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Palatal perforation and chemical ulcers of the tongue in a blind patient
Author(s) -
Pinheiro Tiago Novaes,
Fayad Flavio,
Júnior Luiz Roberto Magalhães,
Nichthauser Brigitte,
Braga Francisco,
Passos Shirley Maria
Publication year - 2017
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/scd.12235
Subject(s) - medicine , tongue , perforation , debridement (dental) , surgery , lesion , dentistry , surgical debridement , pathology , materials science , punching , metallurgy
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.