Cocaine-induced oronasal fistulas with external nasal erosion but without palate involvement.
The effects of chronic cocaine abuse have been widely described in the literature. Common complications include nasal septal perforation, saddle-nose deformity, and palatal perforation. Erosion of the external structures of the face has not been as extensively described, nor have oronasal fistulas that involve structures other than the hard or soft palate. In this article, we present the first reported case of cocaine-induced external nasal erosion that included multiple oronasal fistulas in the anterior gingival sulcus but did not involve the hard or soft palate. We stress the importance of a thorough history in such patients and consideration of all possible diagnoses, including drug abuse.
Vilela
Ronald J
RJ
National Institute of Deafness and Other Communication Disorders, National Institutes of Health, Bldg. 10, Room 5C400, 10 Center Dr., MSC 1750, Bethesda, MD 20892-1750, USA.
Langford
Carol
C
McCullagh
Linda
L
Kass
Erik S
ES
D000328:Adult; D001707:Biopsy, Needle; D003042:Cocaine / Q000009:adverse effects*; D019970:Cocaine-Related Disorders / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009667:Nose Deformities, Acquired / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D009668:Nose Diseases / Q000139:chemically induced* / Q000150:complications / Q000601:surgery; D016155:Oral Fistula / Q000139:chemically induced* / Q000150:complications / Q000601:surgery; D021362:Palate, Hard / Q000503:physiopathology; D010160:Palate, Soft / Q000503:physiopathology; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed
D003042:Cocaine