Case Report: Severe Upper Lip and Hard Palate Necrosis Associated With Chronic NSAID Abuse

Drago Jelovac ,
Drago Jelovac

Clinic for Maxillofacial Surgery, School of Dentistry, University of Belgrade , Belgrade , Serbia

Danilo Nikolić ,
Danilo Nikolić

Department of Maxillofacial Surgery, Zemun Clinical Hospital Center , Belgrade , Serbia

Aleksandar Oroz
Aleksandar Oroz

Department of Maxillofacial Surgery, Zemun Clinical Hospital Center , Belgrade , Serbia

Published: 31.03.2025.

Volume 39, Issue 1 (2025)

https://doi.org/10.63696/TMJ202501182

Abstract

A 67-year-old woman experienced extensive soft-tissue ulceration of the right upper lip and adjacent maxillary bone as a consequence of attempted abuse of aspirin (NSAID). All oral lesions healed within 28 days after local and systemic therapy. Oral ulceration has many potential causes ranging from physical trauma to malignancy. Chemicals are a less common cause of traumatic ulceration. Most chemical burns are characterized by mild to moderate tissue damage that heals spontaneously within seven to 15 days without scarring. The primary intervention involves discontinuing the aspirin use and addressing the underlying vascular compromise. Treatment may include supportive measures, wound care, and in severe cases, reconstructive surgery.

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