Eyelid edema reduction following blepharoplasty: a 3D imaging-based pilot study on the efficacy of Hilotherapy
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F25%3AE0111937" target="_blank" >RIV/00843989:_____/25:E0111937 - isvavai.cz</a>
Alternative codes found
RIV/61988987:17110/25:A2603DNP
Result on the web
<a href="https://qims.amegroups.org/article/view/142425" target="_blank" >https://qims.amegroups.org/article/view/142425</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.21037/qims-2025-832" target="_blank" >10.21037/qims-2025-832</a>
Alternative languages
Result language
angličtina
Original language name
Eyelid edema reduction following blepharoplasty: a 3D imaging-based pilot study on the efficacy of Hilotherapy
Original language description
Background: Eyelid edema is a frequent and distressing early complication of upper blepharoplasty, yet optimal postoperative management remains unsettled. Conventional cryotherapy (e.g., ice packs, cooling masks) provides unstable temperatures and can cause adverse effects. Systemic anti-inflammatory drugs are not suitable for all patients. Hilotherapy provides constant, precisely controlled cooling and has reduced swelling in maxillofacial surgery. Its value in eyelid procedures is unknown. This study used three-dimensional (3D) stereophotography to objectively quantify periocular changes and evaluate whether Hilotherapy reduces early postoperative eyelid edema after upper blepharoplasty. Methods: Twenty-three patients with symmetrical bilateral dermatochalasis (46 eyes) undergoing upper eyelid blepharoplasty under local anesthesia were enrolled. Surgery was performed simultaneously on both eyelids by two experienced surgeons using an identical technique. Hilotherapy was applied to one randomly assigned eye, with the contralateral eye serving as an untreated control. Eyelid edema was assessed using 3D stereophotography at four time points: immediately after treatment (T0), 24 hours (T1), 2 weeks (T2), and 3 months (T3) postoperatively. Results: Of the 23 patients (9 males, 14 females; mean age 65 years), 16 (69.6%) showed reduced swelling with Hilotherapy at T0, 15 (65.2%) at T1, and 13 (56.5%) at T2. In the treatment group, males had significantly more eyelid swelling than females at T0 (1.216±0.655 vs. 0.665±0.667 cm2, P=0.023), but this difference was not significant at T1 (1.343±0.579 vs. 1.019±0.784 cm2, P=0.166) or T2 (0.474±0.573 vs. 0.354±0.342 cm2, P=0.801). Compared to controls, the swelling was significantly lower in the treated eyelids at T0 (0.880±0.715 vs. 1.129±0.915 cm2, P=0.026) and T1 (1.146±0.728 vs. 1.399±1.059 cm2, P=0.042), indicating that Hilotherapy effectively reduces early postoperative eyelid edema. Conclusions: Hilotherapy is a well-t...
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30207 - Ophthalmology
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2025
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Quantitative imaging in medicine and surgery
ISSN
2223-4292
e-ISSN
2223-4306
Volume of the periodical
15
Issue of the periodical within the volume
10
Country of publishing house
CN - CHINA
Number of pages
9
Pages from-to
9170-9178
UT code for WoS article
001593087700020
EID of the result in the Scopus database
2-s2.0-105018230690