Cocaine Misuse and Palatal/Nasal Necrosis Case Study

<p>Antibiotic therapy (A)</p> Signup and view all the answers

<p>They may have relapsed into cocaine use. (A)</p> Signup and view all the answers

<p>Underlying chondritis (B)</p> Signup and view all the answers

<p>To improve speech and eating difficulties (D)</p> Signup and view all the answers

<p>Buccal fat flap (A), Cleft palate repair (B), Local pedicle flap, such as a tongue flap (C), Temporalis flap (D)</p> Signup and view all the answers

<p>Cocaine misuse (D)</p> Signup and view all the answers

<p>Severe destructive effects (D)</p> Signup and view all the answers

<p>Surgery (B)</p> Signup and view all the answers

<p>Two to three times a month (D)</p> Signup and view all the answers

<p>Nasal collapse (B)</p> Signup and view all the answers

<p>Further cocaine use (A)</p> Signup and view all the answers

<p>Necrotic bone and soft tissue (C)</p> Signup and view all the answers

<p>Nasal inhalation (B)</p> Signup and view all the answers

<p>Debridement of the affected area (B)</p> Signup and view all the answers

<p>Gingivitis (C)</p> Signup and view all the answers

<p>Cessation of the cocaine habit (A)</p> Signup and view all the answers

<p>Microbiology and histopathological specimens (D)</p> Signup and view all the answers

<p>Psychological dependencies (D)</p> Signup and view all the answers

<p>Likely poor outcome from surgery (A)</p> Signup and view all the answers

<p>Connective tissue disorders (D)</p> Signup and view all the answers

<p>Midline granuloma (A)</p> Signup and view all the answers

<p>Destruction of the lateral nasal walls (A)</p> Signup and view all the answers

<p>Anteriorly based lateral tongue flap (B)</p> Signup and view all the answers

<p>Thickening of the left nasal sill (C)</p> Signup and view all the answers

<p>Oro-nasal fistula (B)</p> Signup and view all the answers

<p>Penicillin and clindamycin (D)</p> Signup and view all the answers

<p>Multiple small bony sequestrae (B)</p> Signup and view all the answers

<p>Intermaxillary fixation (D)</p> Signup and view all the answers

<p>Healthy soft tissue margins (C)</p> Signup and view all the answers

<p>A majority of cases were in women with a mean age of 33.6 years. (C)</p> Signup and view all the answers

<p>Pedicled tongue flap. (B)</p> Signup and view all the answers

<p>Granulomatous vasculitis. (D)</p> Signup and view all the answers

<p>Microvascular free flap with or without bone transfer. (D)</p> Signup and view all the answers

<p>Clavicle. (C)</p> Signup and view all the answers

<p>A tendency towards a younger age group. (D)</p> Signup and view all the answers

<p>Destruction leading to granuloma formation. (A)</p> Signup and view all the answers

<p>Microvascular techniques may enhance results. (C)</p> Signup and view all the answers

Snorting cocaine can severely damage nasal and palatal tissues.

Common causes include trauma, tumors, and Wegener’s granulomatosis.

Cocaine misuse leads to social, economic, and health risks.

A communication between the oral cavity and the nasal cavity caused by cocaine misuse.

Cocaine can cause necrosis of nasal septum and tissue destruction.

Defects can be repaired using various surgical techniques.

Increased frequency of use leads to greater tissue damage and complications.

Patients are monitored after initial treatment to prevent further damage.

An abnormal opening in the palate, often post-surgery.

The improper or excessive use of cocaine leading to health issues.

Narrowing of blood vessels, can hinder healing.

A surgical technique using a portion of the tongue for repair.

A gap or opening in the palate that may require treatment.

Inflammation of cartilage, which can lead to further complications.

Surgical methods to repair anatomical defects.

Death of soft tissue, often due to lack of blood supply.

Necrosis occurring in the midline of the palate, often due to various underlying causes.

Advanced stage of syphilis, which can cause significant tissue damage.

An autoimmune condition that can lead to inflammation of blood vessels, affecting tissues like the palate.

The study of tissues under a microscope to identify disease.

Samples sent for analysis to detect microorganisms in tissues.

Conditions affecting tissues that support, bind, or separate other tissues.

The degree to which a patient correctly follows medical advice.

Nosebleed that can arise from various conditions affecting the nasal cavity.

Persistent inflammation of the nasal mucosa causing congestion, runny nose, and sneezing.

A hole in the nasal septum that can cause breathing difficulties and nosebleeds.

A collapse of the nasal bridge, often due to damage or disease.

Stabilizing the jaw or dental arches post-surgery using external devices.

Pieces of dead bone that can separate from healthy bone after an infection.

Holes in the nasal septum caused by narcotic drug use, often seen in addiction cases.

An inflammatory condition that causes destruction of tissue, identifiable through specific antibodies.

Blood test used to detect antibodies associated with certain autoimmune diseases, including vasculitis.

A surgical technique using tissue from the tongue to repair defects, offering reliable tissue bulk.

Surgical technique that transfers tissue from one site to another with its own blood supply, often for reconstruction.

Locations on the body used to harvest bone for reconstructive surgery, like the iliac crest.

A type of flap harvested from the forearm used for reconstructive purposes, particularly in complex defects.

A severe condition affecting the central facial structures, often leading to significant tissue loss.