This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
On September 24, 1991, during the annual meeting of the American Academy of Otolaryngology—Head and Neck Surgery in Kansas City, Mo, Richard L. Goode, MD, Stanford, Calif, demonstrated his new posterior nasal balloon pack. Dr Goode explained his design to attendees at the 24th annual meeting of "Biotechnology in Otolaryngology."
The pack uses an oval-shaped silicone balloon to occlude the posterior choana. This configuration provides a good fit using several milliliters of fluid without placing the painful pressure on the soft palate that is often associated with Foley catheters. A suction channel is opened when the stylette, which allows accurate placement along the floor of the nose or around a septal deviation, is removed. To control epistaxis, an anterior pack may be placed easily, since the parallel suction and inflation channels have a narrow diameter. A soft disk and locking device (similar to that used on intravenous tubing to adjust
WAGUESPACK RW. A New Posterior Nasal Pack. Arch Otolaryngol Head Neck Surg. 1992;118(3):236. doi:10.1001/archotol.1992.01880030018005