Botulinum neurotoxin type A in the interdisciplinary treatment of sialorrhea in adults and children-update and practice recommendations

  • Wolfgang H Jost
  • Tobias Bäumer
  • Andrea Bevot
  • Ulrich Birkmann
  • Carsten Buhmann
  • Maria Grosheva
  • Orlando Guntinas-Lichius
  • Rainer Laskawi
  • Sebastian Paus
  • Christina Pflug
  • A Sebastian Schroeder
  • Björn Spittau
  • Armin Steffen
  • Bernd Wilken
  • Martin Winterholler
  • Steffen Berweck

Abstract

Sialorrhea is defined as a chronic excessive flow of saliva from the mouth, often with adverse consequences for health and quality of life of patients. In addition to currently used non-drug treatment and systemic drugs, intraglandular Botulinum Neurotoxin A (BoNT/A) injections have been examined in case studies, controlled trials and clinical practice. Two pivotal Phase III trials recently led to market approval in the USA and EU for IncobotulinumtoxinA [Xeomin®, IncoBoNT/A, Clostridium botulinum neurotoxin type A (150 kD), free from complexing proteins, Merz Pharmaceuticals GmbH] for treatment of chronic sialorrhea in adults and pediatric patients. This review provides a multidisciplinary approach to discuss the current state of sialorrhea therapy as well as benefits and current limitations of BoNT/A injections. A consensus regarding treatment recommendations made available to physicians in Germany in 2022 has now been updated here for presentation to an international audience. This review provides a framework including a flow chart for patient selection, recommendations for dosing and the injection process, as well as a discussion of therapeutic goals, long-term benefits and safety aspects. This review is aimed at supporting physicians in developing multidisciplinary and individualized treatment approaches to achieve optimal benefits for patients.

Bibliografische Daten

OriginalspracheEnglisch
ISSN1664-2295
DOIs
StatusVeröffentlicht - 2023

Anmerkungen des Dekanats

Copyright © 2023 Jost, Bäumer, Bevot, Birkmann, Buhmann, Grosheva, Guntinas-Lichius, Laskawi, Paus, Pflug, Schroeder, Spittau, Steffen, Wilken, Winterholler and Berweck.

PubMed 38162447