Sialorrhoea (Drooling)


Sialorrhea, also known as excessive drooling or hypersalivation, is a condition that causes excessive salivation in the mouth. Hypersalivation is considered an important social, clinical and emotional issue for people with different neurological diseases and disorders, such as Parkinson’s disease and multiple sclerosis. It causes functional, social, psychological, and clinical burdens on patients, their families, and caregivers.

What Are the Treatment Options?

The goal of treatment is to manage symptoms and control the amount of salivation to improve the quality of life for someone having issues with excessive drooling. Present treatments for drooling have had limited success using anticholinergic medications taken orally or transdermally and they all have significant side effects.

Injection of salivary glands with Botulinum toxin (Myobloc and Xeomin) has emerged as a new treatment since year 2000. This results in a reduction in saliva production and improvement in drooling. It is an effective treatment for a variety of disorders with different aetiologies and has very few side effects.

Dr. Kashouty is a leading expert on the treatment using Botulinum toxins under ultrasound-guided. He believes in using all possible tools in managing symptoms. The goal is to find the right personalized treatment for each person to improve the quality of life.