Management of Self-Harm Injuries in the Maxillofacial Region: A Report of 2 Cases and Review of the Literature

Malaga, Elizabeth Gonzalez; Aguilera, Eva Maria Muñoz; Eaton, Carolyn; Ameerally, Phillip

doi:10.1016/j.joms.2016.02.018

Cited by 4 publications

(3 citation statements)

References 31 publications

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“…Whenever other professions are involved, trustful cooperation and sharing of information between professions (based on the informed consent of caregivers and assent of the minor) is crucial (see Table 3). A multidisciplinary approach in the surgical treatment of patients with NSI has also been put forward by authors from the field of surgery, also stating the necessity of a satisfactory esthetic outcome [33]. …”

Section: Resultsmentioning

confidence: 99%

Treating nonsuicidal self-injury (NSSI) in adolescents: consensus based German guidelines

Plener

Brunner

Fegert

et al. 2016

Child Adolesc Psychiatry Ment Health

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BackgroundNonsuicidal self-injury (NSSI) is a frequent and clinically relevant phenomenon in adolescence. Within Europe, Germany has one of the highest prevalence rates in youth with lifetime prevalence ranging between 25 and 35%. However, treatment guidelines for NSSI are not yet available.MethodsConsensus based clinical guidelines were created by a working group consisting of members of eleven medical, psychological or psychotherapeutic professional national associations, and two members of patient self-help and prevention groups. The guidelines were developed in consecutive expert meetings and literature searches and agreed on in a final consensus conference.ResultsGiven that evidence on both the psychotherapeutic and psychopharmacological treatment of NSSI is limited, a consensus based approach was chosen. The consensus indicated that due to the accumulating evidence on the efficacy of psychotherapeutic approaches, core elements of psychotherapy should be provided in treatment of NSSI. A specific psychopharmacological therapy of NSSI cannot be recommended. In addition, the guidelines provide recommendations for surgical intervention of NSSI.ConclusionsIn accordance with the heterogeneous level of evidence, recommendations for the clinical management of NSSI in adolescence were made during a consensus conference after reviewing available literature. There is still a lack of knowledge on prevention as well as clinical interventions, which needs to be addressed by further clinically relevant studies.Electronic supplementary materialThe online version of this article (doi:10.1186/s13034-016-0134-3) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Treating nonsuicidal self-injury (NSSI) in adolescents: consensus based German guidelines

Plener

Brunner

Fegert

et al. 2016

Child Adolesc Psychiatry Ment Health

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“…It is also important to consider child abuse, which often involves the orofacial district; Oral and dental trauma may lead to “sentinel” event that put the dentist in the position of responding reporter [5, 6]. Likewise, special attention should be paid to self-inflicted injuries [7].…”

Section: Premisementioning

confidence: 99%

Italian guidelines for the prevention and management of dental trauma in children

Cagetti

Marcoli²,

Berengo

et al. 2019

Ital J Pediatr

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Dental trauma is a frequent occurrence in children and adolescent and a correct diagnosis and treatment are essential for a favourable long-term prognosis. The present Guidelines aim to formulate evidence-based recommendations to assist dentists, paediatricians, surgeons, teachers, school and sport staff, parents in the prevention and first aid of dental trauma in children and to provide a careful assessment of the medico-legal implications, reviewing the first draft of the guidelines published in 2012. A multidisciplinary panel on the behalf of the Italian Ministry of Health and in collaboration with the WHO Collaborating Centre for Epidemiology and Community Dentistry of Milan, developed this document. The following four queries were postulated: 1) Which kind of precautions the health personnel, parents, sports and educational personnel must activate in order to prevent the dental trauma damage? 2) How an orofacial trauma in paediatric patients should be managed either in the Emergency Care Unit and/or in private dental office? 3) What criteria should be adopted by a dentist private practitioner to fill in a certificate in cases of dental and/or tempomandibular joint trauma occurring in children and adolescents? 4) What are the elements that should lead clinicians to suspect a non-accidental dental trauma? A systematic review and analysis of the scientific literature published in English, Italian and French from 2007 to 2017 regarding dental trauma in children and adolescents aged 0–18 years was performed, and about 100 papers were analysed and included. The following four domains were analysed and discussed: Dental Trauma Prevention Strategies and Health Education, First aid in orofacial and dental trauma, Certificate of the dental trauma, Oral and dental signs of child abuse and neglect. Twenty-eight recommendations were draw up and codified by the panel according to the Methodological handbook, produced by the Istituto Superiore di Sanità, in order to guide physicians in the prevention and first aid of dental trauma in children and adolescents. In addition, a careful assessment of the medico-legal implications is reported in this document.

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“…Quando esse transtorno psiquiátrico, automutilação, está associado a um quadro de Transtorno do Espectro Autista (TEA), as crianças apresentam graves distúrbios comportamentais. Nestes casos o comportamento é desencadeado por estresse, estímulos ou excitação e pode variar de comportamento leve, como auto-beliscões e arranhões a grave, como auto-mordidas ou bater a cabeça (Malaga et al, 2016). Em um estudo transversal na Arábia Saudita com 20 crianças com TEA, os autores verificaram que 30% das crianças tinham lesões na região da cabeça (Murshid, 2005).…”

Section: Discussionunclassified

Automutilação oral em crianças e adolescentes e fatores associados: revisão integrativa

Melo

Oliveira

Rosendo

et al. 2021

RSD

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Introdução: O comportamento autolesivo é definido como um ato dirigido a si mesmo que resulta em um dano tecidual. As estruturas orais podem ser traumatizadas por esse tipo de comportamento e sua incidência vem aumentando entre as crianças. Objetivo: Apresentar os fatores associados à automutilação oral em crianças e adolescentes, atentando para o diagnóstico diferencial das lesões orais. Metodologia: Foi realizada uma revisão integrativa da literatura a partir de pesquisa nas bases de dados Medline (PubMed), entre 2010 e 2020. Foram selecionados 27 artigos, sendo 5 caso-controle, 1 transversal e 21 relatos de caso. Resultados: Os estudos avaliados foram desenvolvidos em diversos países, em hospitais, ambulatórios, institutos, universidades, escolas e orfanato. Nos estudos observacionais as amostras variaram entre 30 e 303 participantes. A automutilação oral foi relacionada aos fatores sociais, hereditários, neurológicos e psiquiátricos. Observou-se também o envolvimento de indivíduos sem comorbidades em casos de automutilação oral. Nesses estudos houve mais crianças que adolescentes envolvidos em quadros de automutilação oral. Conclusão: Fatores hereditários, neurológicos, psiquiátricos e sociais são apontados como fatores associados aos quadros de automutilação oral em crianças e adolescentes. Entretanto, a literatura ainda é escassa em padronização de protocolo para diagnóstico de automutilação oral, assim outros estudos são necessários para determinação de quais fatores podem ser pertinentes a esses casos quando envolvem crianças e adolescentes.

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Management of Self-Harm Injuries in the Maxillofacial Region: A Report of 2 Cases and Review of the Literature

Cited by 4 publications

References 31 publications

Treating nonsuicidal self-injury (NSSI) in adolescents: consensus based German guidelines

Treating nonsuicidal self-injury (NSSI) in adolescents: consensus based German guidelines

Italian guidelines for the prevention and management of dental trauma in children

Automutilação oral em crianças e adolescentes e fatores associados: revisão integrativa

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