Evidence map›Paper›PMID 37461166›Full record

ArticleBrain and behavior2023

Botulinum toxin in the treatment of sialorrhea in severe neurological patients with tracheotomy.

Mengmeng Shao, Keyang Chen, Xiaoyun Wu, Jingjing Lin, Mingxia Jiang, Feinan Zhuo, Zhaojian Ying, Yuanyuan Huang

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Mengmeng ShaoDepartment of Rehabilitation, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Keyang ChenDepartment of Neurology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.ORCID 0000-0002-9557-0481
Xiaoyun WuDepartment of Rehabilitation, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Jingjing LinDepartment of Rehabilitation, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Mingxia JiangDepartment of Rehabilitation, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Feinan ZhuoDepartment of Rehabilitation, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Zhaojian YingDepartment of Emergency, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yuanyuan HuangDepartment of Rehabilitation, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.ORCID 0000-0003-4400-4962
Wenzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo observe the clinical effect of botulinum toxin type A (BTA) injection into the salivary glands of the severe neurological patients with tracheotomy

methodsSeven patients with severe neurological disorders after tracheotomy and obvious drooling symptoms were enrolled. BTA was injected into bilateral parotid glands and submandibular glands under the guidance of ultrasound. Unstimulated salivary flow rate (uSFR) and Drooling Severity and Frequency Scale (DSFS) were used to evaluate drooling before injection, 1 week, and 4 weeks after injection. We compared the extubation time, time of changing from balloon cannula to metal cannula, hospitalization time and incidence of recurrent pulmonary infection between these patients and other patients accepted conventional curation.

results(1) The drooling severity scale (DSFS-S), the drooling frequency scale (DSFS-F), the drooling frequency and severity scale total score (DSFS-T) were significantly lower at 4 weeks after BTA injection compared to prior-treatment (p < .001). (2) uSFR of 1 week and 4 weeks were both statistically decreased than the untreated condition (p < .001). (3) Compared with the conventional group, the time of changing from balloon cannula to metal cannula was shortened obviously (p < .05) and incidence of recurrent pulmonary infection was clearly decreased (p < .05) after BTA treatment

conclusionUltrasound-guided BTA injection into salivary glands can effectively reduce saliva secretion. We also found that the time of changing cannula was shortened obviously and the incidence of recurrent pneumonia infection was reduced. BTA injection of salivary glands to cure drooling could advance to the clinical therapy in severe neurological patients after tracheotomy.

Indexed as

Botulinum Toxins, Type ANervous System DiseasesSialorrheaHumansSalivationTracheotomyTreatment OutcomeBotulinum Toxins, Type Abotulinum toxin type A (BTA)droolingsevere neurological patienttracheotomyultrasound guidance

Identifiers

PMID37461166
PMCPMC10454347
OpenAlexW4384626524

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.