RESUMO
Epistaxis is a common disease encountrered in Otorhinolaryngology; however, life-threatening epistaxis during pregnancy is rare, and there are no specific guidelines regarding the management of such patients. We encountered a 38-year-old female patient in the second trimester of her pregnancy, who presented with nosebleeds. No definite focus of bleeding was identified by nasal endoscopy, thus several conservative measures were used to stop nosebleeds including bed rest with head elevation, ice pack application, and nasal packing. Despite such treatments, nosebleeding continued. Endoscopic sphenopalatine artery ligation was conducted under general anesthesia and the results were successful. In obstetric assessment, there was no evidence of fetal distress. The patient delivered a healthy baby at 40 weeks, and there was no recurrence of epistaxis through postoperative 18 months.
Assuntos
Adulto , Feminino , Humanos , Gravidez , Anestesia Geral , Artérias , Repouso em Cama , Endoscopia , Epistaxe , Sofrimento Fetal , Cabeça , Hemorragia , Gelo , Ligadura , Otolaringologia , Segundo Trimestre da Gravidez , RecidivaRESUMO
Neurofibroma of the larynx is a rare disease and associated with von Recklinghausen's disease may take place as an isolated lesion or a part of multiple neurofibromatosis. A case of laryngeal neurofibroma was the first reported by Suchanek in 1925. Especially the aryepiglottic folds are the usual sites of occurrence for laryngeal neurofibroma, because the branch of the superior laryngeal nerve is involved. We present here a case of neurofibroma in a 23-year-old male who complained of voice change and throat discomfort, all of which persisted for 6 months. We report a case of huge neurofibroma arising from the aryepiglottic fold.