Cases reported "Self Mutilation"

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1/19. Hereditary sensory and autonomic neuropathy: review and a case report with dental implications.

    Hereditary sensory and autonomic neuropathy (HSAN) is a rare syndrome which is seen in early childhood. Five different types are described. Absence of pain and self-mutilation are characteristic findings of this syndrome. Teeth in the oral cavity can cause damage to the oral tissues and tongue. When it is diagnosed, there should be co-operation between dentist and neurologist. Using an oral shield prevents the biting and, thus, traumatization of the tissues can be prevented. A case report which is diagnosed as HSAN type 4 is presented and information submitted about its treatment.
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2/19. Prevention of tongue biting with a removable oral device: a clinical report.

    A method of preventing tongue biting with a removal device has been described in this clinical report. Restraint of the tongue may be necessary to promote healing by preventing repetitive tongue biting or as a preventive measure after a surgery or an injury. Any device that is used to restrain the tongue should be removable to avoid prolonged interference with oral hygiene, swallowing, mastication, and speech. A removable device is desirable for long-term use by comatose or semicomatose patients.
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3/19. Self-inflicted injury in a case of Hallervorden-Spatz disease.

    Hallervorden-Spatz disease (HSD) is a rare neurodegenerative disorder characterized by abnormally high deposits of iron in the brain. This report describes a child with HSD who presented with self-inflicted ulceration of the lip and tongue, which was initiated during periods of intense oro-facial spasms. Other findings included dental caries and trauma to the primary incisors. comprehensive dental care was carried out under general anaesthesia. The self-mutilation of the oro-facial mucosa was eliminated by placement of upper and lower soft resin bite guards.
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4/19. Self-inflicted oral trauma: report of case.

    An easily made, reusable mouth-guard suitable for comatose patients with neuropathologic chewing is presented. Its use is described for a comatose child with self-inflicted tongue trauma.
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5/19. gangrene of the tongue following self-application of a rubber band.

    A case of dry gangrene of the tongue due to self-application of an elastic rubber band in a mentally retarded child is described. As far as is known, no such case of gangrene of the tongue has been described in the English literature.
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6/19. Self-inflicted orodental injury in a child with leigh disease.

    leigh disease is an inherited progressive mitochondrial neurodegenerative disease that affects the neurological, respiratory and cardiovascular systems and is associated with retardation of the intellectual and physical development. This report describes the case of a 4-year-old boy with leigh disease who presented with self-inflicted traumatic injury to the teeth, alveolar bone, lips and tongue during repeated episodes of intense orofacial spasms. Conservative management of the injury included repositioning the fractured alveolar bone, splinting the traumatized teeth and planning for a mouthguard. However, after a second incident of severe self-induced injury to the teeth and alveolar bone, extraction of the anterior teeth became inevitable to protect the child from further self-mutilation and to allow healing of the injured tissues.
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7/19. Self-inflicted cosmetic tongue split: a case report.

    The objective of this case study was to obtain some first-hand information about the functional consequences of a cosmetic tongue split operation for speech and tongue motility. One male patient who had performed the operation on himself was interviewed and underwent a tongue motility assessment, as well as an ultrasound examination. tongue motility was mildly reduced as a result of tissue scarring. Speech was rated to be fully intelligible and highly acceptable by 4 raters, although 2 raters noticed slight distortions of the sibilants /s/ and /z/. The 3-dimensional ultrasound demonstrated that the synergy of the 2 sides of the tongue was preserved. A notably deep posterior genioglossus furrow indicated compensation for the reduced length of the tongue blade. It is concluded that the tongue split procedure did not significantly affect the participant's speech intelligibility and tongue motility.
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8/19. Botulinum toxin as a novel treatment for self-mutilation in lesch-nyhan syndrome.

    lesch-nyhan syndrome (LNS) is an X-linked recessive disorder resulting from a deficiency of the metabolic enzyme hypozanthine-guanine phosphoribosyltransferase (HPRT). This syndrome presents with abnormal metabolic and neurological manifestations including hyperuricemia, mental retardation*, spastic cerebral palsy (CP), dystonia, and self-mutilation. The mechanism behind the severe self-mutilating behavior exhibited by patients with LNS is unknown and remains one of the greatest obstacles in providing care to these patients. This report describes a 10-year-old male child with confirmed LNS who was treated for self-mutilation of his hands, tongue, and lips with repeated botulinum toxin A (BTX-A) injections into the bilateral masseters. Our findings suggest that treatment with BTX-A affects both the central and peripheral nervous systems, resulting in reduced self-abusive behavior in this patient.
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9/19. Self-inflicted tongue ulcer: an unusual form of factitious disorder.

    factitious disorders in the buccal cavity are infrequent. A 9-year-old boy with a 5-year history of an artefact ulcer of the tongue is described. Psychiatric evaluation revealed an altered personality structure with a background of psychotic traits. Complete remission was observed with psychiatric management.
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10/19. Prevention of self-inflicted trauma in comatose patients.

    A solution to the problem of self-inflicted trauma to the tongue in decerebrate and comatose patients is outlined. The neurophysiology of jaw movement in the comatose patient is the basis of design of an intraoral fixed appliance which prevents discoordinate or neuropathologic mandibular chewing movements and facilitates healing of pre-existing lesions. Described in detail are the fabrication, insertion, and maintenance of this protective prosthesis, with emphasis on the need for joint effort between the neurosurgery and dentistry teams.
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