We report the case of a patient with severe myocardial dysfunction after nasal infiltration of cocaine during septoplasty. Complete recovery of myocardial function was observed in twelve days. Several reports have described chronic cardiomyopathy in long-term cocaine users, but only one case of acute cardiomyopathy. None of these cases were related to the medical use of cocaine.

Septoplasty is the main surgical procedure to overcome nasal obstruction caused by septal deviation [1] and is one of the most common operations in otorhinolaryngology [2]. It has a long history with multiple variations, but the core principles have remained unchanged for decades [3]. But this surgery may be associated with numerous complications such as post-operative nasal bleeding, septal he...

Introduction: Deviated nasal septum (DNS) is one of the most common causes obstruction. However, there are several other etiologies which cause difficulty in breathing. The definitive treatment symptomatic DNS septoplasty. efficacy septoplasty remains controversial as no solid tools for clinical evaluation patients establishment reliable statistical data. Our aim was to evaluate who have underg...

The anatomy of the nasal skeleton in newborns and adults are not alike. The complete cartilaginous framework of the neonatal nose becomes partly and gradually ossified during the years of growth and is more vulnerable to trauma in that period. Injury in the early youth may have large consequences for development of a nasal deformity which will increase during growth and reach its peak during an...

OBJECTIVES To describe our technique in the treatment of significant caudal septal deviation; to evaluate the effectiveness of our technique of caudal septoplasty in the treatment of caudal septal deviations. DESIGN Retrospective review of cases taken from a database of more than 2000 patients who underwent rhinoplasty performed by 1 surgeon in a private facial plastic surgery practice. RES...

The nasal septum repair surgery is the dangerous operations that any stimulation of this area causes a large change in the rhythm of the heartbeat and blood pressure. This study aimed to determine the effects of tetracaine 0.5% on changes in heartbeat and heart rhythm, hemodynamic changes during surgery, intraoperative bleeding, and pain after septoplasty surgery. The irregular double-blind cli...

OBJECTIVE To evaluate the usefulness of septal batten grafts to correct cartilaginous septal deformities in endonasal septoplasty. DESIGN Retrospective study. SETTING University medical center. PATIENTS Of 430 patients who underwent endonasal septoplasties from January 2006 to January 2011, 30 received septal batten grafts and were enrolled in the study. Twenty-eight patients were male an...

BACKGROUND Septoplasty is one of the most common surgeries in otorhinolaryngology. After septal surgery nasal packing is usually done to prevent complications like haemorrhage, septal haematoma. However it is associated with many postoperative complications such as pain, hypoxia, dryness in throat, headache, epiphora, vestibular stenosis, crusting, synaechiae, secondary infection etc. In order ...

The main problem in the treatment of obstructive sleep apnea syndrome (OSAS) with nasal continuous airway pressure (nCPAP) is the lack of compliance. One of the most important reasons for no compliance is the adverse effects of this treatment. We analyse, prospectively, 182 patients treated with nCPAP in order to show the relationship between previous nasal problems and adverse effects of nCPAP...