[Diagnostic implication of the ENT in the Wegener granulomatose]

Wegener granulomatose is an granulomatous necrotisant vasculitis of unknown ethiology that can affect in a classical form the superior and inferior respiratory tract and kidney. The possibility that the illness is limited to the ENT sphere together to a good accessibility for the biopsy of the nasal fossae and sinus usually convert the ENT in the first specialist for the diagnosis of the illness. It is a systemic illness with a frequent and important ENT expression. We have he possibility to establish an earlier diagnosis with prognostic implications in those patients with ENT clinic. So these patients can benefit the treatment with Cotrimoxazol. We have done a revision of the patients affected of Wegener granulomatose with ENT clinic, treated in the last ten years in our Hospital. We present 9 cases, exposing the age of diagnosis, the initial data, the topographic extension along the illness, the diagnostic methods and the treatment and evolution.