204 FUTURE RESEARCH A post-operative diary will assess post-operative complaints that caregivers will report on for two weeks post-operatively. Secondary objectives 1. Suitability of an out-patient setting. When two or more patients are kept admitted for more than one day post-operatively, we will internally discuss whether the procedure is suitable for an outpatient setting. 2. Surgical time. Furthermore, we will collect the following variables because this is standard care. These outcomes are, however, not an aim of the current pilot study. 3. Visual analog scale for severity of drooling (VAS) from baseline to 8 and 32 weeks. 4. Drooling Quotient (DQ)* from baseline to 8 and 32 weeks. 5. Treatment effect, defined as a ≥ 50% reduction in VAS** and/or Drooling Quotient (DQ) from baseline to 8 and 32 weeks. 6. DS and DF from baseline to 8 and 32 weeks. Drooling Severity score (none (1), mild (2), moderate (3), severe (4), profuse (5); DS) and the Drooling Frequency score (never (1), occasional (2), frequent (3), constant (4); DF).60 *The DQ, a validated, direct observational, semi-quantitative method to assess the severity of drooling, reflects the proportion of new saliva dripping over the lips over a 5-minute session as observed during activity or rest.41 In this study, we report the DQ in activity.92 To increase reliability, measurements take place at least 1,5 hours after a meal while awake and sitting erect. **The VAS is marked on a 100mm line and reflects the severity of drooling over the previous two weeks. A score of “100” corresponds to ‘severe drooling’.
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