Parotid duct fistulas (PDFs) are rare and have various causes such as
gunshot wounds and human and animal bites; they may also be congenital
. We have not found previous publications on bilateral PDF. Our patien
t, although young, also had generalized pigmentation characteristic of
aging and thick, dry, wrinkled skin, as well as pyoderma. Biochemical
analysis was performed on discharge from the patient's face, and hist
opathologic and immunologic studies were done. the fistulas were treat
ed by intraoral fistulization. Cephalosporins were given to the patien
t for 5 days postoperatively to threat the pyoderma.