A novel approach to treat pediatric sialorrhea using sialendoscopy for salivary gland directed sclerotherapy

Anticholinergic medications such as glycopyrrolate, scopolamine, and atropine can also be used but are associated with unwanted side effects including blurry vision, urinary retention, and constipation [4]. Sialorrhea management begins conservatively with behavioral modifications and anticholinergic medications; however, these therapies are time consuming and the side effects are often intolerable. Sialendoscopy has a couple advantages over conventional interventional radiology techniques including the lack of radiation exposure and avoiding percutaneous injection, which have increased risk of infection and variable distribution of sclerosant through the salivary gland parenchyma. Additionally, radiation exposure is reduced relative to conventional image-guided catheter placement.