{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T13:10:54Z","timestamp":1773148254592,"version":"3.50.1"},"reference-count":7,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,3,11]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>Woakes\u2019 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\u2019 syndrome through a clinical case. A 42-year-old man presented with a history of ASA triad. He started self-medication for 5\u2009years. 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\u2009months' follow-up, good functional and aesthetic outcomes were observed. Woakes\u2019 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.<\/jats:p>","DOI":"10.1136\/bcr-2018-229021","type":"journal-article","created":{"date-parts":[[2019,4,2]],"date-time":"2019-04-02T05:16:37Z","timestamp":1554182197000},"page":"e229021","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Woakes\u2019 syndrome"],"prefix":"10.1136","volume":"12","author":[{"given":"Mohamed Mehdi","family":"El Fakiri","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Pharmacy, Ibn Zohr University, Agadir, Morocco"},{"name":"Department of Otorhinolaryngology, Mohammed VI University Hospital Center, Marrakesh, Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youssef","family":"Lakhdar","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Mohammed VI University Hospital Center, Marrakesh, Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdelaziz","family":"Raji","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Mohammed VI University Hospital Center, Marrakesh, Morocco"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,3,31]]},"reference":[{"key":"2025082708394305000_12.3.e229021.1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2015\/857675","article-title":"Adult-onset woakes\u2019 syndrome: Report of a rare case","volume":"2015","author":"Schoenenberger","year":"2015","journal-title":"Case Rep Otolaryngol"},{"key":"2025082708394305000_12.3.e229021.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2006.09.030"},{"key":"2025082708394305000_12.3.e229021.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.02.031"},{"key":"2025082708394305000_12.3.e229021.4","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1007\/s11882-002-0089-8","article-title":"Aspirin intolerance and nasal polyposis","volume":"2","author":"Picado","year":"2002","journal-title":"Curr Allergy Asthma Rep"},{"key":"2025082708394305000_12.3.e229021.5","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.omsc.2017.05.001","article-title":"Rhinoplasty via the midface degloving approach for nasal deformity due to nasal polyps: A case report of Woakes\u2019 syndrome","volume":"3","author":"Ueda","year":"2017","journal-title":"Oral and Maxillofacial Surgery Cases"},{"key":"2025082708394305000_12.3.e229021.6","doi-asserted-by":"crossref","first-page":"502","DOI":"10.5144\/0256-4947.2018.22","article-title":"Psychometric arabic sino-nasal outcome test-22: Validation and translation in chronic rhinosinusitis patients","volume":"38","author":"Alanazy","year":"2018","journal-title":"Ann Saudi Med"},{"key":"2025082708394305000_12.3.e229021.7","doi-asserted-by":"crossref","first-page":"1507","DOI":"10.1007\/s00405-016-4377-7","article-title":"Moroccan adaptation and validation of the rhinosinusitis quality-of-life survey","volume":"274","author":"Adouly","year":"2017","journal-title":"Eur Arch Otorhinolaryngol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-229021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:39:47Z","timestamp":1756309187000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-229021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,3,31]]},"published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1136\/bcr-2018-229021"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-229021","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}