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Avoiding alar necrosis with post-nasal packs

Published online by Cambridge University Press:  08 March 2006

L Thomas ,
Y G Karagama  and
C Watson
L Thomas
Affiliation:
Sunderland Royal Hospital, Sunderland, UK.
Y G Karagama
Affiliation:
Sunderland Royal Hospital, Sunderland, UK.
C Watson
Affiliation:
Darlington Memorial Hospital, Darlington, UK.
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Abstract

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Foley’s catheter is used for post-nasal packing in severe epistaxis. Various methods have been described for securing the catheter in position, all of which can be associated with patient discomfort, risk of alar necrosis or unsightliness. We describe a new method to secure the Foley’s catheter without these problems. The ribbon gauze used for anterior nasal packing is tied over the catheter in multiple knots to secure it in place. This has been successfully tried on over 50 patients.

Keywords

EpistaxisFoley Balloon CatheterizationNasal CavitySurgical Procedures, Complications
Type
Brief Report
Information
The Journal of Laryngology & Otology , Volume 119 , Issue 9 , September 2005 , pp. 727 - 728
Copyright
© 2005 Royal Society of Medicine Press