Limits...
Maxillary sinus manifestations of methamphetamine abuse.

Faucett EA, Marsh KM, Farshad K, Erman AB, Chiu AG - Allergy Rhinol (Providence) (2015)

Bottom Line: Use of this drug affects multiple organ systems and causes a variety of clinical manifestations.Computed tomography and magnetic resonance imaging studies revealed loculated purulent collections within the maxillary sinus of probable odontogenic origin in both patients.Methamphetamine abuse leading to rampant caries and poor oral hygiene may predispose individuals for craniofacial infections and fluid collections.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Arizona College of Medicine, Tucson, Arizona, USA.

ABSTRACT
Methamphetamines are the second most commonly used illicit drug worldwide and cost the United States health-care system ∼$23.4 billion annually. Use of this drug affects multiple organ systems and causes a variety of clinical manifestations. Although there are commonly known sequelae of methamphetamine abuse such as "meth mouth," there is limited evidence regarding maxillary sinus manifestations. The following cases highlight the initial evaluation and management of two methamphetamine abusers with loculated purulent collections within the maxillary sinus as a result of methamphetamine abuse. Our aim was to delineate the otolaryngologic symptoms associated with the patients' methamphetamine abuse. Computed tomography and magnetic resonance imaging studies revealed loculated purulent collections within the maxillary sinus of probable odontogenic origin in both patients. Methamphetamine abuse leading to rampant caries and poor oral hygiene may predispose individuals for craniofacial infections and fluid collections. These cases illustrate the development of maxillary sinusitis and maxilla mucoceles that have been associated with methamphetamine use.

No MeSH data available.


Related in: MedlinePlus

Hypodense rim-enhancing fluid collection abutting and wrapping around the buccal surface of maxilla bilaterally. There is inflammatory stranding in the soft tissues overlying maxilla, left cheek, and mandibular region and of the bilateral retroantral fat pad.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4388881&req=5

Figure 3: Hypodense rim-enhancing fluid collection abutting and wrapping around the buccal surface of maxilla bilaterally. There is inflammatory stranding in the soft tissues overlying maxilla, left cheek, and mandibular region and of the bilateral retroantral fat pad.

Mentions: A 21-year-old woman with a history of intravenous heroin use with inhaled methamphetamine use presented to the ED with intermittent right upper molar pain for the past year. She reported an increase in severity of pain a few days before admission with associated right facial swelling. On examination the patient had right facial swelling over her cheek and preauricular region with no erythema or fluctuance. The patient had tenderness to palpation of the right maxillary canine with no periodontal erythema or swelling. No buccal induration or fluctuance was noted bilaterally. Her WBC count was within normal limits and urine toxicology was positive for amphetamines, cannabinoids, and opiates. Maxillofacial CT (Fig. 3) showed a 13-mm hypodense rim-enhancing fluid collection abutting and wrapping around the buccal surface of the maxillae bilaterally. Inflammatory stranding in the soft tissues overlying the maxilla, left cheek, and mandibular region in addition to bilateral retroantral fat pads suggested an abscess of odontogenic origin.


Maxillary sinus manifestations of methamphetamine abuse.

Faucett EA, Marsh KM, Farshad K, Erman AB, Chiu AG - Allergy Rhinol (Providence) (2015)

Hypodense rim-enhancing fluid collection abutting and wrapping around the buccal surface of maxilla bilaterally. There is inflammatory stranding in the soft tissues overlying maxilla, left cheek, and mandibular region and of the bilateral retroantral fat pad.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4388881&req=5

Figure 3: Hypodense rim-enhancing fluid collection abutting and wrapping around the buccal surface of maxilla bilaterally. There is inflammatory stranding in the soft tissues overlying maxilla, left cheek, and mandibular region and of the bilateral retroantral fat pad.
Mentions: A 21-year-old woman with a history of intravenous heroin use with inhaled methamphetamine use presented to the ED with intermittent right upper molar pain for the past year. She reported an increase in severity of pain a few days before admission with associated right facial swelling. On examination the patient had right facial swelling over her cheek and preauricular region with no erythema or fluctuance. The patient had tenderness to palpation of the right maxillary canine with no periodontal erythema or swelling. No buccal induration or fluctuance was noted bilaterally. Her WBC count was within normal limits and urine toxicology was positive for amphetamines, cannabinoids, and opiates. Maxillofacial CT (Fig. 3) showed a 13-mm hypodense rim-enhancing fluid collection abutting and wrapping around the buccal surface of the maxillae bilaterally. Inflammatory stranding in the soft tissues overlying the maxilla, left cheek, and mandibular region in addition to bilateral retroantral fat pads suggested an abscess of odontogenic origin.

Bottom Line: Use of this drug affects multiple organ systems and causes a variety of clinical manifestations.Computed tomography and magnetic resonance imaging studies revealed loculated purulent collections within the maxillary sinus of probable odontogenic origin in both patients.Methamphetamine abuse leading to rampant caries and poor oral hygiene may predispose individuals for craniofacial infections and fluid collections.

View Article: PubMed Central - PubMed

Affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Arizona College of Medicine, Tucson, Arizona, USA.

ABSTRACT
Methamphetamines are the second most commonly used illicit drug worldwide and cost the United States health-care system ∼$23.4 billion annually. Use of this drug affects multiple organ systems and causes a variety of clinical manifestations. Although there are commonly known sequelae of methamphetamine abuse such as "meth mouth," there is limited evidence regarding maxillary sinus manifestations. The following cases highlight the initial evaluation and management of two methamphetamine abusers with loculated purulent collections within the maxillary sinus as a result of methamphetamine abuse. Our aim was to delineate the otolaryngologic symptoms associated with the patients' methamphetamine abuse. Computed tomography and magnetic resonance imaging studies revealed loculated purulent collections within the maxillary sinus of probable odontogenic origin in both patients. Methamphetamine abuse leading to rampant caries and poor oral hygiene may predispose individuals for craniofacial infections and fluid collections. These cases illustrate the development of maxillary sinusitis and maxilla mucoceles that have been associated with methamphetamine use.

No MeSH data available.


Related in: MedlinePlus