Ultrasound guided botulinum toxin injections for sialorrhea

Saturday, November 14, 2026

12:45 PM - 1:30 PM ET

Hands-On Director(s)

KC

Kristin Caldera, DO

Associate Professor
University of Wisconsin
Madison, Wisconsin

Disclosure(s): No financial relationships to disclose

Hands-On Faculty(s)

Daniel K. Moon, MD

Attending Physician
MossRehab Physical Medicine Associates
Elkins Park, Pennsylvania

Disclosure(s): No financial relationships to disclose
AB

Ashley Bedi, DO

Attending Physician
Adventist Health Lodi Memorial
Lodi, California

Disclosure(s): No financial relationships to disclose

Disclosure(s):

Kristin Caldera, DO: No financial relationships to disclose

Daniel K. Moon, MD: No financial relationships to disclose

Ashley Bedi, DO: No financial relationships to disclose

Learning Center

Description: : Botulinum toxin injections are approved for the treatment of sialorrhea. Physiatrists commonly see patients with sialorrhea which can result in difficulty managing secreations and skin breakdown. Other oral or subcutaneous treatments can be ineffective or not tolerated due to side effects, most commonly sedation and constipation. Ultrasound guidance can improve safety, avoiding surrounding vascular structures and muscles, as well as efficacy by optimizing injection of the target gland.
Learning Objectives:
list the salivary glands which contribute to sialorrhea and which patients may present with this diagnosis
identify the anatomical landmarks for localization of the parotid and submandibular glands
use ultrasound guidance to identify the parotid and submandibular glands
discuss patient and ultrasound probe positioning for safety and ease of injection