To the Editor.—Drs. Barton and Ray have described a method of securing an inflated catheter in the nasopharynx for control of posterior epistaxis, using a pad to distribute pressure over the external naris.1
Several years ago Dr. Alan Nahum devised a method which avoids pressure on the nostril. A short length of plastic suction tubing is passed over the catheter prior to its insertion into the nose. After inflating the balloon and packing the nose, the tubing is slipped down against the pack and secured there with a screw clamp (Figure).
A 14 F Foley catheter with a 30-ml balloon works well. If the tip is shortened there will be less pharyngeal discomfort.
GASKILL JR. FIXATION OF FOLEY CATHETER. Arch Otolaryngol. 1972;96(2):186–187. doi:10.1001/archotol.1972.00770090260025
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