Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-02T19:12:02.086Z Has data issue: false hasContentIssue false
  • English
  • Français

Evaluation of the effect of nasal dorsal skin cooling on nasal mucosa by acoustic rhinometry

Published online by Cambridge University Press:  12 November 2014

M Ozturk ,
F Mutlu ,
A Kara ,
S Derin  and
M Topdag
M Ozturk*
Affiliation:
Department of Otorhinolaryngology, Kocaeli University Faculty of Medicine, Turkey
F Mutlu
Affiliation:
Department of Otorhinolaryngology, Kocaeli University Faculty of Medicine, Turkey
A Kara
Affiliation:
Department of Otorhinolaryngology, Kocaeli University Faculty of Medicine, Turkey
S Derin
Affiliation:
Department of Otorhinolaryngology, Mugla University Faculty of Medicine, Turkey
M Topdag
Affiliation:
Department of Otorhinolaryngology, Kocaeli University Faculty of Medicine, Turkey
*
Address for correspondence: Dr Murat Ozturk, Kocaeli Universitesi Tip Fakultesi, KBB Anabilim Dali, 41380, Umuttepe, Kocaeli, Turkey Fax: +90 262 303 7003 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

The use of cold nasal packs on the nose and nape of the neck is currently recommended for patients with epistaxis as this is thought to induce reflex nasal vasoconstriction, which decreases the bleeding. There have been a few investigations on the effect of cold compress application to the nose, but none of these focused specifically on nasal cooling of the skin of the nose.

Methods:

Acoustic rhinometry was performed to obtain baseline measurements. Nasal dorsal skin was then cooled with two ice packs that were held on the left and right side of the nose for a total of 10 minutes by the subjects. The rhinometry measurements were taken at the time of initial application (baseline), and after 5 and 10 minutes of ice pack application.

Results:

Comparisons of the first and second minimal cross-sectional area values, and total nasal cavity volume measurements revealed no statistical differences.

Conclusion:

The results of this study indicate that one should be sceptical about the efficiency of cold compress application, which is frequently used in clinical practice in cases with epistaxis.

Keywords

RhinometryAcousticEpistaxisNasal MucosaRegional Blood Flow
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 12 , December 2014 , pp. 1067 - 1070
Copyright
Copyright © JLO (1984) Limited 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Lal, D, Gorges, ML, Ungkhara, G, Reidy, PM, Corey, JP. Physiological change in nasal patency in response to changes in posture, temperature, and humidity measured by acoustic rhinometry. Am J Rhinol 2006;20:456–62CrossRefGoogle ScholarPubMed
2Lindemann, J, Tsakiropoulou, E, Keck, T, Leiacker, R, Wiesmiller, KM. Nasal air conditioning in relation to acoustic rhinometry values. Am J Rhinol Allergy 2009;23:575–7Google Scholar
3Dokic, D, Karkinski, D, Isjanovska, R, Trajkovska-Dokic, E, Filipce, I. Measuring nasal volumes with acoustic rhinometry. Prilozi 2010;31:339–47Google ScholarPubMed
4Yamagiwa, M, Hilberg, O, Pedersen, OF, Lundqvist, GR. Evaluation of the effect of localized skin cooling on nasal airway volume by acoustic rhinometry. Am Rev Respir Dis 1990;141:1050–4Google Scholar
5Lundqvist, GR, Pedersen, OF, Hilberg, O, Nielsen, B. Nasal reaction to changes in whole body temperature. Acta Otolaryngol 1993;113:783–8Google Scholar
6Clement, PA, Gordts, F; Standardisation Committee on Objective Assessment of the Nasal Airway, IRS, and ERS. Consensus report on acoustic rhinometry and rhinomanometry. Rhinology 2005;43:169–79Google Scholar
7Teymoortash, A, Sesterhenn, A, Kress, R, Sapundzhiev, N, Werner, JA. Efficacy of ice packs in the management of epistaxis. Clin Otolaryngol Allied Sci 2003;28:545–7CrossRefGoogle ScholarPubMed
8Dost, P, Polyzoidis, T. Benefit of the ice pack in the treatment of nosebleed [in German]. HNO 1992;40:25–7Google Scholar
9Chu, YH, Wu, CC, Wang, HW. Effect of cooling on electrical field stimulation and norepinephrine-induced contraction in isolated hypertrophic human nasal mucosa. Am J Rhinol 2006;20:471–5Google Scholar
10Watanabe, H, Tsuru, H, Yajin, K, Kawamoto, H, Sasa, M. Cold exposure enhances nitroxidergic nerve-mediated vasodilatation in canine nasal mucosa. Jpn J Pharmacol 1998;77:287–92CrossRefGoogle ScholarPubMed