Self-inflicted traumatic ulcer due to preoperative anxiety in children

Ulser traumatik self-inflicted yang disebabkan kecemasan preoperasi pada anak

  • Adi Ahmad Yusuf Oral Medicine Specialist Program, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
  • Tenny Setiani Dewi Oral Medicine Department, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia
Keywords: anxiety, preoperative, self-inflicted, traumatic ulcers

Abstract

Introduction: Self-inflicted traumatic ulcers are oral lesions caused by the patient himself, that can be caused to intentional bad habits, accidents or habits thatoccur without realizing it. Self-inflicted lesions are present in about 75% of the head and neck area, and can be caused by biting tissue in the oral cavity or inserting foreign bodies and nails into the oral mucosa. Case: It is reported a case of traumatic self-inflicted ulcer in a 4-year-old child. This patient was diagnosed with intra-abdominal tumors and plan-ned to undergo surgery. During the preoperative treatment, the patient experienced anxiety and repeatedly bit and sucked the lip and cheek area. Clinically, white plaques and ulcers were seen with a wide elevation in the lip and cheek area. Management: Against patients conducted 0.9%NaCl compress 3 times a day and were given positive suggestions to reduce anxiety. Conclu-sion: In addition to topical medication for treatment of self-inflicted traumatic oral lesion, it is also necessary to give adequate care from health personnel and positive suggestion to reduce preoperative anxiety in pediatric patient who will undergo surgery.

Published
2022-08-31