Woakes’ Syndrome; Rare Manifestation of Nasal Polyposis: Experience of Seven Patients

IF 0.2 Q4 OTORHINOLARYNGOLOGY
Caglar Gunebakan, Selçuk Kuzu, E. Bozkurt, F. Yucedağ, Ihsan Canbek
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Abstract

Background: Woakes’ syndrome, first described by Woakes in 1885 which is also bet - ter known as ethmoiditis, is a very uncommon entity of severe nasal polyposis causing disfigured facial appearance. In this study, we aimed to present the diagnosis and management of seven patients’ series with Woakes’ syndrome in the light of current literature. Methods: The medical records of seven patients who had functional endoscopic sinus surgery because of nasal polyposis that caused nasal roof deformity between January 2013 and June 2020 in a tertiary hospital otorhinolaryngology department were eval- uated retrospectively. Demographic aspects, examination data, rhinological surgery history, Lund-Mackay scores at admission, surgical procedures performed, and follow- up periods were analyzed. Results: All patients had bilateral severe nasal polyposis and significant nasal bone expansion. Bilateral functional endoscopic sinus surgery was applied to all patients and additionally septoplasty was applied to one patient and septorhinoplasty to two patients in the same session. Five patients stated they did not want septorhinoplasty in the same session. We tried reduction of nasal bones with a finger pressure in these patients. While we achieved a satisfactory reduction in three of these patients, it was unsuccessful in two cases. Conclusion: Treatment of nasal polyps should be achieved by functional endoscopic sinus surgery for Woakes’ syndrome. Topical and systemic treatment of the nose should slow down or evade the recurrence of the nasal polyps. Approach to nasal deformity should be addressed during the initial surgery if feasible.
沃克斯综合征;鼻息肉病的罕见表现——附7例经验
背景:Woakes综合征,由Woakes于1885年首次描述,也称为筛炎,是一种非常罕见的严重鼻息肉病,导致面部畸形。在本研究中,我们旨在根据现有文献介绍7例Woakes综合征患者的诊断和治疗。方法:回顾性分析2013年1月至2020年6月在一家三级医院耳鼻喉科因鼻息肉病导致鼻顶畸形而进行功能性鼻内镜鼻窦手术的7例患者的病历。对人口学方面、检查数据、鼻外科手术史、入院时Lund-Mackay评分、手术操作和随访时间进行分析。结果:所有患者均有双侧严重鼻息肉病和明显的鼻骨扩张。在同一疗程中,所有患者均接受了双侧功能性内窥镜鼻窦手术,一名患者接受了鼻中隔成形术,两名患者进行了鼻中隔整形术。五名患者表示他们不想在同一疗程中进行鼻中隔成形术。我们尝试用手指按压这些患者的鼻骨。虽然我们在其中三例患者中实现了令人满意的减少,但在两例患者中没有成功。结论:鼻息肉的治疗应采用功能性鼻窦内窥镜手术治疗Woakes综合征。鼻局部和全身治疗应减缓或避免鼻息肉的复发。如果可行,应在初次手术中处理鼻腔畸形的方法。
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来源期刊
ENT Updates
ENT Updates OTORHINOLARYNGOLOGY-
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