Palatal perforations secondary to inhaled cocaine abuse. Presentation of five cases

  title={Palatal perforations secondary to inhaled cocaine abuse. Presentation of five cases},
  author={Pedro Serrano-S{\'a}nchez and Jv. Bagan and Yolanda Jim{\'e}nez-Soriano and Gracia Sarri{\'o}n},
  journal={Journal of Clinical and Experimental Dentistry},
The estimated incidence of complications associated with cocaine abuse is 4.8%. Palatal perforation is a very infrequent condition within the range of complications associated with cocaine abuse. No epidemiological characteristics relating to patient age or gender have been established, and the diagnosis of the disorder requires a detailed clinical history, including antecedents of cocaine abuse. The clinical and radiological studies show palatal bone erosion and perforation of the soft or hard… 

Figures and Tables from this paper

Prosthetic management of palatal perforation in heroin abuse patient

A patient who suffered palatal perforation as a result of long time of snorting Heroin presented complaining of liquid passage from the oral cavity into the nasal cavities and hypernasality during speech, and the possible prosthetic options were pointed out.

Snorting the clivus away: an extreme case of cocaine-induced midline destructive lesion

This article focuses on cocaine as a world health problem with important ear, nose and throat implications and discusses the difficulties in diagnosing and treating CIMDL, through a case report.

Palatal Perforation Due to Late Congenital Syphilis

An 8-y-old girl presented with palatal perforation for 1 mo along with nasal regurgitation, hypernasality in speech and iridocyclitis and a diagnosis of late congenital syphilis (CS) was established and child was treated with procaine pencillin for 10 d.

Cocaine-Induced Pituitary and Subdural Brain Abscesses and the Treatment Challenges

This case highlights the clinical, diagnostic, and management challenges with a multi-disciplinary approach of chronic cocaine use involving nasal, paranasal, and visual symptoms and signs and the complication of pituitary abscess, as a sequela to chronic cocaine sniffing.

Repair of the Cocaine-Induced Cleft Palate Using the Modified Double-Opposing Z-Plasty

  • E. TengD. Steinbacher
  • Medicine
    The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
  • 2013
The modified double-opposing Z-plasty is described, the first reported case using this technique to repair a palatal defect resulting from chronic cocaine use, and the advantages include preservation and reorientation of functional muscle, single-stage repair, and obviated requirement for distant donor sites.


The dentist must be aware of this drug use in their individual patients in order to avoid possible contraindications during dental treatment and be able to provide necessary dental treatment to combat the dental oral ravages of drug use.

Extranodal nasal-type NK/T-cell lymphoma of the palate and paranasal sinuses

Extranodal nasal-type NK/T-cell lymphoma is a very aggressive, rapidly progressing malignant neoplasm with a poor prognosis, which can be improved by early diagnosis and combined treatment.




Cocaine-related syndrome and palatal reconstruction: report of a series of cases.

An unusual oronasal fistula induced by prolonged cocaine snort. Case report and literature review.

This article presents the first case of oronasal fistula involving hard palate and the right supero-lateral vestible induced by prolonged cocaine snort described in literature, review about the better surgical management for this lesion and the relationship between chronic cocaine abuse and elevated serum levels of c-ANCA.

Palatal perforation associated with intranasal prescription narcotic abuse.

Nasal cocaine abuse and centrofacial destructive process: report of three cases including treatment.

  • A. MariC. Arranz P. Piulachs
  • Medicine, Psychology
    Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
  • 2002
Of special interest in this report is a male patient with columella and lip involvement instead of the more usual rhinopalatal destruction, which should be included in the differential diagnosis of centrofacial midline destructive processes in young patients.

[Centrofacial necrosis secondary to cocaine use].

A 40-year-old man with a history of years of cocaine abuse was admitted to a hospital for a septic process and purulent rhinorrhea and the clinical examination and craniofacial computed tomography revealed severe necrosis of the nasal septum, maxillary sinus, ethmoidal sinuses, sphenoidal sinus and soft palate.

Palatal and nasal necrosis resulting from cocaine misuse

A case of oro-nasal fistula secondary to cocaine misuse is reported and the aetiology, management and potential methods of repair are discussed.

Lesions of the oral mucosa in cocaine users who apply the drug topically.

In three of the four patients this practice has led to erythematous lesions, while the remaining patient showed gingival recession and bone sequestration, which can be attributed to the vasoconstrictor activity of cocaine, and to its caustic effects on the mucosa.

Palatine perforation induced by cocaine.

A 48 years old female with a 2-month evolution bucconasal ulcer in the hard palate induced by cocaine usage accompanied by swallow and phonation dysfunctions is presented.

Cluster headache and cocaine use.

We present 3 patients who had episodes of orofacial pain compatible with cluster headache, the differential diagnosis being established with pulp pain of dental origin. Cocaine inhalation triggered

Le Fort I Osteotomy and the Use of Bilateral Bichat Bulla Adipose Flap: An Effective New Technique for Reconstructing Oronasal Communications Due to Cocaine Abuse

A male patient, aged 45, was presented with a hard palate defect due to chronic cocaine inhalation and the defect was corrected using bilateral Bichat bulla adipose flap and a Le Fort I osteotomy.