J Otolaryngol Ophthalmol Shandong Univ ›› 2018, Vol. 32 ›› Issue (4): 32-36.doi: 10.6040/j.issn.1673-3770.0.2017.498

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Nasal related somatoform disorders

SUN Shujuan, SHI Lei, FAN Zhaomin, SHI Guanggang   

  1. Department of Otorhinolaryngology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China
  • Received:2017-11-27 Online:2018-07-20 Published:2018-07-20

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Abstract: Objective To study the diagnosis and treatment of nasal related somatoform disorders. Methods In the two patients in our hospital with nasal related somatoform disorders, the main complaints were recurrent nasal obstruction, purulent nasal discharge, pain, sleep disorders, etc. However, their physical examination, and CT scans and other auxiliary examinations did not match their clinical symptoms. The patients always reported a history of repeated nasal surgeries. According to the diagnostic criteria, two patients were initially diagnosed with nasal related somatoform disorders. After further discussion with the patients and their families, we planned individualized treatment programs with comprehensive medical treatment, psychological therapy, and implied surgery, according to the patients disease process. Results Substantial improvements were noted in the two patients after surgery. The patients mental scale scores were significantly improved postoperatively. On WeChat and telephone follow-up, the patients reported that they have begun to work and have an improved quality of life. Conclusion Psychotherapy and implied surgery have a good therapeutic effect on patients with somatoform disorders.

Key words: Surgery, Nose, Implied therapy, Somatoform disorders

CLC Number: 

  • R765
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