Laryngeal manifestations in pregnancy: Our experiences at a tertiary care teaching hospital of eastern India

Swain, Santosh Kumar; Pattnaik, Tapan; Acharya, Satyabrata

doi:10.4103/aiao.aiao_29_19

Cited by 3 publications

(8 citation statements)

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“…Meniere's disease (MD) is a vestibular disorder characterized by vertigo, tinnitus, fullness in the ear, and sensorineural hearing loss. 22 MD occurs due to disturbances in the regulation of endolymphatic fluid in the labyrinth resulting in obstruction, so increased endolymphatic sac pressure. 22 (M)There are some environmental, metabolic, and genetic causes associated with MD.…”

Section: Meniere's Diseasementioning

confidence: 99%

“…22 MD occurs due to disturbances in the regulation of endolymphatic fluid in the labyrinth resulting in obstruction, so increased endolymphatic sac pressure. 22 (M)There are some environmental, metabolic, and genetic causes associated with MD. 22 During the period of pregnancy, there is decreased in the osmolality of systemic and local fluids in the inner ear, leading to a raised and turbulent osmotic gradient known as hydrops to the endolymphatic sac, saccule, cochlea and the semicircular canals.…”

Section: Meniere's Diseasementioning

confidence: 99%

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Vertigo during pregnancy: a review

Swain

2022

Int J Otorhinolaryngol Head Neck Surg

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<p>Vertigo is defined as a false sensation of movements where a patient gets a rotating perception of the environment or oneself. Vertigo and dizziness are commonly experienced during the pregnancy period and are among the most common complaint by pregnant women to the primary care physicians. Vertigo during pregnancy affects the quality of life of women and also has an impact on the fetus. Pregnancy is an important nine-month physiological period of female life. During pregnancy, the body of the female undergoes several physiological changes that affect all systems and organs, including sensory ones. There are significant changes during pregnancy including otological and neurotological manifestations. Vertigo/dizziness is a common complaint during pregnancy to the clinicians. Benign paroxysmal positional vertigo (BPPV), Meniere’s disease (MD), vestibular neuritis and vestibular migraine are common vestibular disorders result in vertigo during pregnancy. Vertigo during pregnancy directly affects the pregnant mother both mentally and physically. A multidisciplinary approach by otolaryngologists, neurologists, and gynaecologist and obstetricians is required for proper evaluation and management of vertigo in pregnant women. Currently, there are no guidelines for the management of vertigo in pregnancy. Little has been reported about vertigo during pregnancy. We performed a narrative review of vertigo in pregnant women.</p>

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Section: Meniere's Diseasementioning

confidence: 99%

Section: Meniere's Diseasementioning

confidence: 99%

Vertigo during pregnancy: a review

Swain

2022

Int J Otorhinolaryngol Head Neck Surg

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“…23 Meniere's disease (MD): it is a vestibular disorder with clinical presentations of vertigo, tinnitus, fullness in the ear, and sensorineural hearing loss. 24 It occurs due to abnormalities in the regulation of endolymphatic fluid in the labyrinth leading to obstruction, so increased endolymphatic sac pressure. 24 There are some environmental, metabolic, and genetic causes associated with MD.…”

Section: Vestibular Manifestationsmentioning

confidence: 99%

“…24 It occurs due to abnormalities in the regulation of endolymphatic fluid in the labyrinth leading to obstruction, so increased endolymphatic sac pressure. 24 There are some environmental, metabolic, and genetic causes associated with MD. 24 During pregnancy, there is reduction in the osmolality of systemic and local fluids in the inner ear, leading to a raised and turbulent osmotic gradient known as hydrops to the endolymphatic sac, saccule, cochlea and the semicircular canals.…”

Section: Vestibular Manifestationsmentioning

confidence: 99%

“…24 There are some environmental, metabolic, and genetic causes associated with MD. 24 During pregnancy, there is reduction in the osmolality of systemic and local fluids in the inner ear, leading to a raised and turbulent osmotic gradient known as hydrops to the endolymphatic sac, saccule, cochlea and the semicircular canals. 25 In pregnancy, MD has often attributed to the acute onset of vertigo or hearing loss in the second and third trimesters.…”

Section: Vestibular Manifestationsmentioning

confidence: 99%

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Audiovestibular manifestations during pregnancy: a review

Swain

2022

Int J Res Med Sci

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Pregnancy is nine-month duration physiological process with psychological, cardiovascular, and hormonal changes that affects different organs of the pregnant women. Any organs of the body can be affected during pregnancy due to hormonal changes so as in audiovestibular system. There are several audiovestibular manifestations occur during pregnancy such as hearing loss, otosclerosis, tinnitus, autophony, facial nerve palsy, and vertigo manifested as first time or get exacerbated during pregnancy. Majority of the changes during pregnancy are harmless to the mother and fetus, whereas some may cause pathological manifestations. The hormonal changes during pregnancy can cause alteration in the homeostasis of the inner ear fluids and hamper the inner ear functions. The changes of estrogen and progesterone levels during pregnancy can affect the audio-vestibular system. These changes in the inner ear may manifest with symptoms like vertigo, tinnitus, fullness in the ear, and hyperacusis. These symptoms in the pregnancy directly affects the quality of life both physically and emotionally. There are no standard guidelines for the management of audiovestibular manifestations. However, there are very little data available for audiovestibular manifestations during the pregnancy period. The objective of this review article is to discuss the prevalence, etiopathology, and clinical presentations, diagnosis and treatment of audiovestibular manifestations during pregnancy.

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Sudden life-threatening laryngeal edema in pregnancy: a case report

Chrisnata

Sugiarto

Erniody³

et al. 2023

J Med Case Reports

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Background Severe laryngeal edema during pregnancy is uncommon but can be encountered, particularly in patients with preeclampsia accompanied by other comorbidities. Careful consideration must be given to balance the urgency of securing the airway with the safety of the fetus and the patient’s long-term health consequences. Case presentation A 37-year-old Indonesian woman was brought to the emergency department at 36 weeks gestation due to severe dyspnea. Her condition worsened a few hours later during intensive care unit admission, with tachypnea, decreased oxygen saturation, and inability to communicate, necessitating intubation. Due to the edematous larynx, we could only use 6.0-sized endotracheal tube. The use of a small-sized endotracheal tube was expected to be short-lived, so she was considered for tracheostomy. Nevertheless, we decided to perform a cesarean section first after lung maturation because it would be safer for the fetus, and laryngeal edema usually improves after delivery. Cesarean section was performed under spinal anesthesia for the safety of the fetus, and 48 hours after delivery, she underwent a leakage test with a positive result, so extubation was performed. Stridor was no longer audible, breathing pattern was within normal limits, and vital signs were stable. The patient and her baby both recovered well with no long-term health consequences. Conclusion This case demonstrates that unexpected life-threatening laryngeal edema can occur during pregnancy, in which upper respiratory tract infections may trigger it. The decision between conservative and aggressive immediate airway management should be made with careful consideration of securing the patient’s airway, the safety of the fetus, and the patient’s long-term health consequences.

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Laryngeal manifestations in pregnancy: Our experiences at a tertiary care teaching hospital of eastern India

Cited by 3 publications

References 0 publications

Vertigo during pregnancy: a review

Vertigo during pregnancy: a review

Audiovestibular manifestations during pregnancy: a review

Sudden life-threatening laryngeal edema in pregnancy: a case report

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