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A large oronasal defect

BMJ 2024; 385 doi: (Published 18 April 2024) Cite this as: BMJ 2024;385:e079667
  1. Manuel Schoch, junior consultant,
  2. Christoph Schlegel, vice chairman
  1. Department of Otolaryngology, Head and Neck Surgery, Lucerne University Hospital, Lucerne, Switzerland
  1. Correspondence to: M Schoch Manuel.Schoch{at}

A man in his late 50s with a history of regular cocaine use reported dysphagia, weight loss, and sticking chewing gum to his hard palate to stop food entering his nose (fig 1). On examination he had a nasal voice …

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