Intranasal tissue necrosis associated with opioid abuse: Case report and systematic review

Morrison, Danielle; Wise, Sarah K.; DelGaudio, John M.; Chowdhury, Naweed I.; Levy, Joshua M.

doi:10.1002/lary.27069

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…Tissue necrosis has also been associated with intranasal opioid and acetaminophen abuse 93–95 . Possible mechanisms of injury include hyperosmotic conditions, vasculitic‐like inflammation, or direct injury secondary to talc 95,96 …”

Section: Definitions Classification and Differential Diagnosis Of All...mentioning

confidence: 99%

International consensus statement on allergy and rhinology: Allergic rhinitis – 2023

Wise

Damask

Roland

et al. 2023

Int Forum Allergy Rhinol

Self Cite

113

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Background In the 5 years that have passed since the publication of the 2018 International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (ICAR‐Allergic Rhinitis 2018), the literature has expanded substantially. The ICAR‐Allergic Rhinitis 2023 update presents 144 individual topics on allergic rhinitis (AR), expanded by over 40 topics from the 2018 document. Originally presented topics from 2018 have also been reviewed and updated. The executive summary highlights key evidence‐based findings and recommendation from the full document. Methods ICAR‐Allergic Rhinitis 2023 employed established evidence‐based review with recommendation (EBRR) methodology to individually evaluate each topic. Stepwise iterative peer review and consensus was performed for each topic. The final document was then collated and includes the results of this work. Results ICAR‐Allergic Rhinitis 2023 includes 10 major content areas and 144 individual topics related to AR. For a substantial proportion of topics included, an aggregate grade of evidence is presented, which is determined by collating the levels of evidence for each available study identified in the literature. For topics in which a diagnostic or therapeutic intervention is considered, a recommendation summary is presented, which considers the aggregate grade of evidence, benefit, harm, and cost. Conclusion The ICAR‐Allergic Rhinitis 2023 update provides a comprehensive evaluation of AR and the currently available evidence. It is this evidence that contributes to our current knowledge base and recommendations for patient evaluation and treatment.

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Section: Definitions Classification and Differential Diagnosis Of All...mentioning

confidence: 99%

International consensus statement on allergy and rhinology: Allergic rhinitis – 2023

Wise

Damask

Roland

et al. 2023

Int Forum Allergy Rhinol

Self Cite

113

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“…For instance, cleft lip and palate is a congenital anomaly (developmental), while medical issues such as oral cancers, neurological damage, and structural injuries are acquired deficits. One type of structural injury is that of palatal lesions due to substance abuse (Hardison et al, 2015;Morrison et al, 2017;Peyriere et al, 2013;Ruscello et al, 2016). Abuse of illegal drugs or misuse of prescription drugs is a significant problem in the United States and eradicating the problem is a primary concern (Banken, 2004;Wilson et al, 2020).…”

mentioning

confidence: 99%

Treating Velopharyngeal Insufficiency in a Case of Substance Abuse: A New Client Population

Ruscello

Armeni

2022

Perspect ASHA SIGs

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Objective A case study is presented to illustrate the management of a patient who presented with significant tissue damage of the soft palate due to substance abuse, which involved the inhalation of drugs. Method The patient was seen in a university medical center cleft palate clinic upon referral from a mental health facility with reported speech and swallowing problems. Perceptual and physiologic speech testing, a behavioral swallowing assessment, and other interdisciplinary assessments were conducted to confirm the patient's complaints and develop a treatment plan. Results A speech appliance was fabricated to correct the defect and follow-up testing showed improvement in both speech and swallowing skills. Perceptual assessment indicated improved resonance balance and reduction in audible nasal emission, while physiologic testing revealed decreased nasal airflow. The team successfully implemented a plan to correct the patient's speech, resonance, and swallowing problems. Conclusions Substance abuse is now a significant national crisis and patients may need a range of services depending on their complex of problems. Some individuals may need assistance with speech, resonance, and swallowing disorders and require prosthetic intervention provided via interdisciplinary management from a cleft palate team.

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Intranasal tissue necrosis associated with opioid abuse: Case report and systematic review

Cited by 2 publications

References 21 publications

International consensus statement on allergy and rhinology: Allergic rhinitis – 2023

International consensus statement on allergy and rhinology: Allergic rhinitis – 2023

Treating Velopharyngeal Insufficiency in a Case of Substance Abuse: A New Client Population

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