与长期神经性贪食症相关的双侧腮腺涎腺肿大：一例报告及文献综述
Bilateral Parotid Sialadenosis Associated with Long-Standing Bulimia: A Case Report and Literature Review.
作者信息
Garcia Garcia Blas, Dean Ferrer Alicia, Diaz Jimenez Nelida, Alamillos Granados Francisco Jesus
机构信息
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.
出版信息
J Maxillofac Oral Surg. 2018 Jun;17(2):117-121. doi: 10.1007/s12663-016-0913-7. Epub 2016 May 14.
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.
目的
神经性贪食症是涎腺肿大的常见病因。本文报告一例与长期神经性贪食症相关的双侧腮腺涎腺肿大病例，并回顾相关文献及当前的治疗选择。
方法与结果
一名32岁女性在过去6年中双侧腮腺严重肿大，这是由她自14岁起患有的神经性贪食症继发而来。毛果芸香碱治疗无效，因此她接受了双侧腮腺保守切除术。该手术不仅改善了患者的外貌，还改善了她的社交和工作生活以及整体生活质量。
结论
神经性贪食症继发的涎腺肿大导致患者面部美学的重大改变。在许多情况下，保守措施并不足够，腮腺切除术可能是唯一可行的选择，因为它除了矫正面部美学外，还可以显著提高对神经性贪食症精神治疗的依从性。
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