Four-Duct LigationA Simple and Effective Treatment for Chronic Aspiration From Sialorrhea

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Abstract
DROOLING IS common among children with cerebral palsy, occurring in an estimated 10% of cases.1 Children with severe cerebral palsy may also suffer from recurrent life-threatening pneumonitis secondary to aspiration of salivary secretions. Conservative treatment measures, such as behavior modification to lessen drooling activity, feeding programs to improve oral motor function, and pharmacotherapy to decrease saliva production, are often ineffective in these severely affected children, and surgery frequently offers the best hope for successful management.