Daño nasal por abuso de cocaína. Reporte de caso clínico / Nasal damage cocaine abuse. Case report
Revista argentina de cirugia plastica
; 29(2): 144-147, 20230000. fig
Article
in Spanish
| BINACIS
| ID: biblio-1523167
Responsible library:
AR392.1
RESUMEN
La cocaína proviene de la hoja de coca, es una sustancia que cuando se consume por la vía inhalatoria puede producir lesiones graves a nivel nasal, con lesiones que se inician a nivel de la mucosa, perforación septal, con pérdida del soporte a nivel de la punta nasal, retracción alar, compromiso de y retracción de ambas alas, planos de cobertura y piso de fosas nasales. La reconstrucción es un desafío para el cirujano plástico. Abarcando un arsenal terapéutico que va desde solo confeccionar un marco cartilaginoso para soporte de la columela y dorso nasal con costilla, hasta cobertura interna y externa con colgajos más sofisticados. Creemos que estos pacientes para su tratamiento deben presentar conocimiento de que es un camino largo que requiere muchos tiempos quirúrgicos y que en estadios avanzados la cobertura de mucosa es el mayor desafío.
ABSTRACT
Cocaine comes from the coca leaf, it is a substance that when consumed by inhalation can cause serious injuries to the nose. With lesions that start at the level of the mucosa, septal perforation, with loss of support at the level of the nasal tip, alar retraction, compromise and retraction of both wings, coverage planes, and floor of the nostrils. Reconstruction is a challenge for the plastic surgeon. A therapeutic arsenal that goes from just making a cartilaginous framework to support the columella and nasal dorsum with rib, to internal and external coverage with more sophisticated flaps. We believe that in order to treat these patients, they must be aware that it is a long road that requires many surgical times and that in advanced stages mucosal coverage is the greatest challenge
Full text:
Available
Collection:
National databases
/
Argentina
Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.5: Prevention and treatment of consumption of psychoactive substances
Database:
BINACIS
Main subject:
Rhinoplasty
/
Nose
/
Cocaine-Related Disorders
Limits:
Adult
/
Female
/
Humans
Language:
Spanish
Journal:
Revista argentina de cirugia plastica
Year:
2023
Document type:
Article
Institution/Affiliation country:
Hospital de Clínicas Dr. Manuel Quintela/UY