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Sialodochitis fibrinosa managed with staged bilateral total parotidectomy

Published online by Cambridge University Press:  17 February 2021

A S Tabaksert ,
L Lazarova ,
R Bentley  and
F Stafford
A S Tabaksert*
Affiliation:
ENT Department, Freeman Hospital, Newcastle upon Tyne, UK
L Lazarova
Affiliation:
ENT Department, Freeman Hospital, Newcastle upon Tyne, UK
R Bentley
Affiliation:
Histopathology Department, Queen Elizabeth Hospital, Gateshead, UK
F Stafford
Affiliation:
ENT Department, Sunderland Royal Hospital, UK
*
Author for correspondence: Dr Ayla Tabaksert, ENT Department, Freeman Hospital, Freeman Road, Newcastle upon TyneNE7 7DN, UK E-mail: ayla.tabaksert@nhs.net
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Abstract

Objective

This paper reports a rare case of a 61-year-old man with sialodochitis fibrinosa.

Methods

Clinical case report and review of current literature.

Results

Sialodochitis fibrinosa is a diagnosis of exclusion and in many cases can be managed conservatively. Conservative management failed for this patient and he was managed successfully with staged bilateral total parotidectomy.

Conclusion

Sialodochitis fibrinosa should be considered as a differential diagnosis of painful bilateral facial swelling. While conservative management is successful for many patients, staged bilateral total parotidectomy may be necessary for full remission of symptoms; the timing of this is crucial to reduce the risk of facial nerve palsy.

Keywords

Salivary gland inflammationParotid diseasesSialadenitis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 2 , February 2021 , pp. 182 - 184
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr A Tabaksert takes responsibility for the integrity of the content of the paper

References

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