When cocaine destroys more than the nasal septum: From the palate to the skull base

A recent congress highlighted severe complications from daily cocaine use, including extensive damage to the nasal area and skull. One case involved a man whose cocaine use led to a perforated septum, palate destruction, and cerebrospinal fluid leakage, ultimately resulting in his death. Cocaine constricts blood vessels, causing tissue death and perforations, often unnoticed until severe damage occurs. Infections can worsen the condition, and adulterants like levamisole exacerbate risks. Another case involved a woman who lost vision due to cocaine damage to her eye socket, requiring extensive surgery. Stopping cocaine use is crucial for recovery and successful surgical outcomes.