Warnings of facial damage from cocaine use
Summary
Consultant ENT surgeon Brendan Fennessy discusses the severe rise in cocaine-induced nasal and mid-facial damage seen in Irish hospitals. He explains that additives like levamisole cause intense inflammation, leading to septal perforations, bone erosion, and potential damage to the eyes or brain. Fennessy notes that while surgery can manage symptoms, it cannot fully restore the nose, making addiction support crucial. The segment highlights the need for early assessment of symptoms like persistent nosebleeds or crusting to prevent catastrophic structural collapse.
Topics discussed
Introduction: Rising cocaine-related ENT damage
Beyond septal perforation: The scope of damage
The role of adulterants like levamisole
Mechanism of injury: Inflammatory response
Early symptoms: Lining damage and crusting
Severe complications: Bone and structural collapse
External skin damage and cosmetic changes
Prevalence: Seeing 12 patients weekly
Differential diagnosis: Ruling out other causes
Treatment overview: Cessation and supportive care
Limitations of surgical repair
Timeline for damage: Frequency and duration
Patient motivations and non-judgmental approach
Warning signs: When to seek medical assessment
Listener feedback and closing remarks
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