Two Cases of Nonsuicidal Self-Injury Comprising Partial Autoamputation of the Apex of the Tongue

Case Reports in Dentistry
Takashi MoriyaTatsuo Shirota

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...Continue Reading

References

Jan 1, 1977·Journal of Periodontology·P L BlantonM D Largent
Nov 21, 1992·British Dental Journal·A J PatersonA M Hughes
Feb 1, 1992·The American Journal of Psychiatry·D SimeonM Stanley
Mar 1, 1989·Oral Surgery, Oral Medicine, and Oral Pathology·R L Altom, A J DiAngelis
May 1, 1988·Comprehensive Psychiatry·M D Feldman
Jan 1, 1985·The Journal of Allergy and Clinical Immunology·K G McGrathR Patterson
May 1, 1983·Journal of Periodontology·G L Pattison
Jul 1, 1983·The American Journal of Psychiatry·E M Pattison, J Kahan
Mar 1, 1994·Journal of Periodontology·B A Pearlman
Feb 1, 1996·The Journal of the American Dental Association·C D JohnsonS Koh
Feb 1, 1997·The British Journal of Psychiatry : the Journal of Mental Science·R D Goldney, D Lester
Jan 4, 1998·Journal of Periodontology·H S SandhuG S Sidhu
Jun 5, 1998·The Journal of Nervous and Mental Disease·A R Favazza
Oct 18, 2001·Plastic and Reconstructive Surgery·M DeveciM Sengezer
Oct 6, 2005·Archives of General Psychiatry·Mark OlfsonDavid Shaffer
Jul 22, 2006·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Catherine McDonald
Apr 17, 2007·Journal of the American Academy of Dermatology·Marina Rodríguez-MartínAntonio Noda
May 23, 2008·Schizophrenia Bulletin·Matthew LargeOlav Nielssen
Jan 16, 2014·Suicide & Life-threatening Behavior·Sarah V SwannellNathan J St John
Mar 14, 2014·The Journal of Craniofacial Surgery·Jin-Myung Hong, Seok-Chan Eun
Apr 30, 2017·Comprehensive Psychiatry·Chelsea R EnnisJeanette Taylor

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Methods Mentioned

BETA
amputations
amputation

Software Mentioned

AT
NSSI

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