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Volume 23 |
April - June 2007 (Part-II) |
Number 3 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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ORIGINAL ARTICLE |
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Volume 23 |
April - June 2007 (Part-II) |
Number 3 |
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Foley’s Catheter in management of
Subglottic and Tracheal injuries
Imtiaz A. Siddiqui1, Mohammed Umer Farooq2, Mohammad Usman3ABSTRACT
Objective: In patients of Sub glottis and tracheal stenosis adequate lumen is achieved by endoscopic diathermization or open surgical techniques. However it is difficult to maintain patency of the created lumen due to formation of granulation and fibrous tissues. Many prosthetic devices like Laryngeal stents, Montgomery T tubes are available which are inserted and fixed after attaining an adequate lumen during a surgical procedure. Purpose of this study was to design a cheap and easily available prosthetic device for such patients.
Patients and Method: It is a descriptive case series study of ten cases. A specially tailored stent of silicone lined Foley’s catheter, which is freely available and economically priced was used for Subglottic and Tracheal stenosis.
Results: Good air way was achieved after one year with no decanulation difficulty in 9 cases (90%) with an unsatisfactory result (10%). After removing the folly’s catheter Tracheostomy tube was corked for one month to observe the patency of newly formed airway in the Subglottic and upper tracheal region. When no difficulty in air way was observed it was finally taken out and the Tracheostomy was allowed to close by itself.
Conclusion: Silicone lined specially tailored stent of Foley’s catheter is a good cheap alternate addition in prosthetic devices for restoration lumen in Subglottic and Tracheal stenosis.
KEY WORDS: Laryngo Tracheal injuries, Subglottic stenosis, Tracheal Stenosis, Trauma, Foley’cathter stent, Foley’s catheter, Tracheal stenosis.
Pak J Med Sci May - June 2007 Vol. 23 No. 3 410-414
1. Dr. Imtiaz A. Siddiqui
Senior Registrar
2. Dr. Mohammed Umer Farooq
Assistant Professor of ENT,
3. Dr. Mohammed Usman
Assistant Professor
1-3: Jinnah Postgraduate Medical Centre,
Karachi – Pakistan.
Correspondence
Dr. Imtiaz Ather Siddiqui,
Senior Registrar, ENT,
Jinnah Postgraduate Medical Centre,
Karachi – Pakistan.
E-mail: siddykee@yahoo.com
* Received for Publication: October 18, 2005
* Revision Received: January 24, 2006
* 2nd Revision Received: October 22, 2006
* Accepted: December 25, 2006
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