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Endonasal Surgery after Cocaine Abuse: Safe at Any Interval?

Objective. We report a case of poor healing after endonasal surgery for nasal septal perforation ten years after cocaine abuse was ended. Method. The clinical findings are presented. Results. A 35-year-old man presented with a small nasal septal perforation caused by cocaine abuse. He had stopped us...

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Detalles Bibliográficos
Autores principales: Døsen, L. K., Haye, R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3420621/
https://www.ncbi.nlm.nih.gov/pubmed/22953124
http://dx.doi.org/10.1155/2012/823470
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author Døsen, L. K.
Haye, R.
author_facet Døsen, L. K.
Haye, R.
author_sort Døsen, L. K.
collection PubMed
description Objective. We report a case of poor healing after endonasal surgery for nasal septal perforation ten years after cocaine abuse was ended. Method. The clinical findings are presented. Results. A 35-year-old man presented with a small nasal septal perforation caused by cocaine abuse. He had stopped using it ten years previously so surgery was considered safe. The perforation was surgically closed using an endonasal approach. The perforation, however, recurred, the incision healing delayed, and a saddle deformity developed. Conclusion. The effects of cocaine abuse seem to persist causing poor healing after nasal surgery. Prosthetic treatment should be the primary choice. Caution should be employed when considering surgery even in small perforations due to cocaine abuse even many years after the abuse was terminated.
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spelling pubmed-34206212012-09-05 Endonasal Surgery after Cocaine Abuse: Safe at Any Interval? Døsen, L. K. Haye, R. Case Rep Otolaryngol Case Report Objective. We report a case of poor healing after endonasal surgery for nasal septal perforation ten years after cocaine abuse was ended. Method. The clinical findings are presented. Results. A 35-year-old man presented with a small nasal septal perforation caused by cocaine abuse. He had stopped using it ten years previously so surgery was considered safe. The perforation was surgically closed using an endonasal approach. The perforation, however, recurred, the incision healing delayed, and a saddle deformity developed. Conclusion. The effects of cocaine abuse seem to persist causing poor healing after nasal surgery. Prosthetic treatment should be the primary choice. Caution should be employed when considering surgery even in small perforations due to cocaine abuse even many years after the abuse was terminated. Hindawi Publishing Corporation 2012 2012-07-09 /pmc/articles/PMC3420621/ /pubmed/22953124 http://dx.doi.org/10.1155/2012/823470 Text en Copyright © 2012 L. K. Døsen and R. Haye. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Døsen, L. K.
Haye, R.
Endonasal Surgery after Cocaine Abuse: Safe at Any Interval?
title Endonasal Surgery after Cocaine Abuse: Safe at Any Interval?
title_full Endonasal Surgery after Cocaine Abuse: Safe at Any Interval?
title_fullStr Endonasal Surgery after Cocaine Abuse: Safe at Any Interval?
title_full_unstemmed Endonasal Surgery after Cocaine Abuse: Safe at Any Interval?
title_short Endonasal Surgery after Cocaine Abuse: Safe at Any Interval?
title_sort endonasal surgery after cocaine abuse: safe at any interval?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3420621/
https://www.ncbi.nlm.nih.gov/pubmed/22953124
http://dx.doi.org/10.1155/2012/823470
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