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Necrotic lesion in the palate

Published:October 01, 2021DOI:https://doi.org/10.1016/j.oooo.2021.09.013
      A 38-year-old female patient was referred to our department of oral pathology with a chief complaint of a painless and nonhealing “hole in her palate” with an evolution time of 30 days. Clinical examination revealed an area of necrosis affecting the left posterior region of the hard palate (Figure 1), and imaging examinations demonstrated no sign of oronasal communication. No palpable cervical lymph node was found. The patient reported a 3-year history of cigarette smoking, approximately 40 cigarettes per day, and she presented with a nonproductive cough lasting for 6 months, considered a complication of the smoking habit. No other relevant medical history that could have influenced the development of necrosis in the region, such as radiotherapy treatment or use of bisphosphonates, was reported.
      Fig 1
      Fig. 1Initial appearance of the oral injury, presenting clinically as a necrotic ulcer.
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