Sinonasal Osteocartilaginous Necrosis in Cocaine Abusers: Experience in 25 Patients

Abstract

Any sinonasal inflammation involving the midline that persists or remains refractory to treatment may be the first manifestation of potentially lethal drug addiction. Cocaine abuse should be considered in the differential diagnosis of destructive lesions of the nasal cavity even in the presence of a positive ANCA test.