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Woakes’ syndrome
  1. Mohamed Mehdi El Fakiri1,2,
  2. Youssef Lakhdar2 and
  3. Abdelaziz Raji2
  1. 1 Faculty of Medicine and Pharmacy, Ibn Zohr University, Agadir, Morocco
  2. 2 Department of Otorhinolaryngology, Mohammed VI University Hospital Center, Marrakesh, Morocco
  1. Correspondence to Dr Mohamed Mehdi El Fakiri, elfakirimehdi{at}


Woakes’ syndrome is a rare entity defined as recurrent sinonasal polyposis with a consequent nasal pyramid deformity. Only a few cases are reported in the literature. The goal of this study is to present the features of Woakes’ syndrome through a clinical case. A 42-year-old man presented with a history of ASA triad. He started self-medication for 5 years. He returned to the otorhinolaryngology department for the aggravation and persistence of symptoms. CT scans showed the deformity and thinning of the nasal bones. A functional endoscopic sinus surgery and correction of nasal pyramid deformity were performed. At 6 months' follow-up, good functional and aesthetic outcomes were observed. Woakes’ syndrome was described more than 130 years ago. Treatment includes endoscopic sinonasal surgery and local treatment. Adequate management and good adherence to the therapeutic protocol could be factors to prevent this syndrome.

  • nasal polyps
  • otolaryngology/ent
  • oral and maxillofacial surgery

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  • Contributors MMEF, the corresponding author, diagnosed the patient. AR and MMEF treated the patient. MMEF obtained consent. MMEF wrote the majority of the manuscript. YL contributed to case report writing and iconography. AR critically reviewed the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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