Sialodochitis fibrinosa managed with staged bilateral total parotidectomy

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

Clinical case report and review of current literature.

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.

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.