{"id":"https://openalex.org/W2157903550","doi":null,"title":"Sialorrhea: a management challenge.","display_name":"Sialorrhea: a management challenge.","publication_year":2004,"publication_date":"2004-06-01","ids":{"openalex":"https://openalex.org/W2157903550","mag":"2157903550","pmid":"https://pubmed.ncbi.nlm.nih.gov/15202698"},"language":"en","primary_location":{"id":"pmid:15202698","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/15202698","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American family physician","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5034626523","display_name":"Neil G. Hockstein","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Neil G Hockstein","raw_affiliation_strings":["Department of Otolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. neilhockstein@verizon.net"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. neilhockstein@verizon.net","institution_ids":["https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002139457","display_name":"Daniel S. Samadi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daniel S Samadi","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040731820","display_name":"Kristin B. Gendron","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kristin Gendron","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5107095230","display_name":"Steven D. Handler","orcid":"https://orcid.org/0000-0003-4102-3615","observed_orcids":["https://orcid.org/0000-0003-4102-3615"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Steven D Handler","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":3.9887,"has_fulltext":false,"cited_by_count":226,"citation_normalized_percentile":{"value":0.9313342,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":100},"biblio":{"volume":"69","issue":"11","first_page":"2628","last_page":"34"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11521","display_name":"Salivary Gland Disorders and Functions","score":0.864300012588501,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11521","display_name":"Salivary Gland Disorders and Functions","score":0.864300012588501,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11358","display_name":"Dysphagia Assessment and Management","score":0.07240000367164612,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11274","display_name":"Botulinum Toxin and Related Neurological Disorders","score":0.01640000008046627,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/drooling","display_name":"drooling","score":0.9959999918937683},{"id":"https://openalex.org/keywords/excessive-salivation","display_name":"excessive salivation","score":0.8830000162124634},{"id":"https://openalex.org/keywords/parkinson-s-disease","display_name":"Parkinson's disease","score":0.765999972820282},{"id":"https://openalex.org/keywords/stroke","display_name":"stroke","score":0.8799999952316284},{"id":"https://openalex.org/keywords/cerebral-palsy","display_name":"cerebral palsy","score":0.9890000224113464},{"id":"https://openalex.org/keywords/intellectual-disability","display_name":"intellectual disability","score":0.8840000033378601},{"id":"https://openalex.org/keywords/botulinum-toxin-type-a","display_name":"botulinum toxin type A","score":0.8640000224113464},{"id":"https://openalex.org/keywords/parotid-gland","display_name":"parotid gland","score":0.7429999709129333},{"id":"https://openalex.org/keywords/submandibular-gland","display_name":"submandibular gland","score":0.9629999995231628},{"id":"https://openalex.org/keywords/anticholinergic-drugs","display_name":"anticholinergic agents","score":0.8080000281333923},{"id":"https://openalex.org/keywords/glycopyrrolate","display_name":"glycopyrrolate","score":0.9549999833106995},{"id":"https://openalex.org/keywords/scopolamine","display_name":"scopolamine","score":0.9789999723434448},{"id":"https://openalex.org/keywords/multidisciplinary-management","display_name":"multidisciplinary management","score":0.7820000052452087},{"id":"https://openalex.org/keywords/psychosocial-complications","display_name":"psychosocial complications","score":0.8500000238418579}],"concepts":[{"id":"https://openalex.org/C2776796639","wikidata":"https://www.wikidata.org/wiki/Q18206654","display_name":"Drooling","level":2,"score":0.9789694547653198},{"id":"https://openalex.org/C2909146933","wikidata":"https://www.wikidata.org/wiki/Q761862","display_name":"Sialorrhea","level":2,"score":0.9649347066879272},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9329211115837097},{"id":"https://openalex.org/C2910745098","wikidata":"https://www.wikidata.org/wiki/Q113259","display_name":"Anticholinergic agents","level":3,"score":0.5719265341758728},{"id":"https://openalex.org/C2779421357","wikidata":"https://www.wikidata.org/wiki/Q210427","display_name":"Cerebral palsy","level":2,"score":0.4986300468444824},{"id":"https://openalex.org/C2779998641","wikidata":"https://www.wikidata.org/wiki/Q761862","display_name":"Hypersalivation","level":2,"score":0.43105554580688477},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.4133816361427307},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3665204346179962},{"id":"https://openalex.org/C2778689640","wikidata":"https://www.wikidata.org/wiki/Q113259","display_name":"Anticholinergic","level":2,"score":0.3661055862903595},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.2825919985771179},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.25881528854370117},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.258319616317749},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.11680454015731812}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010348","descriptor_name":"Patient Care Team","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012798","descriptor_name":"Sialorrhea","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D012798","descriptor_name":"Sialorrhea","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D012798","descriptor_name":"Sialorrhea","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D012798","descriptor_name":"Sialorrhea","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:15202698","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/15202698","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American family physician","raw_type":"Journal Article"},{"id":"mag:2157903550","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/15202698","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":26,"referenced_works":["https://openalex.org/W8185985","https://openalex.org/W57497328","https://openalex.org/W164559381","https://openalex.org/W1495325699","https://openalex.org/W1981731675","https://openalex.org/W2002522875","https://openalex.org/W2019753913","https://openalex.org/W2022607436","https://openalex.org/W2036364683","https://openalex.org/W2054768304","https://openalex.org/W2072637184","https://openalex.org/W2082818862","https://openalex.org/W2085326622","https://openalex.org/W2098085833","https://openalex.org/W2104425725","https://openalex.org/W2105512199","https://openalex.org/W2118855399","https://openalex.org/W2120721289","https://openalex.org/W2148794920","https://openalex.org/W2149779956","https://openalex.org/W2150619637","https://openalex.org/W2164405081","https://openalex.org/W2289178253","https://openalex.org/W2396885582","https://openalex.org/W2407603930","https://openalex.org/W2470951815"],"related_works":["https://openalex.org/W3128685198","https://openalex.org/W7098048019","https://openalex.org/W2300623478","https://openalex.org/W4310986748","https://openalex.org/W4392238148","https://openalex.org/W7015230550","https://openalex.org/W3029868454","https://openalex.org/W2157561159","https://openalex.org/W4414071213","https://openalex.org/W4206428610"],"abstract_inverted_index":{"Sialorrhea":[0,63],"(drooling":[1],"or":[2,18,28,223],"excessive":[3],"salivation)":[4],"is":[5,34,92,169],"a":[6,31,65,96],"common":[7],"problem":[8],"in":[9,22,144,173,180],"neurologically":[10],"impaired":[11],"children":[12],"(i.e.,":[13,119],"those":[14],"with":[15],"mental":[16],"retardation":[17],"cerebral":[19],"palsy)":[20],"and":[21,41,56,69,77,86,112,132,140,166,171,183,197,204,210,220],"adults":[23],"who":[24],"have":[25,29],"Parkinson's":[26],"disease":[27],"had":[30],"stroke.":[32],"It":[33],"most":[35,202],"commonly":[36],"caused":[37],"by":[38,95,153],"poor":[39],"oral":[40],"facial":[42],"muscle":[43],"control.":[44],"Contributing":[45],"factors":[46],"may":[47,150],"include":[48],"hypersecretion":[49],"of":[50,67,90,158,207,216,218],"saliva,":[51],"dental":[52],"malocclusion,":[53],"postural":[54,121],"problems,":[55],"an":[57],"inability":[58],"to":[59,124],"recognize":[60],"salivary":[61,191,194],"spill.":[62],"causes":[64],"range":[66,116],"physical":[68],"psychosocial":[70],"complications,":[71],"including":[72,190],"perioral":[73],"chapping,":[74],"dehydration,":[75],"odor,":[76],"social":[78],"stigmatization,":[79],"that":[80,99],"can":[81,211],"be":[82,151],"devastating":[83],"for":[84],"patients":[85,219],"their":[87,148,221],"families.":[88],"Treatment":[89,114],"sialorrhea":[91,209],"best":[93],"managed":[94],"clinical":[97],"team":[98],"includes":[100],"primary":[101],"health":[102],"care":[103],"providers,":[104],"speech":[105],"pathologists,":[106],"occupational":[107],"therapists,":[108],"dentists,":[109],"orthodontists,":[110],"neurologists,":[111],"otolaryngologists.":[113],"options":[115],"from":[117],"conservative":[118],"observation,":[120],"changes,":[122],"biofeedback)":[123],"more":[125],"aggressive":[126],"measures":[127],"such":[128,137],"as":[129,138],"medication,":[130],"radiation,":[131],"surgical":[133],"therapy.":[134],"Anticholinergic":[135],"medications,":[136],"glycopyrrolate":[139],"scopolamine,":[141],"are":[142,186],"effective":[143,172,203],"reducing":[145],"drooling,":[146,175],"but":[147,176],"use":[149],"limited":[152],"side":[154],"effects.":[155],"The":[156],"injection":[157],"botulinum":[159],"toxin":[160],"type":[161],"A":[162],"into":[163],"the":[164,177,201,214],"parotid":[165],"submandibular":[167],"glands":[168],"safe":[170],"controlling":[174],"effects":[178],"fade":[179],"several":[181],"months,":[182],"repeat":[184],"injections":[185],"necessary.":[187],"Surgical":[188],"intervention,":[189],"gland":[192],"excision,":[193],"duct":[195,198],"ligation,":[196],"rerouting,":[199],"provides":[200],"permanent":[205],"treatment":[206],"significant":[208],"greatly":[212],"improve":[213],"quality":[215],"life":[217],"families":[222],"caregivers.":[224]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":15},{"year":2024,"cited_by_count":16},{"year":2023,"cited_by_count":9},{"year":2022,"cited_by_count":12},{"year":2021,"cited_by_count":15},{"year":2020,"cited_by_count":19},{"year":2019,"cited_by_count":11},{"year":2018,"cited_by_count":6},{"year":2017,"cited_by_count":10},{"year":2016,"cited_by_count":9},{"year":2015,"cited_by_count":17},{"year":2014,"cited_by_count":9},{"year":2013,"cited_by_count":4},{"year":2012,"cited_by_count":7}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}