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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
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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
Tekin Simsek*, Mustafa Keskin†, Lütfi Eroglu§
Department of Plastic, Reconstructive and Aesthetic Surgery, *Gulhane Military Academy Hospital, †Selcuk University, Meram Medical Faculty, §Ondokuz Mayis University, Medical Faculty, Ankara/Turkiye
Correspondence Address:Tekin Simsek, Department of Plastic, Reconstructive and Aesthetic Surgery, Gulhane Military Academy Hospital, 06018 Etlik - Ankara/Turkiye. E-mail: drtekinsimsek@hotmail.com
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 |
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