title: Prosthetic and surgical management of oronasal communications secondary to cocaine abuse.
abstract: Oronasal communications are serious sequelae of chronic cocaine abuse. If left untreated, these communications can severely limit a patient's quality of life. The defects can be rehabilitated successfully utilizing either maxillofacial prosthetics or various surgical techniques. Considerations in deciding between prosthetic and surgical approaches are discussed, as well as the basics of maxillofacial prosthetic rehabilitation and the different surgical techniques available. Photographic documentation of both maxillofacial prosthetic and surgical treatments performed by the authors is shown.
authors.affiliation: Wyckoff Heights Medical Center, Brooklyn, NY, USA. garynord@gmail.com
authors.forename: Gary A
authors.initials: GA
authors.lastname: Nord
authors.forename: Alexander
authors.initials: A
authors.lastname: Rock
authors.forename: Francis J
authors.initials: FJ
authors.lastname: Murphy
authors.forename: Ilya
authors.initials: I
authors.lastname: Miloslavskiy
authors.forename: David J
authors.initials: DJ
authors.lastname: Miller
authors.forename: Burton S
authors.initials: BS
authors.lastname: Wasserman
mesh_terms: D019970:Cocaine-Related Disorders / Q000150:complications*; D017267:Dental Prosthesis Design; D058752:Free Tissue Flaps; D006801:Humans; D009296:Nasal Cavity / Q000473:pathology; D009300:Nasal Septum / Q000473:pathology; D009668:Nose Diseases / Q000601:surgery / Q000628:therapy*; D016155:Oral Fistula / Q000601:surgery / Q000628:therapy*; D010158:Palatal Obturators; D010160:Palate, Soft / Q000473:pathology; D010347:Patient Care Planning; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods*; D016156:Respiratory Tract Fistula / Q000601:surgery / Q000628:therapy*; D013524:Surgical Flaps / Q000145:classification