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

Autor: Garcia Garcia B; 1Department of Oral, Maxillofacial Surgery, Odonto-Stomatology, Faculty of Medicine, University Hospital Reina Sofia, Av. Menéndez Pidal S/N, Córdoba, Spain.; Avda. Menéndez Pidal S/N, 14004 Córdoba, Spain., Dean Ferrer A; 1Department of Oral, Maxillofacial Surgery, Odonto-Stomatology, Faculty of Medicine, University Hospital Reina Sofia, Av. Menéndez Pidal S/N, Córdoba, Spain., Diaz Jimenez N; 2Department of General Surgery, University Hospital Reina Sofia, Av. Menéndez Pidal S/N, Córdoba, Spain., Alamillos Granados FJ; 1Department of Oral, Maxillofacial Surgery, Odonto-Stomatology, Faculty of Medicine, University Hospital Reina Sofia, Av. Menéndez Pidal S/N, Córdoba, Spain.
Jazyk: angličtina
Zdroj: Journal of maxillofacial and oral surgery [J Maxillofac Oral Surg] 2018 Jun; Vol. 17 (2), pp. 117-121. Date of Electronic Publication: 2016 May 14.
DOI: 10.1007/s12663-016-0913-7
Abstrakt: 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.
Competing Interests: Compliance with Ethical StandardsThe researchers declare no conflicts of interest.
Databáze: MEDLINE
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