论文部分内容阅读
流涎持续到较大年龄的儿童是令人苦恼的。患有脑麻痹、精神发育迟缓、其它中枢神经系统疾病、周围神经病、头部外伤、脑血管意外和神经肌肉控制失调等都可产生流涎。1967年Wilkie报告颌下腺切除和腮腺管改道治疗流涎。1977年他们的成功率为85%,但1/3的病人有明显的并发症。1970年Goode和Smith报告行鼓室内鼓索移位和鼓室丛破坏而使流涎得以改善,但6～12个月后许多患者流涎又复发了。还有人提倡行腮腺管结扎,但有明显的并发症,包括令人不快的分泌物变稠厚。
It's distressing to drool to children of older ages. Dyspalorrhea, mental retardation, other central nervous system disorders, peripheral neuropathy, head trauma, cerebrovascular accidents, and disorders of neuromuscular control can all cause salivation. In 1967 Wilkie reported submandibular gland resection and parotid duct diversion to treat salivation. In 1977, their success rate was 85%, but one third of patients had significant complications. In 1970, Goode and Smith reported improvement of salivation in the indoors of the drums and the destruction of the tympanic plexus, but many patients salvaged and relapsed after 6 to 12 months. Others advocate parotid duct ligation but have significant complications, including unpleasant discharge thickening.