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Indian Journal of Plastic Surgery
Medknow Publications on behalf of Indian Journal of Plastic Surgery
ISSN: 0970-0358 EISSN: 1998-376x
Vol. 39, Num. 1, 2006, pp. 111-112

Indian Journal of Plastic Surgery, Vol. 39, No. 1, January-June, 2006, pp. 111-112

Letter To Editor

The extended uses of Foley catheter in plastic surgery

Code Number: pl06029

Dear Sir,

After modification of the urinary catheter by the addition of an inflatable distal retaining balloon by Dr. Frederick E. B. Foley in 1934, the simplicity of the resulting device has led to diverse applications in many fields of surgery. The Foley's catheter has been used by almost all surgeons at least one time in their practice. We present the extended uses of the Foley catheters in Plastic Surgery:

  • Control of bleeding: Foley catheter has been used to provide balloon tamponade of major bleeding from the nasopharynx, maxillary, neck and supraclavicular fossae.[1],[2],[3],[4]
  • Reduction of the facial fractures: Foley catheter has been used for orbital, unstable zygomatic arch and corpus fractures.[5],[6]
  • Reconstruction of the orbital floor: A Foley catheter was placed into the maxillary sinus to provide temporary support for the lyophilized tensor fascia lata graft.[7]
  • Eye socket reconstruction: Foley's catheter has been used for 2 purposes in this situation: to keep the skin bag bulging and to drain the exudates in the skin bag.[8]
  • Scrotal reconstruction: Foley's catheters have been placed subcutaneously in the perineoscrotal region and skin has been slowly expanded for secondary scrotal reconstruction.[9]
  • Vaginal reconstruction: Foley's catheter has been used as a part of the soft vaginal mould for McIndoe's vaginoplasty.[10]
  • Intraoperative tissue expansion: Tissue gain has been achieved by intraoperative tissue expansion using Foley's catheter. For this aim Foley's catheter has been used for cleft palate repair, eyelid reconstruction and some skin defects.[11],[12],[13],[14]
  • Experimental tissue expansion: A method of tissue expansion with a siliconized Foley's catheter has been described for experimental studies.[15]
  • Alar stabilization: A technique of intraoperative nasal ala stabilization to aid excision of skin lesions on the nasal ala and the surrounding skin has been described.[16]
  • Staged tendon reconstruction: Siliconized urinary catheter has been used experimentally as a silicone rod implant in staged tendon reconstruction.[17]
  • Nostril retainer: A part of silicone urine catheter has been used as a nostril retainer.[18]
  • Air drill irrigation: Foley's catheter has been used for intraoperative air drill burr irrigation.[19]
  • Short-term drainage in frontal sinus surgery: Foley's catheter has been used purpose a short-term drainage and fronto-nasal duct kept patent for several weeks or months of frontal sinus disease.[20]
  • In patients whom sustained full-thickness penis burns, foley catheter has been used scaffold for urethral sheet grafts and penile traction with a weighted catheter.[21]

In addition of these extended uses, we believe that there are many unpublished uses of the Foley's catheter in Plastic Surgery.

References

1.O'Connor GB, McGregor MW, Sadish WR. The Foley catheter in facial plastic surgery. Arc Otolaryngol 1986;84:518-9.  Back to cited text no. 1    
2.Cannon CR. Effective treatment protocol for posterior epistaxis: A 10-year experience. Otolaryngol Head Neck Surg 1993;109:722-5.  Back to cited text no. 2    
3.Sing RF, Sue SR, Reilly PM. Balloon catheter tamponade of exsanguinating facial hemorrhage: A case report. J Emerg Med 1998;16:601-2.  Back to cited text no. 3    
4.Gilroy D, Lakhoo M, Charalambides D, Demetriades D. Control of life-threatening haemorrhage from the neck: A new indication for balloon tamponade. Injury 1992;23:557-9.  Back to cited text no. 4    
5.Podoshin L, Fradis M. The use of the foley balloon catheter in zygomatic-arch fractures. Br J Oral Surg 1974;12:246-8.  Back to cited text no. 5    
6.Maran AG, Gover GW. The use of the Foley balloon catheter in the tripod fracture. J Laryngol Otol 1971;85:897-902.  Back to cited text no. 6    
7.Celikoz B, Duman H, Selmanpakoglu N. Reconstruction of the orbital floor with lyophilized tensor fascia lata. J Oral Maxillofac Surg 1997;55:240-4.  Back to cited text no. 7    
8.Ohtsuka H. Eye socket and eyelid reconstruction using the combined island frontal flap and retroauricular island flap:a preliminary report. Ann Plast Surg 1988;20:244-8.  Back to cited text no. 8    
9.Chadha A, Saraiya H. Scrotal reconstruction using Foley catheters as tissue expanders. Ann Plast Surg 1991;26:291-2.  Back to cited text no. 9    
10.Marin-Bertolin S, Gonzalez-Martinez R, Landeras Gutierrez JL, Amorrortu-Velayos J. A refinement in the construction of the soft mould for McIndoe's vaginoplasty. Eur J Plast Surg 1997;20:54-55.  Back to cited text no. 10    
11.Abramo AC, Viola JC, Angelo AJ. Intraoperative rapid expansion in cleft palate repair. Plast Reconstr Surg 1993;91:441-51.  Back to cited text no. 11    
12.Foster JA, Scheiner AJ, Wulc AE, Wallace IB, Greenbaum SS. Intraoperative tissue expansion in eyelid reconstruction. Ophthalmology 1998;105:170-5.  Back to cited text no. 12    
13.Timothy MJ, Marc DB, Michael JS, Neil AS. Immediate intraoperative tissue expansion. J Am Acad Dermatol 1990;22:283-7.  Back to cited text no. 13    
14.Steven SG. Intraoperative tissue expansion with the foley catheter. J Dermatol Surg Onkol 1993;19:1079-83.  Back to cited text no. 14    
15.Eroπlu L, Karacaoπlan N, Uysal OA, Kobak Ö. A practical method of experimental tissue expansion. Plast Reconstr Surg 1999;103:1097-8.  Back to cited text no. 15    
16.Alcalay J, Goldberg LH. Intraoperative nasal ala stabilization using the Foley catheter. J Dermatol Surg Oncol 1991;17:957-8.  Back to cited text no. 16    
17.Kuran Ý, Özcan H, Turan T, Sakýz D, Baþ L. Searching for alternatives to silicon rods in staged tendon reconstruction. Eur J Plast Surg 1998;21:317-20.  Back to cited text no. 17    
18.Yildirim S, Akoz T. A simple and cheap nostril retainer: Silicone urine catheter. Plast Reconstr Surg 2001;107:1308-9.  Back to cited text no. 18    
19.Horowitz J, Chuong R. A simplified method for air drill irrigation. Plast Reconstr Surg 1984;73:313-4.  Back to cited text no. 19    
20.Ijaduola TG. Use of foley catheter for short-term darinage in frontal sinus surgery. J Laryngol Otol 1989;103:375-8.  Back to cited text no. 20    
21.Housinger TA, Keller B, Warden GD. Management of burns of the penis. J Burn Care Rehabil 1993;14:525-7.  Back to cited text no. 21    

Copyright 2006 - Indian Journal of Plastic Surgery

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