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Anales de Otorrinolaringología Mexicana

Anales de Otorrinolaringología Mexicana
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2012, Number 1

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Otorrinolaringología 2012; 57 (1)

Halitofobia en la consulta de Otorrinolaringología

Narváez HE, Ramiro MÉ, Magallanes RAG, Guerra BBY, Torres HCL
Full text How to cite this article

Language: Spanish
References: 8
Page: 8-11
PDF size: 186.19 Kb.


Key words:

halitosis, halitophobia, obsessivecompulsive disorder.

ABSTRACT

Background: Halitophobia is a condition in which the patient refers bad breath despite the fact that is not being corroborated by third parties and that there is no clinical evidence of any conditions that would favor it. This causes anxiety to the patient.
Objectives: To determine that the halitosis should be addressed on a multidisciplinary basis and to establish that halitophobia should be a diagnosis of exclusion.
Material and methods: In this descriptive study, the clinical features of five patients referred to the Otolaryngology department claiming halitosis were observed; no conditions favorable to halitosis were found nor was it corroborated by a third party. The Odontology and Gastroenterology departments previously assessed all patients finding no possible pathological causes of halitosis. All patients referred anxiety and intense tongue brushing in their effort to diminish their perceived halitosis. All patients were sent to the Psychology department.
Results: All the patients were diagnosed with obsessive-compulsive disorder, 3 patients abandoned treatment, and 2 patients required treatment with sedatives prescribed by Psychiatry and reported improvement in their anxiety and the ending of their perception of halitosis.
Conclusions: It is important to consider Halitophobia as a diagnosis of exclusion in patients referring halitosis not corroborated by third parties and when no organic condition favoring its appearance is found.


REFERENCES

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  2. Eli I, Baht R, Koriat H, Rosenberg M. Self-perception of breath odor. J Am Dent Assoc 2001;132(5):621-626.

  3. Pryse-Phillips W. An olfactory reference syndrome. Acta Psychiatr Scand 1971;47(4):484-509.

  4. Kretschmer E. El delirio sensitivo de referencia. 1ª ed. Madrid: Triacastela, 2000.

  5. López-Ibor Aliño JJ, Valdés Miyar M. DSM-IV-TR. Manual diagnóstico y estadístico de los trastornos mentales. Barcelona: Masson, 2002.

  6. López-Ibor Aliño JJ, Valdés Miyar M. Trastorno obsesivo compulsivo de la personalidad. En: López-Ibor Aliño JJ, Valdés Miyar M, editores. DSM-IV-TR. Manual diagnóstico y estadístico de los trastornos mentales. Barcelona: Masson, 2002;685-689.

  7. Yaegaki K, Coil JM. Examination, classification, and treatment of halitosis; clinical perspectives. J Can Dent Assoc 2000;66(5):257-261.

  8. Bosy A. Oral malodor: philosophical and practical aspects. J Can Dent Assoc 1997;63(3):196-201.




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C?MO CITAR (Vancouver)

Otorrinolaringología. 2012;57