Blas Garcia Garcia1,2, Alicia Dean Ferrer1, Nelida Diaz Jimenez3, Francisco Jesus Alamillos Granados1. 1. 1Department of Oral, Maxillofacial Surgery, Odonto-Stomatology, Faculty of Medicine, University Hospital Reina Sofia, Av. Menéndez Pidal S/N, Córdoba, Spain. 2. Avda. Menéndez Pidal S/N, 14004 Córdoba, Spain. 3. 2Department of General Surgery, University Hospital Reina Sofia, Av. Menéndez Pidal S/N, Córdoba, Spain.
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.
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.
Authors: Ronald C Kessler; Patricia A Berglund; Wai Tat Chiu; Anne C Deitz; James I Hudson; Victoria Shahly; Sergio Aguilar-Gaxiola; Jordi Alonso; Matthias C Angermeyer; Corina Benjet; Ronny Bruffaerts; Giovanni de Girolamo; Ron de Graaf; Josep Maria Haro; Viviane Kovess-Masfety; Siobhan O'Neill; Jose Posada-Villa; Carmen Sasu; Kate Scott; Maria Carmen Viana; Miguel Xavier Journal: Biol Psychiatry Date: 2013-01-03 Impact factor: 13.382