3005 Vidal - Fernand - Samter Syndrom - Interdisciplinary Approach

Sunday, 9 December 2012
Hall 4 (HICC)

Daniela Neacsu , GERYATRIC and GERONTOLOGY NATIONAL INSTITUTE ,,ANA ASLAN, BUCAREST

Miorita Toader , Ent, ,,GRIGORE ALEXANDRESCU" CHILDREN HOSPITAL BUCHAREST, Romania

Corneliu Toader, MD, PhD , Surgery, Al Obregia Clinical Hospital, Bucharest, Romania

Noela Elena Ionescu, MD, PhD , Surgery, Life Memorial Hospital, Bucharest, Romania

Background:

Frequently,  the ENT specialist  establish the diagnose of Vidal-Fernand-Samter syndrom.

Methods:

Between 2007-2012, we identified through 48 patients with billateral nasal polyposis 13 cases (12 females, 1 male), age over 60,  with combined pathology (bronchus asthma and salicylic acid allergy). The reasons for ENT presentation were: billateral nasal obstruction and subsequent oral breathing with snorring. Usually, topical corticosteroids treatment is prohibited  due to the co-morbidities (diabetes mellitus, depression, glaucoma).

Results:

The short time results are impressive (patient regain the ability of nasal breathing and  the snorring diminish). The asthma symptoms decreased on long term follow ups.

Conclusions: The only therapeutically approach is functional endoscopic surgery after complete case evaluation (including CT scan for lesion extension).