A pressure control apparatus and methodology related to a drilling operation has a housing such as, for example, a bearing assembly configured to engage an item of oilfield equipment being delivered through the oilfield pressure control apparatus. The housing has an upper and/or a lower portion with a seal element coupled to the upper and/or lower portion and configured to seal around the item of oilfield equipment. A guide is coupled proximate the seal element. The guide is configured to support and/or limit lateral deflection of the seal element during the lateral deflection of the seal element created by movement of the item of oilfield equipment.