Sialodochitis fibrinosa managed with staged bilateral total parotidectomy.

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.