RESUMO
OBJECTIVE: To increase the knowledge of rhinotillexomania, or compulsive nose picking, as a manifestation of psychiatric disease through the presentation of a case series and a review of the literature. MATERIAL: We present three clinical cases with self-destructive nasal injuries as a symptom of different psychiatric diseases. RESULTS: One patient presented amputation of the middle turbinate as a manifestation of an obsessive-compulsive disorder of bipolar disease. Two patients had a septal perforation. In the first patient it was the first symptom of factitious dermatitis and in the second it was during the course of schizophrenia. Only control with psychological treatment and psychotropic drugs stabilised the nasal injury. CONCLUSION: Self-induced injuries are a diagnostic and treatment challenge for the ENT specialist. A knowledge of psychiatric diseases related to destructive injuries to the nose will improve the approach to patients and prevent the progression of local damage and its complications.
Assuntos
Transtorno Bipolar , Doenças Nasais , Transtorno Obsessivo-Compulsivo , Comportamento Autodestrutivo , Humanos , NarizRESUMO
Objetivo: Incrementar el conocimiento de la rinotilexomanía o manipulación compulsiva intranasal como manifestación de enfermedades psiquiátricas mediante la exposición de una serie de casos y revisión de la literatura.MaterialPresentamos 3 casos clínicos con lesiones autodestructivas nasales como síntoma de diferentes enfermedades psiquiátricas.ResultadosUn paciente presentó una amputación del cornete medio como manifestación de un trastorno obsesivo-compulsivo de una enfermedad bipolar. Dos pacientes tuvieron una perforación septal. El primero como primer síntoma de una dermatitis facticia y el segundo en el transcurso de una esquizofrenia. Solo el control con tratamiento psicológico y fármacos psicótropos consiguió la estabilización de la lesión nasal.ConclusiónLas lesiones autoinducidas son un reto diagnóstico y de tratamiento para el otorrinolaringólogo. El conocimiento de las enfermedades psiquiátricas relacionadas con lesiones destructivas centradas en la nariz mejora el abordaje del paciente evitando la progresión de la destrucción local y sus complicaciones. (AU)
Objective: To increase the knowledge of rhinotillexomania, or compulsive nose picking, as a manifestation of psychiatric disease through the presentation of a case series and a review of the literature.MaterialWe present three clinical cases with self-destructive nasal injuries as a symptom of different psychiatric diseases.ResultsOne patient presented amputation of the middle turbinate as a manifestation of an obsessive-compulsive disorder of bipolar disease. Two patients had a septal perforation. In the first patient it was the first symptom of factitious dermatitis and in the second it was during the course of schizophrenia. Only control with psychological treatment and psychotropic drugs stabilised the nasal injury.ConclusionSelf-induced injuries are a diagnostic and treatment challenge for the ENT specialist. A knowledge of psychiatric diseases related to destructive injuries to the nose will improve the approach to patients and prevent the progression of local damage and its complications. (AU)
Assuntos
Humanos , Otorrinolaringologistas , Nariz , Ferimentos e Lesões , PacientesRESUMO
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Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Hemangioma Cavernoso/patologia , Membrana Timpânica/patologia , Neoplasias da Orelha/patologia , Hemangioma Cavernoso/diagnóstico por imagem , Membrana Timpânica/diagnóstico por imagem , Neoplasias da Orelha/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Audiometria de Tons PurosRESUMO
OBJECTIVE: To increase the knowledge of rhinotillexomania, or compulsive nose picking, as a manifestation of psychiatric disease through the presentation of a case series and a review of the literature. MATERIAL: We present three clinical cases with self-destructive nasal injuries as a symptom of different psychiatric diseases. RESULTS: One patient presented amputation of the middle turbinate as a manifestation of an obsessive-compulsive disorder of bipolar disease. Two patients had a septal perforation. In the first patient it was the first symptom of factitious dermatitis and in the second it was during the course of schizophrenia. Only control with psychological treatment and psychotropic drugs stabilised the nasal injury. CONCLUSION: Self-induced injuries are a diagnostic and treatment challenge for the ENT specialist. A knowledge of psychiatric diseases related to destructive injuries to the nose will improve the approach to patients and prevent the progression of local damage and its complications.
RESUMO
No disponible
Assuntos
Humanos , Masculino , Idoso de 80 Anos ou mais , Paralisia das Pregas Vocais/etiologia , Discite/complicações , Infecções Estafilocócicas/complicaçõesRESUMO
La distrofia muscular óculo-faríngea es una entidad infrecuente y poco conocida, genéticamente determinada, que suele presentarse en la 5ª o 6ª década de la vida. Casi siempre estos pacientes son remitidos directamente al digestólogo desde su médico de familia y no con tanta frecuencia al otorrinolaringólogo, por lo que el conocimiento de esta enfermedad es fundamental para sospecharla. Presentamos un caso diagnosticado y tratado en nuestro hospital y revisamos la literatura al respecto(AU)
Oculopharyngeal muscular dystrophy is an infrequent, not widely known entity. Of genetic origin, it usually shows up in the 5th or 6th decade of life. Most cases are referred directly to the gastroenterologist by their general practitioner and not to the otolaryngologist, so it is essential to be aware of this disease to suspect it. We report a case diagnosed and treated in our hospital and we review the literature(AU)
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Humanos , Distrofia Muscular Oculofaríngea/diagnóstico , Blefaroptose/diagnóstico , Transtornos de Deglutição/diagnóstico , Blefaroptose/etiologia , Transtornos de Deglutição/etiologiaRESUMO
Oculopharyngeal muscular dystrophy is an infrequent, not widely known entity. Of genetic origin, it usually shows up in the 5th or 6th decade of life. Most cases are referred directly to the gastroenterologist by their general practitioner and not to the otolaryngologist, so it is essential to be aware of this disease to suspect it. We report a case diagnosed and treated in our hospital and we review the literature.
Assuntos
Distrofia Muscular Oculofaríngea , Idoso , Feminino , Humanos , Distrofia Muscular Oculofaríngea/diagnóstico , Distrofia Muscular Oculofaríngea/terapiaRESUMO
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