Keywords
nasal damage
reconstruction
Categories
How to Cite
Abstract
Cocaine comes from the coca leaf, it is a substance that when consumed by inhalation can cause serious injuries to the nose. With lesions that start at the level of the mucosa, septal perforation, with loss of support at the level of the nasal tip, alar retraction, compromise and retraction of both wings, coverage planes, and floor of the nostrils.
Reconstruction is a challenge for the plastic surgeon. A therapeutic arsenal that goes from just making a cartilaginous framework to support the columella and nasal dorsum with rib, to internal and external coverage with more sophisticated flaps.
We believe that in order to treat these patients, they must be aware that it is a long road that requires many surgical times and that in advanced stages mucosal coverage is the greatest challenge.
References
Uruguay. Junta Nacional de Drogas. VI encuesta nacional en hogares sobre consumo de drogas: datos preliminares. Montevideo: Junta Nacional de Drogas, 2015. Disponible en: http://www.infodrogas.gub.uy/images/stories/pdf/vi_en- cuesta_hogares_2015.pdf [Consulta: 7 junio 2016].
Pascale A, Hynes M, Cumsille F, Bares C. Consumo de pasta base de cocaína en América del Sur: revisión de los as- pectos epidemiológicos y médico-toxicológicos. Washing- ton, DC: OEA, 2014. Disponible en: http://www.ci- cad.oas.org/oid/pubs/pbc.pdf. [Consulta: 13 setiembre 2016].
Becker G. Midline granuloma due to illicit cocaine use. Arch Otolaryngol Head Neck Surg. 1988;114:90.
MESSINGER E. Narcotic septal perforations due to drug addiction. JAMA. 1962 Mar 24;179:964-5. doi: 10.1001/jama.1962.03050120000013. PMID: 14472982.
Menick FJ, Salibian A. Primary intranasal lining injury cause, deformities, and treatment plan. Plast Reconstr Surg. 2014 Nov;134(5):1045-1056. doi: 10.1097/PRS.0000000000000694. PMID: 25347637.
Daniel RK. Rhinoplasty: Septal saddle nose deformityand composite reconstruction. Plast Reconstr Surg. 2007;119:1029–1943.
Sheen J, Sheen A. Aesthetic Rhinoplasty. Vol. 1 and 2, 2nd ed. St. Louis: Mosby; 1987.
Menick FJ, Salibian A. Microvascular repair of heminasal, subtotal, and total nasal defects with a folded radial forearm flap and a full-thickness forehead flap. Plast Reconstr Surg. 2011;127:637–651.
Walton RL, Burget GC, Beahm EK. Microsurgical reconstruction of the nasal lining. Plast Reconstr Surg. 2005 Jun;115(7):1813-29. doi: 10.1097/01.prs.0000164683.34767.2f. PMID: 15923823.
Burget G, Walton R. Optimal use of microvascular free flaps, cartilage grafts, and a paramedian forehead flap for the aesthetic reconstruction of the nose and adjacent facial units. Plast Reconstr Surg. 2007;120:1171–1207; discussion 1208–1216.
Braverman I, Raviv E, Frenkiel S. Severe avascular necrosis of the nasal chambers secondary to cocaine abuse. J Otolaryngol. 1999;28:351–353.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2023 Ivana Armand Hugon, Diego Gutiérrez, Eliana Camacho, Oscar Jacobo