Rare case of naso-oral fistula with extensive osteocartilaginous necrosis secondary to cocaine abuse: review of otorhinolaryngological presentations in cocaine addicts.

J Lancaster, A Belloso, C A Wilson, M McCormick

Journal: The Journal of laryngology and otology 2000;114(8):630-3

PMID: 11027056

Abstract

We report what we believe to be only the 10th case of palatal necrosis secondary to cocaine abuse in a 33-year-old female patient. Extensive necrosis also involved the cartilaginous and bony septum and paranasal sinuses. Following exclusion of other mid-line destructive diseases her treatment involved saline douches and cessation of cocaine. She remains under review within the department with no evidence of progressive disease. We present a review of the other nine cases of palatal necrosis reported in the world literature and demonstrate a greater incidence in female users. The various presenting conditions of cocaine abuse encountered within the head and neck region by the otorhinolaryngologist are then discussed.

Address: Department of Otolaryngology, Royal Liverpool University Hospital, UK.

DOI: 10.1258/0022215001906345

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https://medlineplus.gov/noseinjuriesanddisorders.h...

MeSH Terms: Adult, Cocaine-Related Disorders, Female, Humans, Nasal Septum, Nose Diseases, Oral Fistula, Osteonecrosis, Palate, Respiratory Tract Fistula, Sodium Chloride, Therapeutic Irrigation