可卡因滥用后行鼻内手术：任何间隔时间都安全吗？
Endonasal surgery after cocaine abuse: safe at any interval?
作者信息
Døsen L K, Haye R
机构信息
The Department of Otorhinolaryngology, Lovisenberg Diakonale Hospital, 0440 Oslo, Norway.
出版信息
Case Rep Otolaryngol. 2012;2012:823470. doi: 10.1155/2012/823470. Epub 2012 Jul 9.
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.
目的。我们报告一例在停止可卡因滥用十年后，因鼻中隔穿孔接受鼻内手术后愈合不良的病例。方法。介绍临床发现。结果。一名35岁男性因可卡因滥用导致鼻中隔小穿孔。他在十年前就已停止使用可卡因，因此认为手术是安全的。采用鼻内入路对穿孔进行手术封闭。然而，穿孔复发，切口愈合延迟，并出现鞍鼻畸形。结论。可卡因滥用的影响似乎持续存在，导致鼻手术后愈合不良。修复治疗应作为首选。即使在滥用终止多年后，对于因可卡因滥用导致的小穿孔，考虑手术时也应谨慎。
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