Two Cases of Nonsuicidal Self-Injury Comprising Partial Autoamputation of the Apex of the Tongue.
Identifieur interne : 000022 ( Main/Exploration ); précédent : 000021; suivant : 000023Two Cases of Nonsuicidal Self-Injury Comprising Partial Autoamputation of the Apex of the Tongue.
Auteurs : Takashi Moriya [Japon] ; Hitoshi Sato [Japon] ; Kenichi Takeda [Japon] ; Kaori Ikezaki [Japon] ; Ryogo Katada [Japon] ; Tatsuo Shirota [Japon]Source :
- Case reports in dentistry [ 2090-6447 ] ; 2020.
Abstract
The prevalence of nonsuicidal self-injury (NSSI) in adults is lower than that in adolescents and it is more prevalent in patients with psychiatric disorders. Sleep disturbances such as nightmares are associated with NSSI after accounting for depression; thus, persons with major NSSI sometimes present at medical institutions during the night seeking emergency treatment. Gingival tissues comprise the most frequent target of self-injury of the oral cavity using oral hygiene tools. Most NSSI in the oral cavity is minor because such tools are blunt. Major NSSI such as autoamputation of the tongue is rare. We describe two patients who partially autoamputated the apex of their own tongues using edged tools. Case 1 was a 55-year-old female with depression who had defaulted from psychiatric intervention. She had cut off her tongue using a Japanese kitchen knife and presented with the dry, necrotic amputated portion and blood oozing from the remainder of her tongue. We debrided and sutured the remainder of the tongue without reattaching the amputated portion. Her postoperative course was uneventful, and she was free of adverse events such as functional disability and wound infection. Case 2 was a 69-year-old female with schizophrenia who had defaulted from psychiatric intervention and had cut off her tongue using scissors. The amputated portion of the tongue was lost and the remainder, which was oozing blood, was debrided and sutured. She defaulted on a follow-up appointment. Neither of these patients had suicidal intent. The prevalence of NSSI across all age groups has recently increased, and the risk that self-injury will become normalized has become a concern. Thus, dentists as well as oral and maxillofacial surgeons should be aware of the possibility that patients will present with major NSSI requiring emergency treatment.
DOI: 10.1155/2020/8691270
PubMed: 32148976
PubMed Central: PMC7057006
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Maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistry, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Sato, Hitoshi" sort="Sato, Hitoshi" uniqKey="Sato H" first="Hitoshi" last="Sato">Hitoshi Sato</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistry, Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistry, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Takeda, Kenichi" sort="Takeda, Kenichi" uniqKey="Takeda K" first="Kenichi" last="Takeda">Kenichi Takeda</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Showa University, School of Dentistry, Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Showa University, School of Dentistry, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Ikezaki, Kaori" sort="Ikezaki, Kaori" uniqKey="Ikezaki K" first="Kaori" last="Ikezaki">Kaori Ikezaki</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Showa University, School of Dentistry, Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Showa University, School of Dentistry, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Katada, Ryogo" sort="Katada, Ryogo" uniqKey="Katada R" first="Ryogo" last="Katada">Ryogo Katada</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Showa University, School of Dentistry, Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Showa University, School of Dentistry, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Shirota, Tatsuo" sort="Shirota, Tatsuo" uniqKey="Shirota T" first="Tatsuo" last="Shirota">Tatsuo Shirota</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Showa University, School of Dentistry, Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Showa University, School of Dentistry, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author></analytic><series><title level="j">Case reports in dentistry</title><idno type="ISSN">2090-6447</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The prevalence of nonsuicidal self-injury (NSSI) in adults is lower than that in adolescents and it is more prevalent in patients with psychiatric disorders. Sleep disturbances such as nightmares are associated with NSSI after accounting for depression; thus, persons with major NSSI sometimes present at medical institutions during the night seeking emergency treatment. Gingival tissues comprise the most frequent target of self-injury of the oral cavity using oral hygiene tools. Most NSSI in the oral cavity is minor because such tools are blunt. Major NSSI such as autoamputation of the tongue is rare. We describe two patients who partially autoamputated the apex of their own tongues using edged tools. Case 1 was a 55-year-old female with depression who had defaulted from psychiatric intervention. She had cut off her tongue using a Japanese kitchen knife and presented with the dry, necrotic amputated portion and blood oozing from the remainder of her tongue. We debrided and sutured the remainder of the tongue without reattaching the amputated portion. Her postoperative course was uneventful, and she was free of adverse events such as functional disability and wound infection. Case 2 was a 69-year-old female with schizophrenia who had defaulted from psychiatric intervention and had cut off her tongue using scissors. The amputated portion of the tongue was lost and the remainder, which was oozing blood, was debrided and sutured. She defaulted on a follow-up appointment. Neither of these patients had suicidal intent. The prevalence of NSSI across all age groups has recently increased, and the risk that self-injury will become normalized has become a concern. Thus, dentists as well as oral and maxillofacial surgeons should be aware of the possibility that patients will present with major NSSI requiring emergency treatment.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32148976</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>28</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2090-6447</ISSN><JournalIssue CitedMedium="Print"><Volume>2020</Volume><PubDate><Year>2020</Year></PubDate></JournalIssue><Title>Case reports in dentistry</Title><ISOAbbreviation>Case Rep Dent</ISOAbbreviation></Journal><ArticleTitle>Two Cases of Nonsuicidal Self-Injury Comprising Partial Autoamputation of the Apex of the Tongue.</ArticleTitle><Pagination><MedlinePgn>8691270</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1155/2020/8691270</ELocationID><Abstract><AbstractText>The prevalence of nonsuicidal self-injury (NSSI) in adults is lower than that in adolescents and it is more prevalent in patients with psychiatric disorders. Sleep disturbances such as nightmares are associated with NSSI after accounting for depression; thus, persons with major NSSI sometimes present at medical institutions during the night seeking emergency treatment. Gingival tissues comprise the most frequent target of self-injury of the oral cavity using oral hygiene tools. Most NSSI in the oral cavity is minor because such tools are blunt. Major NSSI such as autoamputation of the tongue is rare. We describe two patients who partially autoamputated the apex of their own tongues using edged tools. Case 1 was a 55-year-old female with depression who had defaulted from psychiatric intervention. She had cut off her tongue using a Japanese kitchen knife and presented with the dry, necrotic amputated portion and blood oozing from the remainder of her tongue. We debrided and sutured the remainder of the tongue without reattaching the amputated portion. Her postoperative course was uneventful, and she was free of adverse events such as functional disability and wound infection. Case 2 was a 69-year-old female with schizophrenia who had defaulted from psychiatric intervention and had cut off her tongue using scissors. The amputated portion of the tongue was lost and the remainder, which was oozing blood, was debrided and sutured. She defaulted on a follow-up appointment. Neither of these patients had suicidal intent. The prevalence of NSSI across all age groups has recently increased, and the risk that self-injury will become normalized has become a concern. Thus, dentists as well as oral and maxillofacial surgeons should be aware of the possibility that patients will present with major NSSI requiring emergency treatment.</AbstractText><CopyrightInformation>Copyright © 2020 Takashi Moriya et al.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Moriya</LastName><ForeName>Takashi</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistry, Tokyo, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sato</LastName><ForeName>Hitoshi</ForeName><Initials>H</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-4293-5125</Identifier><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University School of Dentistry, Tokyo, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Takeda</LastName><ForeName>Kenichi</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, Showa University, School of Dentistry, Tokyo, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ikezaki</LastName><ForeName>Kaori</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, Showa University, School of Dentistry, Tokyo, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Katada</LastName><ForeName>Ryogo</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, Showa University, School of Dentistry, Tokyo, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shirota</LastName><ForeName>Tatsuo</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, Showa University, School of Dentistry, Tokyo, Japan.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>02</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>Egypt</Country><MedlineTA>Case Rep Dent</MedlineTA><NlmUniqueID>101573242</NlmUniqueID></MedlineJournalInfo><CoiStatement>None of the authors have any conflicts of interest to declare.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>09</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>01</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>01</Month><Day>31</Day></PubMedPubDate><PubMedPubDate 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sort="Ikezaki, Kaori" uniqKey="Ikezaki K" first="Kaori" last="Ikezaki">Kaori Ikezaki</name><name sortKey="Katada, Ryogo" sort="Katada, Ryogo" uniqKey="Katada R" first="Ryogo" last="Katada">Ryogo Katada</name><name sortKey="Sato, Hitoshi" sort="Sato, Hitoshi" uniqKey="Sato H" first="Hitoshi" last="Sato">Hitoshi Sato</name><name sortKey="Shirota, Tatsuo" sort="Shirota, Tatsuo" uniqKey="Shirota T" first="Tatsuo" last="Shirota">Tatsuo Shirota</name><name sortKey="Takeda, Kenichi" sort="Takeda, Kenichi" uniqKey="Takeda K" first="Kenichi" last="Takeda">Kenichi Takeda</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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