Drooling. Experience with team assessment and management.

Troublesome and persistent drooling is not an uncommon problem in neurologically impaired children. For the past 15 years, a team approach has been utilized to assess and manage affected individuals. Programs intended to improve oral motor skills should be utilized initially. Surgery has proven necessary in over half of these patients; bilateral submandibular duct relocation and sublingual gland excisions are the current procedures of choice at our institution.