Oral and Maxillofacial Surgery Cases (Sep 2017)

Rhinoplasty via the midface degloving approach for nasal deformity due to nasal polyps: A case report of Woakes’ syndrome

  • Misato Ueda, MD,
  • Kazunobu Hashikawa, MD, PhD,
  • Takanori Iwayama, MD,
  • Hiroto Terashi, MD, PhD

DOI
https://doi.org/10.1016/j.omsc.2017.05.001
Journal volume & issue
Vol. 3, no. 3
pp. 64 – 69

Abstract

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Nasal polyps are inflammatory proliferative tumors arising from the mucosa of the nasal cavity and paranasal sinuses. Although many cases concerning nasal polyps have been reported, those involving external nasal deformities are rare. We report a case of nasal polyposis filling the nasal cavity and paranasal sinuses, leading to external nasal and facial deformities. The condition above is known as Woakes’ syndrome, which is characterized by severe recurrent nasal polyps with deformity of the nasal pyramid, leading to broadening of the nose. We performed nasal osteotomy and facial bone-shaving via the midface degloving approach, which improved the patient’s facial appearance.

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