Journal of Otology & RhinologyISSN: 2324-8785

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Case Report, J Otol Rhinol Vol: 3 Issue: 1

Lytic Lesion of the Clivus Following Intranasal Narcotic Abuse: First Case Report and Review of the Literature

Habib Rizk1*, Christine Emery2 and Neil Hockstein1
1Otolaryngology-Head and Neck Surgery, Christiana Care Health Systems, Delaware, USA
2Department of Radiology, Christiana Care Health Systems, Delaware, USA
Corresponding author : Habib Rizk
Otolaryngology – Head and Neck Surgery, Christiana Care Health Systems, Delaware, USA
Tel: 2154590435
E-mail: [email protected]
Received: October 28, 2013 Accepted: December 07, 2013 Published: December 15, 2013
Citation: Rizk H, Emery C, Hockstein N (2013) Lytic Lesion of the Clivus Following Intranasal Narcotic Abuse: First Case Report and Review of the Literature. J Otol Rhinol 3:1. doi:10.4172/2324-8785.1000139

Abstract

Lytic Lesion of the Clivus Following Intranasal Narcotic Abuse: First Case Report and Review of the Literature

Intranasal narcotic delivery is increasingly frequent due to avoidance of intravenous injection from fear of HIV and because of availability of prescription drugs to treat chronic pain syndromes. Extensive destruction of the midfacial structures has been reported for over a decade.This is the first reported case of clival erosion related to intranasal narcotic abuse. Radiologists and clinicians should be aware of this potential complication because delayed detection and ongoing abuse can result in progressive damage and diminished success of attempted surgical repair.

Keywords: Intranasal Narcotic; Lytic Lesion; Clivus

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