Cocaine-induced oronasal fistulas with external nasal erosion but without palate involvement

Ronald J. Vilela, Carol Langford, Linda McCullagh, Erik S. Kass

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)562-563
Number of pages2
JournalEar, Nose and Throat Journal
Issue number8
StatePublished - Aug 2002

ASJC Scopus subject areas

  • Otorhinolaryngology


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