Perforated nasal septum due to coke?

Yes. Septal perforations typically result from trauma, prior surgery, intranasal drug use including Cocaine or for unknown reasons. This can be treated with observation, placement of a small flexible silicone "plug" or surgery. I hope this information is helpful. Stephen weber, M.D. Lone tree facial plastic surgeon.
Perforated septum. Coke use is a common cause of a septal perforation. Have your nose evaluated by a board certified otolaryngologist,
Common sideffect. Septal perforation from nasal Cocaine abuse is common and can cause severe functional problems with the nose, sinuses, and can lead to collapse of the external nose.