Drooling is a common paediatric condition which normally resolves by school age. Abnormal, persistent drooling is often initially managed in primary care or community paediatrics, with referral to ENT specialists being reserved for those requiring intervention. It is important to have an understanding about the conservative means of reducing drooling and then know when to intervene with medical treatments; anti-cholinergics or botulinum toxin. Surgical intervention is reserved for the most problematic of cases and various methods are currently in use, re-routing surgery, formal gland excision and the more recent salivary duct ligation or clipping.


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