Paris Jackson, the 27-year-old daughter of the late Michael Jackson opened up about drug earlier indulgence in drugs. In a TikTok video, she showed off her 'perforated septum'. She said, "I have a really loud whistle when I breathe through my nose. And that is because I have what is called a perforated septum," she explained, noting it’s "slightly different from a deviated septum."She said this happened from drugs and said in her video "That is from what you think it's from. Don't do drugs, kids."Paris Jackson shared with her fans about her six-year achievement of staying sober, however, she says that she still lives the consequences. However, she notes that she currently does not plan to undergo surgery to fix her nose, because "you have to take pills when you have a surgery that gnarly."Perforated Nose From Drug UseThis is commonly called the Coke Nose. A 2013 study from the Iranian Journal of Otorhinolaryngology states that perforation of the nasal septum is an uncommon condition. When it occurs, its cause is most often idiopathic or traumatic. Nasal septum perforation may also be the presenting sign of drug addiction or a potentially life-threatening or serious systemic illness, even in an asymptomatic patient. This happens due to intranasal drug abuse, common with cocaine, heroin, and other opioids.What Is A Coke Nose?It is a colloquial term used for the nasal damage caused by prolonged cocaine use. Damage can range from mild to severe, leading to conditions such as a deviated septum, a perforated septum (hole in the nose from coke), or saddle nose deformity. People who inhale its vapors (known as freebasing) or snort cocaine through their nose put themselves at risk for the following conditions.Chronic nasal insufflation (snorting) of cocaine often causes recurrent, painful sinus infections. This is particularly severe in users with damage like nasal perforations, or a palatal perforation (a hole between the mouth's roof and nasal cavity).The persistent damage and irritation enable bacteria or fungus to colonize the sinuses. Such infections can be serious, potentially increasing tissue loss, causing deformities, and leading to life-threatening conditions.Chronic cocaine use can cause septal perforations in the nose and may also lead to a hole (perforation) in the oral palate. This perforation connects the mouth and nasal cavity, causing food and drink to leak into the nasal area. Since the nasal cavity cannot properly process food remnants, these remnants often get stuck in the sinuses, significantly increasing the risk of sinus infections and related issues.What Are The Common Symptoms Or Signs Of Coke Nose?Frequent nosebleedsFrequent runny noseRecurrent sinus infectionsDifficulty breathingSleep apneaNoisy breathingNose deformityCan Coke Nose Be Treated?Fortunately, many long-term effects of drug abuse are reversible or treatable. However, long-term resolution for conditions requiring surgical options, such as saddle nose correction or correction of septal or palatal perforations, depends entirely on the cessation of cocaine use.