J Rhinol > Volume 25(2); 2018
Journal of Rhinology 2018;25(2):103-107.
Published online November 30, 2018.
DOI: https://doi.org/10.18787/jr.2018.25.2.103   
Treatment of Severe Pregnancy Rhinitis Using Microdebrider-Assisted Inferior Turbinoplasty: A Case Report
Dan Bi Shin, Jung On Lee, Tae Uk Chun, Tae Hoon Lee
Department of Otolaryngology-Head and Neck Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. thlee@uuh.ulsan.kr
심한 임신성 비염 환자에서 미세분쇄기를 이용한 하비갑개 수술: 증례보고
신단비, 이정온, 천태욱, 이태훈
울산대학교 의과대학 울산대학교병원 이비인후과학교실
Abstract
Pregnancy rhinitis is a relatively common condition. It is characterized by the presence of nasal symptoms, especially nasal congestion, not present prior to pregnancy, but typically present during the last 6 or more weeks of pregnancy, without other signs of respiratory tract infection or any known allergic causes, and disappearing completely within 2 weeks after delivery. Nasal saline irrigation, intranasal steroid spray, and oral antihistamines are usually recommended as the first line of treatment for rhinitis. However, most pregnant women refuse medical treatment for pregnancy rhinitis because of the fear of teratogenicity. Severe pregnancy rhinitis increases the risk of snoring, which has been suggested as having adverse effects on the fetus. In cases where the patients are unable to control their symptoms, pregnancy rhinitis can negatively affect the quality of life (QOL) as well as the pregnancy outcome. Therefore, special caution is required for determining the appropriate diagnosis and treatment modalities for pregnancy rhinitis. Here, we report for the first time, the successful treatment of pregnancy rhinitis that was unresponsive to conservative management and medical therapy by using microdebrider-assisted inferior turbinoplasty at the final stages of pregnancy, along with a review of the relevant literature.
Key Words: Pregnancy rhinitis;Turbinate surgery;Microdebrider


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