Schoenenberger U, Tasman A J
Department of Otorhinolaryngology, Cantonal Hospital St. Gallen, Rorschacher Strasse 95, 9007 St. Gallen, Switzerland.
Case Rep Otolaryngol. 2015;2015:857675. doi: 10.1155/2015/857675. Epub 2015 Mar 10.
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.
引言。沃克斯综合征通常被定义为严重复发性鼻息肉伴鼻锥体连续性破坏，较为罕见，文献中仅有少数关于外鼻手术治疗的报道。病例报告。我们描述了一名患有桑特三联征的成年患者，自2002年起接受鼻息肉手术治疗。到2014年，由于复发，鼻锥体出现明显畸形。该患者接受了修正性鼻内镜鼻窦手术，并通过手指按压使骨性鼻穹窿变窄，未进行截骨术。讨论。沃克斯综合征在130多年前就已被描述，但其病因仍知之甚少。治疗包括鼻内镜鼻窦手术和局部治疗。通过隆鼻术对外鼻畸形进行手术治疗很少被提及。结论。该病例表明，如果鼻骨明显变薄，结合鼻息肉的手术治疗，通过手指按压可成功矫正骨性鼻穹窿增宽。
