Adult-Onset Woakes’ Syndrome: Report of a Rare Case

Introduction. Woakes’ syndrome, commonly defined as severe recurrent nasal polyps with consecutive destruction of the nasal pyramid, is rare with only a few reports in the literature documenting surgical treatment of the external nose. Case Presentation. We describe the case of an adult patient with...

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Main Authors: U. Schoenenberger, A. J. Tasman
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2015/857675
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author U. Schoenenberger
A. J. Tasman
author_facet U. Schoenenberger
A. J. Tasman
author_sort U. Schoenenberger
collection DOAJ
description Introduction. Woakes’ syndrome, commonly defined as severe recurrent nasal polyps with consecutive destruction of the nasal pyramid, is rare with only a few reports in the literature documenting surgical treatment of the external nose. Case Presentation. We describe the case of an adult patient with Samter’s triad who had been surgically treated from nasal polyposis since 2002. By 2014 a conspicuous deformity of the nasal pyramid had progressively occurred due to a recurrence. The patient underwent revision endoscopic sinus surgery and narrowing of the bony nasal vault by digital compression without osteotomies. Discussion. Having been described over 130 years ago, the etiology of Woakes’ syndrome remains poorly understood. Treatment includes endoscopic sinus surgery and topical treatment. Surgical treatment of the external nose deformity by rhinoplasty is rarely addressed. Conclusion. This case illustrates that the widening of the bony nasal vault may be successfully corrected by digital compression, if the nasal bones are substantially thinned, in combination with surgical treatment of nasal polyps.
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spelling doaj-art-bb85a79756d541d3a9ce58b99f1e080d2025-02-03T01:20:41ZengWileyCase Reports in Otolaryngology2090-67652090-67732015-01-01201510.1155/2015/857675857675Adult-Onset Woakes’ Syndrome: Report of a Rare CaseU. Schoenenberger0A. J. Tasman1Department of Otorhinolaryngology, Cantonal Hospital St. Gallen, Rorschacher Strasse 95, 9007 St. Gallen, SwitzerlandDepartment of Otorhinolaryngology, Cantonal Hospital St. Gallen, Rorschacher Strasse 95, 9007 St. Gallen, SwitzerlandIntroduction. Woakes’ syndrome, commonly defined as severe recurrent nasal polyps with consecutive destruction of the nasal pyramid, is rare with only a few reports in the literature documenting surgical treatment of the external nose. Case Presentation. We describe the case of an adult patient with Samter’s triad who had been surgically treated from nasal polyposis since 2002. By 2014 a conspicuous deformity of the nasal pyramid had progressively occurred due to a recurrence. The patient underwent revision endoscopic sinus surgery and narrowing of the bony nasal vault by digital compression without osteotomies. Discussion. Having been described over 130 years ago, the etiology of Woakes’ syndrome remains poorly understood. Treatment includes endoscopic sinus surgery and topical treatment. Surgical treatment of the external nose deformity by rhinoplasty is rarely addressed. Conclusion. This case illustrates that the widening of the bony nasal vault may be successfully corrected by digital compression, if the nasal bones are substantially thinned, in combination with surgical treatment of nasal polyps.http://dx.doi.org/10.1155/2015/857675
spellingShingle U. Schoenenberger
A. J. Tasman
Adult-Onset Woakes’ Syndrome: Report of a Rare Case
Case Reports in Otolaryngology
title Adult-Onset Woakes’ Syndrome: Report of a Rare Case
title_full Adult-Onset Woakes’ Syndrome: Report of a Rare Case
title_fullStr Adult-Onset Woakes’ Syndrome: Report of a Rare Case
title_full_unstemmed Adult-Onset Woakes’ Syndrome: Report of a Rare Case
title_short Adult-Onset Woakes’ Syndrome: Report of a Rare Case
title_sort adult onset woakes syndrome report of a rare case
url http://dx.doi.org/10.1155/2015/857675
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