Abstract
We aimed to investigate if orbital dysmorphisms were more common in patients with long-standing and advanced nasal polyposis. A total of 42 nasal polyposis patients and 55 healthy controls were enrolled in this study. The distances between medial and lateral canthi were measured using a sliding caliper, and distances between medial and lateral orbital walls were evaluated on paranasal sinus CT scans. The results were compared using Student’s t test and Mann–Whitney U test. The distance between medial canthi was found to be significantly increased in nasal polyposis patients compared to controls (P = 0.004). No difference was observed between patients and controls in terms of distances between lateral canthi, medial orbital walls and lateral orbital walls. Anatomic changes regarding orbital morphology may occur in patients with long-standing and advanced nasal polyposis. Early diagnosis and appropriate treatment is of paramount importance in the management of nasal polyposis, since significant anatomic changes leading to orbital dysmorphisms may occur in advanced and long-standing cases. Studies on larger series must be conducted to unveil the morphologic changes and genetic predisposition in nasal polyposis.
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References
Settipane GA et al (1997) Epidemiology of nasal polyps. In: Settipane GA, Lund VJ, Bernstein JM, Tos M (eds) Nasal polyps: epidemiology, pathogenesis and treatment. Oceanside Publications, Providence, pp 17–24
Groman JD, Bolger W, Brass-Ernst L, Macek M, Zeitlin P, Cutting G (2004) Recurrent and destructive nasal polyposis in 2 siblings: a possible case of Woakes’ syndrome. Otolaryngol Head Neck Surg 131:1009–1011. doi:10.1016/j.otohns.2004.02.031
Rubenfeld M, Wirtschafter JD et al (1991) Ophthalmology relevant to the practice of otolaryngology. In: Paparella MM, Shumrick DA, Gluckman JL, Meyerhoff WL (eds) Otolaryngology, vol 4, 3rd edn. Saunders Company, Philadelphia, pp 3033–3056
Pinzer T, Gollogly J, Krishnan KG, Schackert G, Lauer G (2008) Telecanthus and hypertelorism in frontoethmoidal meningoencephaloceles and the surgical correction of these conditions: Part I An orbital anthropometric evaluation of the Khmer subpopulation of Cambodia. J Craniofac Surg 19:137–147
Drake-Lee AB (2003) Nasal polyps. In: Mackay IS, Bull TR (eds) Scott–Brown’s otolaryngology, vol 4, 6th edn. Butterworth-Heinemann, Oxford, 4/10/1–4/10/16
Kellerhals B, de Uthemann B (1979) Woakes’ syndrome: the problems of infantile nasal polyps. Int J Pediatr Otorhinolaryngol 1:79–85. doi:10.1016/0165-5876(79)90031-4
Hopkins C, Browne JP, Slack R, Lund V, Brown P (2007) The Lund–Mackay staging system for chronic rinosinusitis: how is it used and what does it predict? Otolaryngol Head Neck Surg 137:555–561. doi:10.1016/j.otohns.2007.02.004
Barone CM, Jimenez DF, Helling ER, Laskey ALS (2007) What is the incidence of hypertelorism in Filipino frontonasal encephalocele patients? J Craniofac Surg 18:268–273. doi:10.1097/01.scs.0000246501.92559.da
Caversaccio M, Baumann A, Helbling A (2007) Woakes’ syndrome and albinism. Auris Nasus Larynx 34:245–248. doi:10.1016/j.anl.2006.09.030
Weber AL, Wilson WR, Montgomery WW (1982) Hypertelorism in nasal and paranasal sinus polyposis. Ann Otol Rhinol Laryngol 91:344–345
Liu JK, Schaefer SD, Moscatello AL, Couldwell WT (2004) Neurosurgical implications of allergic fungal sinusitis. J Neurosurg 100:883–890
Goes FM Jr, Knegt PP, Paridaens ADA (2004) Nasal polyps herniating through lacrimal–nasal bony ostium mimicking dacryocystocele: a rare cause of DCR failure. Orbit 23:189–191. doi:10.1080/01676830490504188
Drake-Lee A (1992) Nasal polyps in identical twins. J Laryngol Otol 106:1084–1085. doi:10.1017/S0022215100121826
Acknowledgment
We thank Assoc. Prof. Murat TOPBAŞ, MD, from the Department of Public Health, Black Sea Technical University School of Medicine, for the statistical analysis of the data utilized in this study.
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Ural, A., Işik, A.Ü., Minovi, A. et al. Correlation of orbital dysmorphisms with nasal polyposis: a clinical study. Eur Arch Otorhinolaryngol 266, 1891–1894 (2009). https://doi.org/10.1007/s00405-009-1004-x
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DOI: https://doi.org/10.1007/s00405-009-1004-x