ArticleMovement disorders clinical practice2020
Localization of Salivary Glands for Botulinum Toxin Treatment: Ultrasound Versus Landmark Guidance.
Article in Movement disorders clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Localization modalities for botulinum neurotoxin injection.Toxicon : official journal of the International Society on Toxinology · 2025Review
- Article
- The effectiveness of ultrasound-guided injection of BTX-A in the management of sialorrhea in neurogenic dysphagia patients.Laryngoscope investigative otolaryngology · 2023Article
- Article
- An initial framework for use of ultrasound by speech and language therapists in the UK: Scope of practice, education and governance.Ultrasound (Leeds, England) · 2023Article
- Recommendations for a paradigm shift in approach to increase the recognition and treatment of sialorrhea in Parkinson's disease.Clinical parkinsonism & related disorders · 2023Review
- Botulinum neurotoxin type A in the interdisciplinary treatment of sialorrhea in adults and children-update and practice recommendations.Frontiers in neurology · 2023Review
- [Treatment of Sialorrhea with Botulinum Neurotoxin Type A - Consensus Practice Recommendations for Children and Adults].Fortschritte der Neurologie-Psychiatrie · 2022Article
- Safety of High-Dose Botulinum Toxin Injections for Parotid and Submandibular Gland Radioprotection.Toxins · 2022Article
- A practical guide to botulinum neurotoxin treatment of shoulder spasticity 2: Injection techniques, outcome measurement scales, and case studies.Frontiers in neurology · 2022Article
- Sialorrhea in Parkinson's Disease.Toxins · 2020Review
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSialorrhea is a troublesome symptom in a variety of neurological diseases. Recently, local injection of botulinum toxin into the salivary glands was approved for treatment of sialorrhea, and injection guidance by anatomical landmarks was suggested.
objectiveTo compare the accuracy of ultrasound versus previously proposed anatomical landmarks for localizing the salivary glands.
methodsIn a cross-sectional study in 21 adults, landmark positions (LM) of the parotid gland (PG) and the submandibular gland (SG) were identified following published recommendations. The ultrasound position (US) was defined as the position representing the maximum gland thickness. The distance between positions, gland thickness, and optimal injection depth were recorded by US.
resultsGland thickness differed significantly between LM and US positions (PG, 4 vs. 17.8 mm;
conclusionsThe position of the salivary glands differs from proposed landmarks and depends on the individual age and body weight; therefore, we recommend ultrasound guidance for injection.
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