Palatal perforation and chemical ulcers of the tongue in a blind patient

Abstract

We report a unique case of a potassium aluminum sulfate oral dissolution leading to palatal chemical necrosis and extensive chemical ulcers on the tongue. The patient, a 47-year-old white, blind male, denied using cocaine or other illegal drugs that could cause such lesions. His self-medication started as a treatment for a traumatic ulcerative lesion on the hard palate. After palatal perforation, he started another self-medication routine, mixing corticoid cream and tandrilax tablets with a gauze obturator. Our treatment comprised the removal of all chemical factors, a surgical debridement, and a prosthetic obturator to resolve the communication. The 1-year follow-up showed no complications.

Multiple oral sinus tract and trismus leading to a surprising diagnosis of osteopetrosis: Case report

“…7 The case reported here involves blind patient, in which there was greater care provided by a team of professionals, with clarity in communication prioritized so that there was no obstacle in the treatment of the patient. Pinheiro et al 25 discussed a blind patient who self-medicated, triggering serious consequences such as palatal perforation and ulcers of the tongue. This shows that self-treatment without seeking professional advice is a common cause of injury, and that is why our team was extremely careful when passing on information to the patient.…”

“…The case reported here involves blind patient, in which there was greater care provided by a team of professionals, with clarity in communication prioritized so that there was no obstacle in the treatment of the patient. Pinheiro et al 25 . discussed a blind patient who self‐medicated, triggering serious consequences such as palatal perforation and ulcers of the tongue.…”

Low-Level Laser Therapy Approach of Bilateral Necrotizing Sialometaplasia of the Hard and Soft Palates

“…22 Even simple traumatic ulcers, when addressed with the improper application of chemicals and/or medications, could develop extensive palatal necrosis, leading to palatal perforation. 23 Although different pathogens may cause infectious ulcers on the oral cavity, it is important to observe specific clinical characteristics that could support the diagnostic hypothesis. Table 1 provides the most relevant oral features of bacterial, viral and fungal ulcers for differential diagnosis, as well as the need for biopsy procedures and the usual therapeutic approach.…”