Four-Duct Ligation<subtitle>A Simple and Effective Treatment for Chronic Aspiration From Sialorrhea</subtitle>

Abstract

This new, simple intraoral procedure controls aspiration pneumonitis with minimal surgical dissection and has less morbidity than procedures involving major salivary gland excision. Ranula formation, a common complication of submandibular duct transposition, is unlikely in this procedure because the sublingual ducts are not interrupted.