title: Palatal and nasal necrosis resulting from cocaine misuse.
abstract: The potential social and economic harm caused by cocaine addiction is well known. The wider health risks and potential nasal complications of septal perforation and nasal collapse are also recognised. We report a case of oro-nasal fistula secondary to cocaine misuse and discuss the aetiology, management and potential methods of repair.
authors.affiliation: Kent and Canterbury Hospital, Ethelbert Road, Canterbury, Kent, CT 3NG. nicgoodger@aol.com
authors.forename: N M
authors.initials: NM
authors.lastname: Goodger
authors.forename: J
authors.initials: J
authors.lastname: Wang
authors.forename: M A
authors.initials: MA
authors.lastname: Pogrel
mesh_terms: D000280:Administration, Inhalation; D000328:Adult; D003042:Cocaine / Q000008:administration & dosage / Q000009:adverse effects*; D019970:Cocaine-Related Disorders / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D009668:Nose Diseases / Q000209:etiology* / Q000601:surgery; D016155:Oral Fistula / Q000209:etiology / Q000601:surgery; D010020:Osteonecrosis / Q000209:etiology* / Q000601:surgery; D021362:Palate, Hard / Q000473:pathology* / Q000601:surgery; D016156:Respiratory Tract Fistula / Q000209:etiology / Q000601:surgery; D012225:Rhinoplasty
chemical_list: D003042:Cocaine