Nasopharyngeal necrosis after chronic opioid (oxycodone/acetaminophen) insufflation.

Christopher D Rosenbaum, Katherine L Boyle, Edward W Boyer

Journal of medical toxicology : official journal of the American College of Medical Toxicology 2012 Jun

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Nasopharyngeal necrosis resulting from narcotic insufflation is a recognized phenomenon, but cocaine use is more commonly associated with this pathology than opioid abuse. Physical exam findings associated with severe tissue destruction are not routinely seen on physical examination or available in the medical literature. We present a case of chronic oxycodone/acetaminophen insufflation and images of a defect in the soft palate.

Citation

Christopher D Rosenbaum, Katherine L Boyle, Edward W Boyer. Nasopharyngeal necrosis after chronic opioid (oxycodone/acetaminophen) insufflation. Journal of medical toxicology : official journal of the American College of Medical Toxicology. 2012 Jun;8(2):240-1