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Medical examination: The patient is a 24-year-old male with multiple sclerosis, a history of conservative total parotidectomy of the left parotid gland, surgery performed at Piquinet Hospital for left parotid gland edema at nine months of its evolutionary continuation in the ENT department of the Idrissa Pouye General Hospital in Senegal with a histological result favoring necrotic sialometaplasia of the parotid gland