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Tympanic Neurectomy and Chorda Tympanectomy for the Control of Drooling

Tympanic Neurectomy and Chorda Tympanectomy for the Control of Drooling Abstract • Seventeen patients suffered from drooling that either occurred as a sequelae of extensive head and neck cancer resections or was due to neurological disorders. In these patients, a tympanic neurectomy and/or chorda tympanectomy was performed in an attempt to eliminate the drooling. The conditions in five of 12 (41%) patients with head and neck cancer were improved following such surgery. Two of four children with cerebral palsy initially had a good result. However, the long-term follow-up of the patients demonstrated that the drooling recurred. An additional patient suffering from bulbar weakness and drooling owing to a cerebrovascular accident had less problems with salivary secretions. The results were relatively disappointing; there are several possible explanations for this. (Arch Otolaryngol 104:273-277, 1978) References 1. Hemenway WG: Gustatory sweating and flushing . Laryngoscope 70:84-90, 1960. 2. Friedman WH, Swerdlow RS, Pomarico JM: Tympanic neurectomy: A review and an additional indication for this procedure . Laryngoscope 84:568-577, 1974.Crossref 3. Friedman WH, Kaplan B: Tympanic neurectomy: Correction of drooling in cerebral palsy . NY State J Med 75:2419-2422, 1975. 4. Goode RL, Smith RA: The surgical management of sialorrhea . Laryngoscope 80:1078-1089, 1970.Crossref 5. Goss CM: Grey's Anatomy of the Human Body , ed 29. Philadelphia, Lea & Febiger Publishers, 1973. 6. Hollingshead HW: Textbook of Anatomy , ed 3. Hagertown, Md, Harper & Row Publishers, 1974. 7. Reichert FL, Path EJ: Pathways for secretory fibers of the salivary gland in man . Proc Soc Exp Biol Med 30:973-977, 1933.Crossref 8. Chorobski J: The syndrome of crocodile tears . Arch Neurol 65:299-318, 1951.Crossref 9. Boyer FC, Gardner JW: Paroxysmal lacrimation (syndrome of crocodile tears) and its surgical treatment: Relation to the auriculotemporal syndrome . Arch Neurol 61:56-64, 1965.Crossref 10. Diamant H, Wiberg A: Does the chorda tympani in man contain secretory fibers for the parotid gland . Acta Otolaryngol 60:255-264, 1965.Crossref 11. Lempert J: Tympanosympathectomy: A surgical technique for relief of tinnitus aurium . Arch Otolaryngol 43:199-212, 1946.Crossref 12. Townsend GL, Marimoto AM, Kralemann H: Management of sialorrhea in mentally retarded patients by transtympanic neurectomy . Mayo Clin Proc 48:776-779, 1973. 13. Michel RG, Johnson KA, Patterson CN: Parasympathetic nerve section for control of sialorrhea . Arch Otolaryngol 103:94-97, 1977.Crossref 14. Toremalm NG, Bjerre I: Surgical elimination of drooling . Laryngoscope 86:104-112, 1976.Crossref 15. Parisier SC, Blitzer A, Binder WJ, et al: Chorda tympanectomy and tympanic neurectomy , in Silverstein H, Norrell H (eds): Neurological Surgery of the Ear . Birmingham, Ala, Aesculapius Publishing Co, 1977, pp 4-18. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Tympanic Neurectomy and Chorda Tympanectomy for the Control of Drooling

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References (18)

Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1978.00790050039009
Publisher site
See Article on Publisher Site

Abstract

Abstract • Seventeen patients suffered from drooling that either occurred as a sequelae of extensive head and neck cancer resections or was due to neurological disorders. In these patients, a tympanic neurectomy and/or chorda tympanectomy was performed in an attempt to eliminate the drooling. The conditions in five of 12 (41%) patients with head and neck cancer were improved following such surgery. Two of four children with cerebral palsy initially had a good result. However, the long-term follow-up of the patients demonstrated that the drooling recurred. An additional patient suffering from bulbar weakness and drooling owing to a cerebrovascular accident had less problems with salivary secretions. The results were relatively disappointing; there are several possible explanations for this. (Arch Otolaryngol 104:273-277, 1978) References 1. Hemenway WG: Gustatory sweating and flushing . Laryngoscope 70:84-90, 1960. 2. Friedman WH, Swerdlow RS, Pomarico JM: Tympanic neurectomy: A review and an additional indication for this procedure . Laryngoscope 84:568-577, 1974.Crossref 3. Friedman WH, Kaplan B: Tympanic neurectomy: Correction of drooling in cerebral palsy . NY State J Med 75:2419-2422, 1975. 4. Goode RL, Smith RA: The surgical management of sialorrhea . Laryngoscope 80:1078-1089, 1970.Crossref 5. Goss CM: Grey's Anatomy of the Human Body , ed 29. Philadelphia, Lea & Febiger Publishers, 1973. 6. Hollingshead HW: Textbook of Anatomy , ed 3. Hagertown, Md, Harper & Row Publishers, 1974. 7. Reichert FL, Path EJ: Pathways for secretory fibers of the salivary gland in man . Proc Soc Exp Biol Med 30:973-977, 1933.Crossref 8. Chorobski J: The syndrome of crocodile tears . Arch Neurol 65:299-318, 1951.Crossref 9. Boyer FC, Gardner JW: Paroxysmal lacrimation (syndrome of crocodile tears) and its surgical treatment: Relation to the auriculotemporal syndrome . Arch Neurol 61:56-64, 1965.Crossref 10. Diamant H, Wiberg A: Does the chorda tympani in man contain secretory fibers for the parotid gland . Acta Otolaryngol 60:255-264, 1965.Crossref 11. Lempert J: Tympanosympathectomy: A surgical technique for relief of tinnitus aurium . Arch Otolaryngol 43:199-212, 1946.Crossref 12. Townsend GL, Marimoto AM, Kralemann H: Management of sialorrhea in mentally retarded patients by transtympanic neurectomy . Mayo Clin Proc 48:776-779, 1973. 13. Michel RG, Johnson KA, Patterson CN: Parasympathetic nerve section for control of sialorrhea . Arch Otolaryngol 103:94-97, 1977.Crossref 14. Toremalm NG, Bjerre I: Surgical elimination of drooling . Laryngoscope 86:104-112, 1976.Crossref 15. Parisier SC, Blitzer A, Binder WJ, et al: Chorda tympanectomy and tympanic neurectomy , in Silverstein H, Norrell H (eds): Neurological Surgery of the Ear . Birmingham, Ala, Aesculapius Publishing Co, 1977, pp 4-18.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: May 1, 1978

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