Brief Toxicology Communications

Journal of Medical Toxicology

, Volume 8, Issue 2, pp 240-241

Nasopharyngeal Necrosis After Chronic Opioid (Oxycodone/Acetaminophen) Insufflation

  • Christopher D. RosenbaumAffiliated withDepartment of Emergency Medicine, Division of Medical Toxicology, University of Massachusetts Medical Center Email author 
  • , Katherine L. BoyleAffiliated withDepartment of Emergency Medicine, University of Massachusetts Medical Center
  • , Edward W. BoyerAffiliated withDepartment of Emergency Medicine, Division of Medical Toxicology, University of Massachusetts Medical Center

Abstract

Nasopharyngeal necrosis resulting from narcotic insufflation is a recognized phenomenon, but cocaine use is more commonly associated with this pathology than opioid abuse. Physical exam findings associated with severe tissue destruction are not routinely seen on physical examination or available in the medical literature. We present a case of chronic oxycodone/acetaminophen insufflation and images of a defect in the soft palate.

Keywords

Opioid Oxycodone Percocet Insufflation Drug abuse