Cocaine-induced midline destructive lesions

Cocaine-induced midline destructive lesions (CIMDL), colloquially known as "coke nose", is the progressive destruction of nasal architecture with the erosion of the palate, nasal conchae, and ethmoid sinuses associated with prolonged insufflation, colloquially 'snorting', of cocaine. The condition begins with erosion of mucusal lining and progress with damage to nasal cartilaginous and bony structures.