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2009, Number 1

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Otorrinolaringología 2009; 54 (1)

Midline destructive lesions caused by cocaine intake: a report of a case

Bonner OCB, Castillo LIY
Full text How to cite this article

Language: Spanish
References: 9
Page: 32-35
PDF size: 464.12 Kb.


Key words:

cocaine, nasal mucosa, destructive lesion.

ABSTRACT

Inhalation of pulverized cocaine may cause damage to the nasal mucosa. When the intake is chronic, cocaine could cause extense osteocartilaginous destruction of the nose, paranasal sinuses and palate, simulating other diseases associated to necrotic damage on the midline. The incidence of these lesions is increasing because the cocaine intake is rising in the world population; furthermore it is necessary to consider this into the differential diagnosis. We present the case of a 38 years old male patient with septal and palate perforation; discussing its etiopathogenic factors, differential diagnosis and treatment.


REFERENCES

  1. Sánchez-Jara JL, Lavilla MJ, Benítez F. Lesión destructiva de la línea media inducida por cocaína. ORL-Dips 2004;31(2):72-74.

  2. Padilla M, Jiménez CI, García CL. Perforación en bóveda palatina por consumo de cocaína. Med Oral Patol Oral Cir Bucal 2006;11:239-242.

  3. Sastry RC, Lee D, Har-El G. Palte perforation from cocaine abuse. Otolaryngology Head and Neck Surgery 1997;116(4):565-6.

  4. Caravaca A, Casas F, Mochon A, De Luna A y col. Necrosis centrofacial secundaria al uso de cocaína. Acta Otorrinolaringológica Española 1999;50:414-6.

  5. Bailey BJ, Karen H. Head and Neck Surgery Otolaryngology. 13a ed. Lippincott Williams and Wilkins, 2001;1:1072.

  6. Cummings CW, Haughey BH, Thomas JR, Harker LA, et al. Cummings Otolaryngology: Head and Neck Surgery. 4a ed. Mosby, 1999;1:895-6.

  7. Trimarchi M, Gregorini G, Facchetti F, Morassi M, et al. Cocaine-induced midline destructive lesions. Clinical, radiographic, histopathologic, and serologic features and their differentiation from Wegener granulomatosis. Medicine, 2002;80:391-404.

  8. Armstrong M, Richmond V, Shikani A. Nasal septal necrosis mimicking Wegener’s granulomatosis in cocaine abuser. Ear Nose Throat J 1996;75:623-6.

  9. Williams N. What are the causes of the perforated nasal septum? Occup Medicine 200;50:135-6.




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C?MO CITAR (Vancouver)

Otorrinolaringología. 2009;54