RESUMO
La cocaína esnifada es muy agresiva para el septum nasal y, si se consume de forma habitual, puede ocasionar destrucción de mucosa, cartílago e incluso hueso. Si nos encontramos ante un paciente con necrosis de línea media facial, antes de establecer la cocaína como agente causal, debemos hacer un diagnóstico diferencial con una serie de procesos que producen un cuadro clínico similar. Debemos descartar procesos sistémicos, neoplásicos e infecciosos. El tratamiento será inicialmente conservador, si bien es fundamental el cese del consumo. Cuando el paciente lleve un tiempo razonable de abstinencia, se puede plantear la cirugía (AU)
Chronic inhalation of cocaine can damage nasal septum with destruction of mucosa, cartilage and even bone. When we see a patient with midline nasal necrosis, we have to do a differencial diagnosis with systemic, neoplastic and infectious process. The treatment will be conservative at the beginning. The most important is to stop of using the drug. Surgery can be consider after some time of absence (AU)
Assuntos
Humanos , Masculino , Feminino , Cocaína/efeitos adversos , Transtornos Relacionados ao Uso de Cocaína/patologia , Septo Nasal/lesões , Septo Nasal/patologia , Necrose/complicações , Osteonecrose/complicações , Osteonecrose , Boca/lesões , Boca/patologia , Boca , Septo Nasal , Cocaína/toxicidade , Necrose/diagnóstico , Cocaína Crack/toxicidade , Cocaína Crack/efeitos adversos , Septo Nasal , /métodos , Diagnóstico DiferencialRESUMO
Mucoepidermoid carcinoma is a malignant epithelial tumor, with a mucosecretor component that is exceptional in the upper airways. It seems to be a kind of immunity in this area to the development of this tumors. In the review of the literature we only have found three cases in the nasal cavity. We present the case of a 18th years old woman with a tumor in the right nostril for two months. Several biopsy were required to achieve its histopathological diagnosis as a high malignant mucoepidermoid carcinoma. Radical surgery over the tumor and metastasis was performed but the case has a bad prognosis. The prognosis of the mucoepidermoid carcinoma depends on the histological grade, the early diagnosis and the surgical treatment which has to be so radical as possible to obtain free tumors limits.
Assuntos
Carcinoma Mucoepidermoide/patologia , Cavidade Nasal , Neoplasias Nasais/patologia , Adolescente , Carcinoma Mucoepidermoide/cirurgia , Feminino , Humanos , Neoplasias Nasais/cirurgia , PrognósticoRESUMO
Forestier's disease is a skeletal pathology that sometimes affects the head and neck as a consequence of hyperostotic involvement of the cervical spine. We report the case of a 73-year-old man who had progressive difficulty in swallowing solids. Gastrointestinal endoscopy revealed a bony mass in the hypopharynx. The case is described and the disease manifestations in head and neck are discussed.
