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Conversion disorder after maxillofacial trauma and surgery

D Blinder1, L Rotenberg, S Taicher

  • 1Department of Oral and Maxillofacial Surgery, Chaim Sheba Medical Center, Tel Hashome, Israel.

International Journal of Oral and Maxillofacial Surgery
|April 1, 1996
PubMed
Summary
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Conversion disorder, a psychological condition, can manifest after orthognathic surgery or facial trauma, sometimes involving facial anesthesia or palsy. Early recognition and management are crucial for better patient outcomes.

Area of Science:

  • Psychiatry
  • Neurology
  • Oral and Maxillofacial Surgery

Background:

  • Conversion disorder is a neurological condition where psychological distress manifests as physical symptoms.
  • This condition can present atypically following surgical or traumatic events affecting the face.

Observation:

  • Reported are three cases of conversion disorder.
  • One case occurred post-orthognathic surgery, and two cases followed facial trauma.
  • Manifestations included facial anesthesia and facial palsy.

Findings:

  • Conversion disorder can be triggered by specific surgical and traumatic events.
  • Facial anesthesia and palsy are potential symptoms in these cases.
  • Identifying patients at high risk is essential for timely intervention.

Related Experiment Videos

Implications:

  • Oral and maxillofacial surgeons should be aware of conversion disorder as a potential complication.
  • Understanding risk factors and early diagnosis can improve patient prognosis.
  • Multidisciplinary management involving psychological support is recommended.