Contenido principal del artículo

Patricia Corriols-Noval
Hospital Universitario Marqués de Valdecilla
España
https://orcid.org/0000-0001-5440-7330
Beatriz Palmero-Sánchez
Universidad de Cantabria
España
Gianni Faelens
Hospital De Pretlei
Bélgica
https://orcid.org/0000-0002-0912-4814
Carmelo Morales-Angulo
Hospital Universitario Marqués de Valdecilla
España
https://orcid.org/0000-0002-4268-2762
Eugenia López-Simón
Hospital Universitario Marqués de Valdecilla
España
Vol. 13 Núm. 1 (2022), Artículo de revisión, Páginas e26581
DOI: https://doi.org/10.14201/orl.26581
Derechos de autor Cómo citar

Resumen

Introducción y objetivo: El consumo de cocaína se ha asociado a patología a múltiples niveles, pero ésta es especialmente relevante a nivel de cabeza y cuello, por ser la vía intranasal una de sus más frecuentes vías de consumo. Este trabajo describe las principales manifestaciones clínicas del consumo de cocaína en el área otorrinolaringológica, y se analizan algunos de los diagnósticos diferenciales que se han de descartar. Método: Se realizó una revisión bibliográfica vía, PubMed, Cochrane y Google Schoolar con artículos publicados entre 1999 y 2019 con la palabra cocaine junto con diferentes términos de búsqueda, siguiendo los criterios PRISMA para la selección de artículos. Resultados: La búsqueda inicial redujo los artículos a 641, finalizando la selección en 63 artículos, a los cuales se añadieron otros 66 desde otras fuentes. Finalmente, 129 artículos fueron incluidos en la presente revisión sistemática. Conclusiones: La necrosis de la línea media y la perforación septal son las manifestaciones más frecuentemente descritas asociadas al abuso de cocaína. Sin embargo, esta sustancia puede originar otras muchas lesiones en cabeza y cuello, generalmente de difícil diagnóstico, sobre todo cuando el paciente niega el abuso de sustancias.

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