SIALORRHEA

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What Is Chronic Sialorrhea?

Sialorrhea (drooling or excessive salivation) is a common problem in the neurologically impaired (i.e., those with mental retardation or cerebral palsy) and in those who have Parkinson’s disease or have had a stroke.
It is most commonly caused by poor oral and facial muscle control.

Causes

Nerve or muscle condition
Problems with brain signaling
Muscular problems

Symptom

Excessive drooling
Skin breakdown around the mouth
Infection from the skin breakdown
Dehydration or not enough fluids
Foul odor

XEOMIN®: First and Only FDA–Approved Botulinum Toxin Type A for Adults with Chronic Sialorrhea

How XEOMIN® Works?

The most common cause of sialorrhea is a nerve and muscle condition, but it can also be caused by problems with brain signaling, muscular problems, or from excessive secretion of saliva.

XEOMIN® blocks certain chemicals at the point where salivary glands and nerves meet. It slows down the release of the chemicals at the nerve endings that promote saliva production.

Imges are for illustration purposes only. Individual results may vary.

Dosing Sites Focus on 2 Key Glands

Where to Inject

To inject the parotid gland, find the midpoint on the line connecting the tragus and mandible angle (sites A and B, respectively), approximately at the height of the earlobe. Deliver the injection 1 fingerbreadth anterior to this site (area 1).
To inject the submandibular gland, find the midpoint between the angle of the mandible and the tip of the chin (sites B and C, respectively). Deliver the injection 1 fingerbreadth medial to the inferior surface of the mandible at this site (area 2).
M=masseter muscle

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