Contreras Molina Purificación, Flores Carmona Eva, Muñoz Palza Carlos Alberto, Tenor Serrano Rafael Luis
Servicio de Otorrinolaringología, Hospital Clínico Universitario Virgen de la Victoria, Málaga, España.
Acta Otorrinolaringol Esp. 2012 May-Jun;63(3):233-6. doi: 10.1016/j.otorri.2010.12.004. Epub 2011 Mar 10.
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.
吸入性可卡因的滥用通过继发性面中部破坏和坏死导致化学性鼻窦病变。当中面部坏死已经形成时，可能会出现与眼眶或视神经等结构邻近相关的其他并发症。我们展示了一名患有面中部破坏的年轻可卡因成瘾者的病情发展过程，多年来他先后出现了骨膜下脓肿和视神经炎。还讨论了这些并发症的鉴别诊断和处理方法。
