Perforación del tabique nasal en consumidores de cocaína: importancia de la tomografía computarizada

Medina, Roberto del Castillo; Espinós, M.A.; Bartumeus, Paula; Tamarit, José Manuel; Vilar, J.

doi:10.1016/s0033-8338(09)70411-4

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Um entendimento maior sobre a frequência das possíveis complicações associadas a vasoconstrictores e outras drogas é fundamental. Eventos de hipertensão severa e arritmias cardíacas podem ocorrer durante a administração de vasoconstrictores simpatomiméticos (noradrenalina, epinefrina e fenilefrina) em pacientes usuários de fármacos antidepressivos tricíclicos, nestes casos o uso da felipressina é a mais indicada por ter ação no sistema venular e não arterial (10,11,12). O correto emprego das técnicas cirúrgicas e dos fármacos a serem utilizados são essenciais para minimizar eventuais acidentes e complicações, além de aconselhar o paciente sobre os riscos e benefícios dos procedimentos.…”

Section: Discussionunclassified

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Necrose da mucosa palatina tratada com plasma rico em fibrina

Amorim

Avelar

Gaspar

et al. 2020

BJHR

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Necrosis in the palatal mucosa is a complication that results from several etiological factors, including pathologies, infection, trauma and iatroenias. This latter complication is more frequent due to poor case planning and the surgeon's lack of experience. Morbidity in the region is related to the amount of necrotic tissue, which can cause difficulties in speech, fistulas, pain in the area and difficulty during chewing. The aim of the present study is to report the case of necrosis of the palatal mucosa by iatrogenesis treated with Fibrin Rich Plasma.

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Section: Discussionunclassified

“…Estas drogas devem ser utilizadas com cautela em regiões periféricas e com pouco suprimento sanguíneo. Quando a noradrenalina é injetada na mucosa palatina, cartilagem auricular e ponta das falanges podem levar a necrose tecidual (1,(9)(10).…”

Section: Introductionunclassified

Necrose da mucosa palatina tratada com plasma rico em fibrina

Amorim

Avelar

Gaspar

et al. 2020

BJHR

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Distribution of cocaine-induced midline destructive lesions: systematic review and classification

Nitro

Pipolo

Fadda

et al. 2022

Eur Arch Otorhinolaryngol

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Purpose Intranasal cocaine is known to potentially lead to midline destructive lesions. The present systematic review was undertaken to systematically define the localization of cocaine-induced midline destructive lesions and their prevalence and to propose a practical classification of these lesions. Methods A PRISMA-compliant systematic review was performed in multiple databases with criteria designed to include all studies published until March 2021 providing a precise definition of cocaine-induced midline lesions in humans. We selected all original studies except case reports. After duplicate removal, abstract and full-text selection, and quality assessment, we reviewed eligible articles for lesion localization, patients’ demographics, exposure to cocaine, and relationship with external nose destruction. Results Among 2593 unique citations, 17 studies were deemed eligible (127 patients). All studies were retrospective case series. The destructive process determined a septal perforation in 99.2% of patients. The distribution prevalence decreased from the inferior third of the sinonasal complex (nasal floor and inferolateral nasal wall, respectively, 59% and 29.9% of patients) to the middle third (middle turbinate and ethmoid, 22.8% of patients), and ultimately to neurocranial structures (7.9% of patients). Nasal deformities were inconsistently reported across reviewed studies. Cocaine use duration, frequency, and status were reported only occasionally. Conclusion Based on the distribution prevalence observed, we propose a four-grade destruction location-based classification. Future prospective studies following the evolution of cocaine-induced lesions are needed to validate our classification, its relationship with lesion evolution, and whether it represents a reliable tool for homogeneous research results reporting.

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The manifestation of cocaine-induced midline destructive lesion in bone tissue and its identification in human skeletal remains

Rubin

2013

Forensic Science International

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Perforación del tabique nasal en consumidores de cocaína: importancia de la tomografía computarizada

Cited by 3 publications

References 9 publications

Necrose da mucosa palatina tratada com plasma rico em fibrina

Necrose da mucosa palatina tratada com plasma rico em fibrina

Distribution of cocaine-induced midline destructive lesions: systematic review and classification

The manifestation of cocaine-induced midline destructive lesion in bone tissue and its identification in human skeletal remains

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