Can Nasal Polyps Be Serious ? ( Must Read )

Severe nasal polyposis can cause deformities of the nose and face. This phenomenon is called Woakes’ syndrome. The facial deformity in our patient was caused by pressure from nasal polyposis that filled the nasal cavity and paranasal sinuses. Using the midface degloving approach, we performed osteotomy of the nasal bone, shaved the .The facial deformity of Woakes’ syndrome involved the nasal and facial bones and nasal cartilaginous tissue. In severe cases, excessive prominence of the malar region and orbital hypertelorism have been reported . Patient had broadening of the nose and excessive prominence of the malar regions without orbital hypertelorism. We believe that inflammation associated with 30 years of chronic sinusitis caused enlargement of the nasal polyps, leading to the exertion of physical pressure on the neighbouring bones and cartilage.

 


Several reports discuss the cosmetic treatment of the nose after nasal polyp removal. Laff performed nasal plastic repair with osteotomy . Using the intranasal incision on each side, he cut through each ascending process and approximated the fragments to narrow the nasal bridge. Pierre et al. performed rhinoplasty with nasal osteotomy and autogenous iliac bone graft [. Schoenenberger described the treatment of the external nose without osteotomy, using digital compression per¬formed concurrently with surgical nasal polyp removal

The midface degloving approach first described by Casson et al. is useful in corrective surgery for broad midfacial deformities, as in our case. This approach provides a wide surgical field that allows good visualization of the midfacial skeleton, and moreover the scar remains hidden. With this wide surgical field, we could perform a delicate osteotomy that followed the curved line of the deformed nasal bone, shaved the projected portion of the zygomatic bones under direct vision, and decreased the prominence of the malar regions, which could not have been achieved by osteotomy alone.

Next : How to Cure Nasal Polyps Permanently and Naturally at Home ?



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