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Journal of Maxillofacial and Oral Surgery

, Volume 17, Issue 2, pp 117–121 | Cite as

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

  • Blas Garcia Garcia
  • Alicia Dean Ferrer
  • Nelida Diaz Jimenez
  • Francisco Jesus Alamillos Granados
Review Paper

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.

Keywords

Bulimia Parotid gland Sialadenosis Parotidectomy Eating disorder 

Notes

Compliance with Ethical Standards

Conflicts of interest

The researchers declare no conflicts of interest.

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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2016

Authors and Affiliations

  • Blas Garcia Garcia
    • 1
    • 3
  • Alicia Dean Ferrer
    • 1
  • Nelida Diaz Jimenez
    • 2
  • Francisco Jesus Alamillos Granados
    • 1
  1. 1.Department of Oral, Maxillofacial Surgery, Odonto-Stomatology, Faculty of MedicineUniversity Hospital Reina SofiaCórdobaSpain
  2. 2.Department of General SurgeryUniversity Hospital Reina SofiaCórdobaSpain
  3. 3.CórdobaSpain

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