Trimarchi Matteo, Sykopetrites Vittoria, Bussi Mario
Department of Otorhinolaryngology, San Raffaele Scientific Institute, Via Olgettina 58, 20132 Milan, Italy.
Ear Nose Throat J. 2016 Jan;95(1):E36-8.
A cocaine-induced midline destructive lesion (CIMDL) is a rare consequence of cocaine insufflation that involves the nose, sinuses, and occasionally the palate. Palatal perforations compromise swallowing, mastication, and speech. An obturator prosthesis can be used to overcome these complications. In selected cases, a nasal septal button is a good alternative for the sealing of a palatal perforation, especially when surgery is not indicated, such as in cases of persistent cocaine abuse. Abstinence from cocaine is the most effective long-term management option for patients with a CIMDL, and surgical correction of the defect should be postponed until the patient stops sniffing cocaine and the lesion becomes stable. We describe the case of a 39-year-old cocaine abuser whose oronasal communication was plugged with a nasal septal button, which resulted in an immediate alleviation of his oronasal reflux.
可卡因诱发的中线破坏性病变（CIMDL）是可卡因经鼻吸入的一种罕见后果，累及鼻子、鼻窦，偶尔也会累及腭部。腭部穿孔会影响吞咽、咀嚼和言语功能。可以使用阻塞器假体来克服这些并发症。在某些特定情况下，鼻中隔钮是封闭腭部穿孔的良好替代方法，尤其是在不适合手术的情况下，例如持续滥用可卡因的病例。对患有CIMDL的患者而言，戒除可卡因是最有效的长期治疗选择，并且应推迟对缺损的手术矫正，直到患者停止吸食可卡因且病变变得稳定。我们描述了一名39岁可卡因滥用者的病例，其口鼻相通处用鼻中隔钮堵塞，这使其口鼻反流立即得到缓解。
