Not really sure if this is the right place but I have a hole in my nose from doing cocaine about 5 years ago. This hole is growing in size even though I've stopped the drugs for over 3years now. My nose is falling apart and its really depressing me. What can I do to fix it, I know the cartilage wont grow back so for the last 1.5 yrs I've been putting Ayr nasal gel and petroleum jelly on the exposed cartilage. Now the whole nose is caving in on me and there is a hole the size of my index finger that can almost fit through from one side to another. PLEASE HELP in any way possible.
What to do about the hole in my nose?
Doctor Answers 22
Need to see an ENT surgeon ASAP
You should see an ENT surgeon ASAP for proper evaluation and instructions on performing nasal washes to prevent a chronic nasal infection. It's unwise to place any oil based product inside the nose as this can cause lipoid pneumonia if it gets into the lungs. Ayr is water based and would not be in this category, but petroleum jelly is oil-based.
Nasal septal perforations and saddle nose deformity
Collapse of your nose may require evaluation and possibly a biopsy.
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Treating the Hole in Your Nose
Hole in your nose is called a septal perforation
Septal perforations are holes in your septum. They can happen because of cocaine use, among many reasons. A surgeon with an ENT (Otolaryngology) background is a specialist in this problem and may be able to help you.
Hole in the nose and nasal collapse
The hole in your nose is called a septal perforation, and it is not uncommon in cocaine users. If they are small and are not causing much of a problem, they can be treated symptomatically (with Ayr solution) or they can be closed with a small silastic "button" or surgery. It sounds like yours has become larger and more troublesome with some collapse of the nasal dorsum. In this case I would encourage you to seek consultation with an experienced ENT physician, or with one of us that are double-boarded in ENT and plastic surgery. This can be improved but may take several surgeries, and the use of cartilage and rib grafts rather than any type of silicone like products for support of your nose. Good luck, and I would seek help as soon as possible
Septal perforation and nasal collapse from cocaine use
You should have your nose examined by someone experienced with septal problems to see what's going on specifically in your nose. Cocaine use is a common etiology of such a problem. Depending on its size it may be amenable to closure.
To address the outward changes to your nose cartilage grafting typically needs to be done. Seeing a board certified facial plastic surgeon or plastic surgeon with experience in fixing noses damaged by cocaine would be the way to go.
Congratulations on no longer being on cocaine. It sounds like you will need nasal reconstruction wth a rib cartilage graft to support the nose. The septal perforation may be able to be repaired. Sometimes, depending on the symptoms and the configuration of the peforation it is better to remove some exposed carilage or bone to facilitate more stable healing of the mucosa. You should see an ENT physician or a double boarded ( ENT +plastic surgery) plastic surgeon or a plastic surgeon with special interest in nasal surgery.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.