Cocaine is the most commonly used illicit stimulant in both the United States and Europe. More than 4% of young British adults have used cocaine in the last year. Nearly 20% of U.S. adults have tried it at least once. It's still mostly a drug of young people but it is the only drug for which rates of use are rising in adults over 40. These are so-called "silver snorters."

So as cocaine use becomes more prevalent, can ENT surgeons expect to be faced with an increasing number of patients with cocaine-related nasal deformity?

To tell us more about this crucial topic are Professor Alwyn D'Souza (Consultant Otolaryngologist and Facial Plastic Surgeon at University Hospital Lewisham, King's College in London, and President of the European Academy of Facial Plastic Surgery) and Dr Adam Chaker (EUFOREA CRS and EPOS Panel Member, and Rhinologist at the Department of Otorhinolaryngology of the Technical University of Munich, in Germany).

🗣 Interview with Prof. Alwyn D'Souza
2:26 How often do you see nose problems related to cocaine abuse? How big is the problem?
3:01 Are you surprised by the prevalence increasing?
3:58 What are the short-term effects of inhalation of cocaine?
4:57 Side effects: What does the use of cocaine do in terms of nasal congestion, vasoconstriction?
5:43 What about the repeated use from your patients?
8:50 How much cocaine do you have to take to get the breakdown of the pathological changes?
9:45 How do you diagnose a suspicion of cocaine abuse in your patients?
10:42 From the paper you published, how do you go about treating these patients?
📄Paper on 'Care of the Cocaine User with Nasal Deformity' published in PubMed: [ Ссылка ]

🗣 Interview with Dr Adam Chaker
12:41 Do you also see an increasing prevalence of nasal problems related to cocaine abuse in Germany?
15:30 What does the biggest damage: the cocaine or the cutting agents?
18:07 What message can we send to the wider community: patients, lawmakers, physicians?

More info here [ Ссылка ]

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