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Betsy,

does have facial palsy of the right side so yes, there is some

cranial nerve involvement. We were able to keep away from a trach but she is

an aspirator. She has developed a good strong cough that helps get it back

out of her lungs before pneumonia. She also has learned some other survival

techniques over the years, like pushing on her throat where her fistula was.

She still pushes for swallow.

Her jaw is tight but I don't know if we have ever looked into size as it has

not seemed to be an issue with her. Her salivary glands do not seem to bulge

but they are heavy producers. We are doing exercises to strengthen her

muscles for oral motor. This may or may not also help with handling some of

these secretions.

I have some photos of her and her brother out on www.clubphoto.com. You can

view them if you would like by putting in my e-mail address.

Let me know if you have anymore questions or If I can be of any help.

Sheryl, Mom to Mitch 14 and 13 CHARGE

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Hi Sheryl and Betsy,

I haven't kept up much with the list lately, but I saw this posting this

morning. We are the family from KC that Sheryl is referring to. My

daughter, Aubrey, who is 16 months old had her two lower salivary glands

removed and the ones in front of the ears tied off when she was 13 months

old. It was done in Cincinnati by Dr. Cotton. It totally stopped her

drooling out of the mouth. Aubrey has a trach and she cannot get rid of the

trach until she learns to not aspirate on her secretions. She does not

swallow much at all. Our goal was to help her by reducing the amount of

secretions. Therefore, even if she doesn't swallow well, we could still look

at getting rid of the trach eventually if we can remove the problem of her

aspirating on so many secretions. We are going back in May for a follow-up.

Some " side effects " Aubrey has had from the surgery:

Her breath smells bad a lot of the time now, I guess because she is not

producing so many secretions?

Several times her cheeks have gotten hard knots in them and swollen up and

we've had to put her on an antibiotic to help. At first we were told this is

uncommon, then we were told it is very common. It hasn't happened for about

3 weeks now, so maybe it is finally over. I think it has something to do

with the glands still trying to produce secretions and they can't get past

the tied off area and so they have no where to go.

Other than that, she seems to be doing well with it. The surgery didn't take

long and she was released out of the hospital the next day around noon.

Bradley

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Hi Sheryl and Betsy,

I haven't kept up much with the list lately, but I saw this posting this

morning. We are the family from KC that Sheryl is referring to. My

daughter, Aubrey, who is 16 months old had her two lower salivary glands

removed and the ones in front of the ears tied off when she was 13 months

old. It was done in Cincinnati by Dr. Cotton. It totally stopped her

drooling out of the mouth. Aubrey has a trach and she cannot get rid of the

trach until she learns to not aspirate on her secretions. She does not

swallow much at all. Our goal was to help her by reducing the amount of

secretions. Therefore, even if she doesn't swallow well, we could still look

at getting rid of the trach eventually if we can remove the problem of her

aspirating on so many secretions. We are going back in May for a follow-up.

Some " side effects " Aubrey has had from the surgery:

Her breath smells bad a lot of the time now, I guess because she is not

producing so many secretions?

Several times her cheeks have gotten hard knots in them and swollen up and

we've had to put her on an antibiotic to help. At first we were told this is

uncommon, then we were told it is very common. It hasn't happened for about

3 weeks now, so maybe it is finally over. I think it has something to do

with the glands still trying to produce secretions and they can't get past

the tied off area and so they have no where to go.

Other than that, she seems to be doing well with it. The surgery didn't take

long and she was released out of the hospital the next day around noon.

Bradley

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Hi Sheryl and Betsy,

I haven't kept up much with the list lately, but I saw this posting this

morning. We are the family from KC that Sheryl is referring to. My

daughter, Aubrey, who is 16 months old had her two lower salivary glands

removed and the ones in front of the ears tied off when she was 13 months

old. It was done in Cincinnati by Dr. Cotton. It totally stopped her

drooling out of the mouth. Aubrey has a trach and she cannot get rid of the

trach until she learns to not aspirate on her secretions. She does not

swallow much at all. Our goal was to help her by reducing the amount of

secretions. Therefore, even if she doesn't swallow well, we could still look

at getting rid of the trach eventually if we can remove the problem of her

aspirating on so many secretions. We are going back in May for a follow-up.

Some " side effects " Aubrey has had from the surgery:

Her breath smells bad a lot of the time now, I guess because she is not

producing so many secretions?

Several times her cheeks have gotten hard knots in them and swollen up and

we've had to put her on an antibiotic to help. At first we were told this is

uncommon, then we were told it is very common. It hasn't happened for about

3 weeks now, so maybe it is finally over. I think it has something to do

with the glands still trying to produce secretions and they can't get past

the tied off area and so they have no where to go.

Other than that, she seems to be doing well with it. The surgery didn't take

long and she was released out of the hospital the next day around noon.

Bradley

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