Severe epistaxis and pregnancy ''about two cases'' and review of the literature
Keywords:Severe epistaxis, Pregnancy, Management
Epistaxis is a health ENT problem which is still current, this is one of the commonly encountered emergencies in Rhinology. The nasal mucosa suffered influence systemic, local, metabolic or hormonal disorders causing a slowdown of muco-ciliary function during pregnancy. These observations relate the clinical and therapeutic particularities of the management for severe epistaxis in women during the last trimester of pregnancy. The woman's hormonal system is unique in its kind due to cyclic changes during pregnancy, the menstrual cycle and menopause. Our clinical observations confirm the effects of these metabolic, endocrinological and physiological alterations related to pregnancy. In a tropical environment with the inadequacy of ENT specialists, base medical personnel is often confronted with delicate clinical situations in the evolution of ENT diseases. Management for epistaxis during pregnancy is special because of its context, well evident diagnosis requires vital gestures as evidenced by our observations. The ear, nose and throat specialist must necessarily be well warned of its physiological changes during pregnancy to better understand the clinical evolution of certain common throat diseases as epistaxis. Epistaxis during pregnancy is a subject that remains topical in the field of care, it is promoted directly or indirectly by hormonal changes. Multidisciplinary management in coordination must be done in a timely manner because the risks are not negligible for the health of the mother and the child.
Piccioni MD, Martina S, Laura M, Elisa P. Management of Severe Epistaxis during Pregnancy: A Case Report and Review of the Literature. Case Rep Obstetr Gynecol. 2019;1-3.
Shiny Sherlie V, Varghese A. ENT Changes of Pregnancy and Its Management. Indian J Otolaryngol Head Neck Surg. 2014;66(1):6-9.
Cornthwaite K, Varadharajan K, Oyarzabal M, Watson H. Management of prolonged epistaxis in pregnancy: case report. J Laryngol Otol. 2013;127(8):811-3.
Hellín Meseguer D, Ruiz Cotorruelo V, Ruiz Franco M. The influence of pregnancy on mucociliary nasal transport. An Otorrinolaringol Ibero Am. 1994;21(6):595-601.
Ribeiro FD. The incidence and treatment of iron-deficiency anaemia in an african general practice. S Afr Med J. 1964;38:321-4.
El Goulli M, Chelli M. Severe epistaxis during pregnancy. A case history (author's transl). J Gynecol Obstet Biol Reprod (Paris). 1979;8(5):437-9.
Goldstein G, Govindaraj S. Rhinologic issues in pregnancy. Allergy Rhinol (Providence). 2012;3(1):e13-5.
Martiat B, Delahaut J. Nasal tumor in pregnancy. Acta Otorhinolaryngol Belg. 1984;38(2):148-55.
Hardy JJ, Connolly CM, Weir CJ. Epistaxis in pregnancy--not to be sniffed at! Int J Obstet Anesth. 2008;17(1):94-5.
Cygler B, Coudry H, Gillet JY, Durrleman E, Chobaut J. Very severe epistaxis in pregnant women (apropos of a case). JFORL J Fr Otorhinolaryngol Audiophonol Chir Maxillofac. 1975;24 (3):244-6.
Poelmann AM, Aarnoudse JG. A pregnant woman with severe epistaxis--a rare manifestation of folic acid deficiency. Eur J Obstet Gynecol Reprod Biol. 1986;23(3-4):249-54.
Basheer NK, Jaya C, Sabir VT. Epistaxis: etiological profile and treatment outcome in a teaching hospital in South India. Int J Otorhinolaryngol Head Neck Surg. 2017;3(4):878-84.
Rao JS, Rao US, Chandra TS. Study the etiopathogenesis and management of epistaxis. Int J Otorhinolaryngol Head Neck Surg. 2018;4:1028-34.
Sacko HB, Sanogo H, Fané S, Mariko H, Dembélé RK, Diallo AO. Place des soins de santé primaires ORL au Mali (free paper) Unité ORL du centre de santé de référence de la commune IV du district de Bamako (Mali). 1ères Journées de l’association nationale des infirmières et infirmiers du Mali. Centre international de conférence de Bamako. 2010;4-6.