsy and Developmental Medicine 2016 https:\/\/www.aacpdm.org\/UserFiles\/file\/care\u2010pathways\u2010sialorrhea\u2010print.pdf."},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000001015"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2023.113803"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2009.03519.x"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12352"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-024-05658-5"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2025-329098"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.09.064"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2014.12.021"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2013.225"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-1740"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.70602","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpc.70602","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.70602","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:14:13Z","timestamp":1790741653000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.70602"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":23,"alternative-id":["10.1111\/jpc.70602"],"URL":"https:\/\/doi.org\/10.1111\/jpc.70602","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"assertion":[{"value":"2026-02-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jpc.70602"}}