title: Guidelines of the French Society of Otorhinolaryngology (SFORL). Epistaxis and high blood pressure.
abstract: OBJECTIVE
  The authors present the guidelines of the French Oto-Rhino-Laryngology - Head and Neck Surgery Society (Société Française d'Oto-Rhino-Laryngologie et de Chirurgie de la Face et du Cou: SFORL) on epistaxis in high blood pressure.
  
  
  METHODS
  A multidisciplinary work group was entrusted with a review of the scientific literature on the above topic. Guidelines were drawn up, based on the articles retrieved and the group members' individual experience. They were then read over by an editorial group independent of the work group. The final version was established in a coordination meeting. The guidelines were graded as A, B, C or expert opinion, by decreasing level of evidence.
  
  
  RESULTS
  It is recommended to measure the blood pressure of patients in acute-phase epistaxis (Grade A); to control high blood pressure medically in the acute phase of bleeding, to reduce its duration; to monitor blood pressure at the waning of nosebleed; and to control high blood pressure medically in the waning phase to reduce the risk of recurrence. In case of persistent high blood pressure on waning of severe epistaxis, it is recommended to prescribe cardiovascular evaluation to screen for underlying hypertensive disease (Grade B).
authors.affiliation: Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire La Conception, APHM, 147 Boulevard Baille, 13385 Marseille Cedex 5, France. Electronic address: Justin.michel@ap-hm.fr.
authors.forename: J
authors.initials: J
authors.lastname: Michel
authors.affiliation: Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Inter-Communal de Créteil, 40 Avenue de Verdun, 94000 Créteil, France.
authors.forename: V
authors.initials: V
authors.lastname: Prulière Escabasse
authors.affiliation: Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Inter-Communal de Créteil, 40 Avenue de Verdun, 94000 Créteil, France.
authors.forename: E
authors.initials: E
authors.lastname: Bequignon
authors.affiliation: Service d'ORL et Chirurgie Cervico-Faciale, Hôpital Lariboisière, APHP, 2 Rue Ambroise Paré, 75010 Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Vérillaud
authors.affiliation: Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire, Avenue de la Côte de Nacre, CS 30001, 14033 Caen cedex 9, France.
authors.forename: L
authors.initials: L
authors.lastname: Robard
authors.affiliation: Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire Gui De Chauliac, 80 Avenue Augustin Fliche, 34000 Montpellier, France.
authors.forename: L
authors.initials: L
authors.lastname: Crampette
authors.affiliation: Service d'ORL et Chirurgie Cervico-Faciale, Centre Hospitalier Universitaire Hôtel-Dieu, 1 Place Alexis-Ricordeau, 44093 Nantes Cedex 1, France.
authors.forename: O
authors.initials: O
authors.lastname: Malard
mesh_terms: D004844:Epistaxis / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000628:therapy; D055502:Secondary Prevention; D012720:Severity of Illness Index
keywords: Antihypertensive drugs; Epistaxis; High blood pressure