ORIGINAL ARTICLE ONLINE FIRST Botulinum Toxin A for Treatment of Sialorrhea in Children An Effective, Minimally Invasive Approach Waqas Ullah Khan, BSc; Paolo Campisi, MSc, MD, FRCSC; Sanjeevan Nadarajah, MD; Yaseer Abdul Shakur, BSc, MSc; Nasir Khan, BSc, MD; Dan Semenuk, BSc, DDS; Cathy McCann, MSc; Lisa Roske, MA; Sharon McConney-Ellis, MA; Melissa Joseph, MSW; Dimitri Parra, MD; Joao Amaral, MD; Philip John, MB, FRCPC; Michael Temple, MD; Bairbre Connolly, MB, FRCPC Objectives: To report (1) our experience with botuli- and caregiver overall assessment of the child’s posttreat- num toxin A injections into the salivary glands of pedi- ment quality of life. atric patients with sialorrhea, (2) the clinical outcomes of these interventions, and (3) the associated complica- Results: Forty-five subjects received a total of 91 botu- tion rates. linum toxin A treatments. The mean (SD) duration of effect was 4.6 (5.2) months. Duration of effect (log trans- Design: Retrospective cohort study. formed) was significantly negatively associated with sa- liva quantity (P=.02), and there was a positive associa- Setting: Urban pediatric hospital and pediatric reha- tion with both increasing age and female sex, although bilitation center. neither reached statistical significance (P=.08 for each). Seven of the 24 documented complications
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Apr 1, 2011
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