Epistaxis management with hilotherapy: a pilot study

Background: Hilotherm contoured masks provide facial cooling to produce local vasoconstriction without many of the risks of cryotherapy. Methodology: This pilot study investigates the feasibility of hilotherapy in managing acute epistaxis. Results: Thirteen patients were recruited over 11 months...

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Main Authors: H. Saeed, E. Heward, M. Khan, C. Lynch, S. Khwaja
Format: Article
Language:English
Published: Stichting NASE 2020-05-01
Series:Rhinology Online
Subjects:
Online Access:https://www.rhinologyonline.org/Rhinology_online_issues/manuscript_68.pdf
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author H. Saeed
E. Heward
M. Khan
C. Lynch
S. Khwaja
author_facet H. Saeed
E. Heward
M. Khan
C. Lynch
S. Khwaja
author_sort H. Saeed
collection DOAJ
description Background: Hilotherm contoured masks provide facial cooling to produce local vasoconstriction without many of the risks of cryotherapy. Methodology: This pilot study investigates the feasibility of hilotherapy in managing acute epistaxis. Results: Thirteen patients were recruited over 11 months at two hospitals in the North West of England. All patients received conventional initial epistaxis management simultaneously. Five patients had complete cessation and 6 had a reduction in epistaxis during the initial 20 minutes of hilotherapy. No adverse affects were recorded in the pilot cohort during hilotherapy. A post therapy questionnaire showed that patients found the mask easy to fit, secure and comfortable to wear. Conclusions: Hilotherapy has demonstrated positive outcomes in terms of patient satisfaction and safety in this small pilot population. Further randomised controlled studies are now required to investigate if hilotherapy is effective in the management of acute epistaxis.
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spelling doaj.art-19f2fff101114703b722322794718b7c2022-12-21T23:46:50ZengStichting NASERhinology Online2589-56132020-05-013454910.4193/RHINOL/20.002Epistaxis management with hilotherapy: a pilot studyH. Saeed0E. Heward1M. Khan2C. Lynch3S. Khwaja4ENT Department, Manchester University NHS Foundation Trust, Wythenshawe Hospital, M23 9LT Manchester, UKENT Department, Stockport NHS Foundation Trust, Stockport SK2 7JE, UKENT Department, Manchester University NHS Foundation Trust, Wythenshawe Hospital, M23 9LT Manchester, UKENT Department, Stockport NHS Foundation Trust, Stockport SK2 7JE, UKENT Department, Stockport NHS Foundation Trust, Stockport SK2 7JE, UKBackground: Hilotherm contoured masks provide facial cooling to produce local vasoconstriction without many of the risks of cryotherapy. Methodology: This pilot study investigates the feasibility of hilotherapy in managing acute epistaxis. Results: Thirteen patients were recruited over 11 months at two hospitals in the North West of England. All patients received conventional initial epistaxis management simultaneously. Five patients had complete cessation and 6 had a reduction in epistaxis during the initial 20 minutes of hilotherapy. No adverse affects were recorded in the pilot cohort during hilotherapy. A post therapy questionnaire showed that patients found the mask easy to fit, secure and comfortable to wear. Conclusions: Hilotherapy has demonstrated positive outcomes in terms of patient satisfaction and safety in this small pilot population. Further randomised controlled studies are now required to investigate if hilotherapy is effective in the management of acute epistaxis.https://www.rhinologyonline.org/Rhinology_online_issues/manuscript_68.pdfepistaxishilotherapyhilothermnose
spellingShingle H. Saeed
E. Heward
M. Khan
C. Lynch
S. Khwaja
Epistaxis management with hilotherapy: a pilot study
Rhinology Online
epistaxis
hilotherapy
hilotherm
nose
title Epistaxis management with hilotherapy: a pilot study
title_full Epistaxis management with hilotherapy: a pilot study
title_fullStr Epistaxis management with hilotherapy: a pilot study
title_full_unstemmed Epistaxis management with hilotherapy: a pilot study
title_short Epistaxis management with hilotherapy: a pilot study
title_sort epistaxis management with hilotherapy a pilot study
topic epistaxis
hilotherapy
hilotherm
nose
url https://www.rhinologyonline.org/Rhinology_online_issues/manuscript_68.pdf
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AT eheward epistaxismanagementwithhilotherapyapilotstudy
AT mkhan epistaxismanagementwithhilotherapyapilotstudy
AT clynch epistaxismanagementwithhilotherapyapilotstudy
AT skhwaja epistaxismanagementwithhilotherapyapilotstudy