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The Foley catheter in epistaxis management – a scientific appraisal

Published online by Cambridge University Press:  29 June 2007

C. Hartley  and
P. R. Axon
C. Hartley*
Affiliation:
Department of Otolaryngology, Hope Hospital, University of Manchester, Manchester, UK.
P. R. Axon
Affiliation:
Department of Otolaryngology, Hope Hospital, University of Manchester, Manchester, UK.
*
Mr C. Hartley, 39 Beech Road, Cale Green, Stockport, Cheshire SK3 8HD
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Abstract

The Foley balloon catheter has been used in the management of posterior epistaxis for several decades. Despite a lack of uniformity in balloon use, it is frequently successful in arresting haemorrhage. A better understanding of the balloon's characteristics may further increase its effectiveness by more appropriate use in some individuals.

Inflation characteristics were assessed in vitro by measurement of balloon length and diameter at various inflation volumes. Deflation of air-filled balloons was found to be consistent for each balloon type. The deflation rate was unaffected when BIPP (bismuth-iodoform-paraffin paste) or liquid paraffin soaked gauze were applied to the catheter.

Recommendations for catheter use are made.

Keywords

Epistaxis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 5 , May 1994 , pp. 399 - 402
Copyright
Copyright © JLO (1984) Limited 1994

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References

Bell, M., Hawke, M., Jahan, A. (1974) New device for the management of post-nasal epistaxis by balloon tamponade. Archives of Otolaryngology 99: 372–374.CrossRefGoogle Scholar
Chrisp, J. M., Nacey, J. N. (1990) Foley catheter balloon puncture and the risk of free fragment formation. British Journal of Urology 66: 500–502.CrossRefGoogle ScholarPubMed
Elwany, S., Kamel, T., Mekhamer, A. (1986) Pneumatic nasal catheters: advantages and drawbacks. Journal of Laryngology and Otology 100: 641–647.CrossRefGoogle ScholarPubMed
Eschmann Healthcare. Epistaxis instruments – Brighton balloon: Catalogue no. 3.4.Google Scholar
Fenn, A. C. (1968) Radiopaque filled Foley balloon in posterior epistaxis. Archives of Otolaryngology 87: 171–173.CrossRefGoogle ScholarPubMed
Gaskill, J. R. (1972) Fixation of Foley catheter. Archives of Otolaryngology 96: 186–187.CrossRefGoogle ScholarPubMed
Johnson, F. (1956) The control of adenoid haemorrhage with a Foley catheter (balloon type). Archives of Otolaryngology 63: 295.CrossRefGoogle Scholar
McFerran, D. J., Edmonds, S. E. (1993) The use of balloon catheters in the treatment of epistaxis. Journal of Laryngology and Otology 107: 197–200.CrossRefGoogle ScholarPubMed
McGarry, G. W., Aitken, D. (1991) Intranasal balloon catheters. How do they work? Clinical Otolaryngology 16: 388–392.CrossRefGoogle ScholarPubMed
Shaheen, O. H. (1987) Epistaxis. In Scott-Brown's Otolaryngology. 5th Edition. Vol. 4. (Kerr, A. G.Groves, J., eds.) Butterworths, London, pp 272–282.Google Scholar