Epistaxis - treatment

Another method of posterior nasal packing is with the foley's catheter. Introduce the foley's catheter along the floor of the nasal cavity into the nasopharynx. When the tip is visible in the oropharynx, inflate the catheter with 10-15 ml of distilled water and pull the catheter till it tightly fits the posterior choanae. Put the anterior nasal pack and clamp t yhe foley's catheter with a umbilical cord clamp after putting a gauze piece inbetween clamp and nose to prevent necrosis of columella.

Double ballooon catheters can also be used in which there is a bloon fof posterior part of nose and choanae and a separate balloon for nasal cavity. These are inflated with distilled water to give optimum pressure.