The way a nose could affect pregnancy: severe and recurrent epistaxis

Giambanco, Laura; Iannone, Vito; Borriello, Margherita; Scibilia, Giuseppe; Scollo, Paolo

doi:10.11604/pamj.2019.34.49.19558

Cited by 3 publications

(2 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Within the scarce available literature on epistaxis in pregnant women, conservative treatments, such as intravenous tranexamic acid administration, nasal packing and bipolar cautery, are generally recommended as first-line measures. If conservative measures fail, surgical care under general anesthesia may need to be considered [13,14]. The question remains, however, whether these recommendations are generalizable to expectant mothers with HHT.…”

Section: Epistaxis During Pregnancy and Delivery In Hht Patientsmentioning

confidence: 99%

HHT-Related Epistaxis and Pregnancy—A Retrospective Survey and Recommendations for Management from an Otorhinolaryngology Perspective

Andorfer¹,

Seebauer²,

Dienemann³

et al. 2022

JCM

View full text Add to dashboard Cite

Appropriate management of hereditary hemorrhagic telangiectasia (HHT) is of particular importance in females, as HHT-mediated modifications of the vascular bed and circulation are known to increase the risk of complications during pregnancy and delivery. This study was undertaken to evaluate female HHT patients’ awareness of and experience with HHT during pregnancy and delivery, with a focus on epistaxis. In this retrospective study, 46 females (median age: 60 years) with confirmed HHT completed a 17-item questionnaire assessing knowledge of HHT and its pregnancy-associated complications, the severity of epistaxis during past pregnancies and deliveries, and the desire for better education and counselling regarding HHT and pregnancy. Results revealed that 85% of participants were unaware of their disease status prior to the completion of all pregnancies. Further, 91% reported no knowledge of increased pregnancy-related risk due to HHT. In regard to epistaxis, 61% of respondents reported experiencing nosebleeds during pregnancy. Finally, approximately a third of respondents suggested that receiving counseling on the risks of HHT in pregnancy could have been helpful. Findings suggest that awareness of HHT and its potential for increasing pregnancy-related risk is poor. Best practices in HHT management should be followed to minimize negative effects of the disorder.

show abstract

Section: Epistaxis During Pregnancy and Delivery In Hht Patientsmentioning

confidence: 99%

HHT-Related Epistaxis and Pregnancy—A Retrospective Survey and Recommendations for Management from an Otorhinolaryngology Perspective

Andorfer¹,

Seebauer²,

Dienemann³

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…Estrogen and progesterone are responsible for the increased permeability of vessel walls and the relaxation of smooth muscles in vessels, causing an increase in negative pressure and a collapse of the upper 2 of 11 respiratory tract walls, and certain clinical manifestations are observed in the head and neck region [4]. These clinical symptoms encompass issues such as epistaxis, rhinitis, otological disorders, and alterations in voice [5][6][7]. The aforementioned physiological changes occurring during pregnancy, affecting the upper respiratory tract, contribute to a deterioration in the quality of life for pregnant women (Figure 1).…”

Section: Introductionmentioning

confidence: 99%

Objective Measurements of Nasal Obstruction and Eustachian Tube Function in Pregnant Women

Grajczyk,

Sobczyk,

Zarzecka

et al. 2024

JCM

View full text Add to dashboard Cite

Background: Hormonal changes during pregnancy have a substantial effect on the swelling of the mucous membrane in the nasal cavity, resulting in rhinitis and Eustachian tube dysfunction. The aim of the study was to assess subjective and objective changes in nasal cavity and Eustachian tube patency in the third trimester of pregnancy. Materials and Methods: The study group included fifty 18–41 year-old women in the third trimester of pregnancy. The control group consisted of 25 females aged 25 to 31 who were not pregnant. The Eustachian tube and nasal cavity patency examination was carried out using a rhinomanometer, a tympanometer and a SNOT-22 Questionnaire. Results: The SNOT-22 showed that subjective nasal obstruction was assessed as strong or worse by 42% of the study group, which was significantly higher than in the control group and confirmed with rhinomanometry. A total of 68% of the study group reported a subjective ear fullness which correlated with the week of pregnancy. The tympanometry showed that all pregnant women exhibited a type A tympanogram, but tympanometry values decreased at higher weeks of pregnancy, and statistical analysis confirmed a significant difference between the study group and the control group in tympanometry for both ears. Conclusions: The results highlight the substantial impact on both subjective and objective measurements of nasal and Eustachian tube patency. Almost every woman in the third trimester of pregnancy experiences nasal obstruction, and nearly 70% struggle with ear fullness. Recognizing and addressing these challenges are pivotal for ensuring the well-being of pregnant individuals and enhancing the quality of antenatal care.

show abstract

Skin in Pregnancy

Poojary

Badireddy

2022

Skin Diseases in Females

View full text Add to dashboard Cite

The way a nose could affect pregnancy: severe and recurrent epistaxis

Cited by 3 publications

References 11 publications

HHT-Related Epistaxis and Pregnancy—A Retrospective Survey and Recommendations for Management from an Otorhinolaryngology Perspective

HHT-Related Epistaxis and Pregnancy—A Retrospective Survey and Recommendations for Management from an Otorhinolaryngology Perspective

Objective Measurements of Nasal Obstruction and Eustachian Tube Function in Pregnant Women

Skin in Pregnancy

Contact Info

Product

Resources

About