日本顎変形症学会雑誌
Online ISSN : 1884-5045
Print ISSN : 0916-7048
ISSN-L : 0916-7048
統合失調症を伴う骨格性下顎前突症に対し外科的矯正治療を行った1例
笠原 貴仁吉武 博美石井 浩一郎藤本 拓司伊東 隆利伊東 隆三
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2008 年 18 巻 3 号 p. 230-235

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Schizophrenia is an inherent disease that causes disruption of thinking patterns, sensing, self-esteem, will and emotions, resulting in mental disorder involving hallucinations and other mental symptoms.
The major complaint of this 21-year-old female patient with skeletal mandibular protrusion was thought to be pain of the temporomandibular region. However, upon careful analysis based on Narrative Based Medicine, the primary concern was the mandibular protrusion with asymmetry inducing multiple psychological symptoms. Combined ortho-surgical intervention was performed to resolve this patient's problem. Although increased antidepressant intake was noted prior to the surgery, once the treatment had been performed, resulting in major improvements of the profile and appearance, dramatic mental and psychological changes for the better were noted, allowing this patient's return to a healthy and normal social life along with decreased dependency on anti-depressant drugs.
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