Oral self-mutilation: a repetitive tongue trauma

W Sorghabi, K Delli, A Vissink

Research output: Contribution to journalArticleAcademicpeer-review


An 18-year old woman was referred to the department of oral and maxillofacial surgery with 1 to 2 week episodes of tongue ulcerations that had lasted for a year. Food intake was limited due to pain, resulting in a loss of 10 kg during the previous year. Following a clinical diagnosis of 'aphthous ulcers', she was treated with tetracycline and clobetasol mouthwash, which had little effect. An injection with triamcinolone acetonide did not prove effective either. Some time later, the patient reported at the emergency department with a deep, ulcerative wound to the tongue with characteristic features of bite trauma. She said she had consistently worn her protective mouthguard. The symptoms suggested self-mutilation. The patient was admitted to a psychiatric department, where a diagnosis of anxiety disorder and self-mutilation was reached.

Translated title of the contributionOral self-mutilation: a repetitive tongue trauma
Original languageDutch
Pages (from-to)231-235
Number of pages5
JournalNederlands tijdschrift voor tandheelkunde
Issue number4
Publication statusPublished - Apr-2020

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