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Vol. 63. Issue 3.
Pages 233-236 (May - June 2012)
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Vol. 63. Issue 3.
Pages 233-236 (May - June 2012)
Case Study
Orbital and Nasal Complications Secondary to Inhaled Cocaine Abuse
Complicaciones nasales y orbitarias secundarias al abuso de cocaína inhalada
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4088
Purificación Contreras Molina
Corresponding author
puricontri@hotmail.com

Corresponding author.
, Eva Flores Carmona, Carlos Alberto Muñoz Palza, Rafael Luis Tenor Serrano
Servicio de Otorrinolaringología, Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain
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Abstract

The abuse of inhaled cocaine causes chemical sinus pathology by secondary midfacial destruction and necrosis. When midfacial necrosis is already established, other complications may occur related to the proximity of structures such as the orbit or optic nerve. We present the evolution of a young cocaine addict with midfacial destruction, who has had a subperiosteal abscess and optic neuritis over the course of the years. Differential diagnosis and management of these complications are also discussed.

Keywords:
Midfacial necrosis
Cocaine abuse
Subperiosteal abscess
Optic neuritis
Resumen

El abuso de cocaína por vía intranasal provoca una sinusopatía química por destrucción y necrosis mediofacial secundaria. Cuando esta necrosis mediofacial ya está establecida, pueden aparecer otras complicaciones relacionadas con la proximidad de estructuras como la órbita o el nervio óptico. Presentamos la evolución de un joven cocainómano con destrucción mediofacial, que en el trascurso de los años ha padecido un absceso subperióstico y una neuritis óptica. Planteamos el diagnóstico diferencial y el manejo de estas complicaciones.

Palabras clave:
Necrosis mediofacial
Abuso de cocaína
Absceso subperióstico
Neuritis óptica

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