Bilateral Parotid Sialadenosis Associated with Long-Standing Bulimia: A Case Report and Literature Review

Overview

Journal J Maxillofac Oral Surg

Date 2018 Apr 6

PMID 29618874

Citations 2

Authors

Blas Garcia Garcia

Alicia Dean Ferrer

Nelida Diaz Jimenez

Francisco Jesus Alamillos Granados

Affiliations

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Abstract

Purpose: Bulimia is a common cause of sialadenosis. This paper presents a case of bilateral parotid sialadenosis associated with long-standing bulimia, and reviews the relevant literature and current treatment options.

Methods And Results: A 32-year-old woman had severe bilateral parotid sialomegaly for the last 6 years, which had occurred secondary to bulimia nervosa, which she had since 14 years. Treatment with pilocarpine was unsuccessful, so she underwent bilateral conservative parotidectomy. This procedure not only improved the aesthetic appearance of the patient but also improved her social and work life and overall quality of life.

Conclusions: Sialomegaly secondary to bulimia results in a major alteration of the aesthetics of a patient's face. Conservative measures are not enough in many cases, and parotidectomy may be the only viable option, as it can also significantly improve adherence to psychiatric treatment for bulimia, in addition to correcting the facial aesthetics.

Citing Articles

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Oral cavity and eating disorders: An insight to holistic health.

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