|August 2010 · Vol. 22, No. 08
FIRST OF 2 PARTS
ENT complaints in pregnancy.
Part 1: sinonasal disease
Pregnancy can cause or aggravate otolaryngologic complaints such as rhinitis, infectious sinusitis, and epistaxis. Two ENT specialists offer guidance for your practice on the diagnosis and treatment of these and other sinonasal conditions.
Reserve radiofrequency ablation for women who have a prepregnancy diagnosis of obstructive sleep apnea and who cannot tolerate CPAP because of refractory nasal congestion
Inhaled nasal ipratropium is a mainstay of therapy for vasomotor rhinitis
In pregnancy, most cases of infectious sinusitis involve Streptococcus pneumoniae and Haemophilus influenzae—just as in the nonpregnant state
Dr. Funk is a Facial Plastic Surgeon at the Bressler Center in Houston, Texas.
Dr. Gelbard is a Fifth-Year Resident in the Bobby R. Alford Department of Otolaryngology–Head and Neck Surgery at the Baylor College of Medicine in Houston, Texas.
The authors report no affiliation or financial arrangement relevant to this article.
Several of the myriad physiologic, anatomic, and metabolic adaptations of pregnancy can cause or contribute to otolaryngologic complaints. Quality of life is the usual victim. In rare cases, however, pregnancy can aggravate or trigger severe and persistent functional impairment.