Palliative Therapie des vermehrten Speichelflusses (Sialorrhö)

Zusammenfassung

Der unwillkürliche Speichelfluss aus dem Mund ist ein häufiges Symptom bei Patienten mit ausgeprägten Schluckstörungen, das unabhängig von der Ursache der Dysphagie auftritt. Der Speichelfluss hat negative Auswirkungen auf die Lebensqualität und die Fähigkeit zur Artikulation. Die Therapie beruht im Wesentlichen auf einer Reduktion des in normaler Menge produzierten Speichels. Eingesetzt werden systemische (Anticholinergika) und nur lokal wirksame (Injektion von Botulinumtoxin) Therapieverfahren, die auch unter palliativen Aspekten für den Patienten Gewinn bringend eingesetzt werden können.

Abstract

Drooling of saliva is a clinically relevant symptom in dysphagia independently from its etiology. Sialorrhea creates relevant hygienic and psychosocial difficulties for patients and their caregivers and interferes with articulation resulting in a decrease in quality of live. The general therapeutic concept bases mainly on the reduction of the normally produced saliva using systemic anticholinergic medications or a local treatment, like the injection of botulinum toxin.

Schlüsselwörter

Hypersalivation - Sialorrhö - Dysphagie - Botulinumtoxin - Palliativmedizin

Key words

Drooling - hypersalivation - sialorrhoea - dysphagia - botulinumtoxin - palliative care

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