Engel M, Reif J, Moncrief E
Department for maxillo-facial surgery, University Homburg/Saar.
Rev Stomatol Chir Maxillofac. 1992;93(5):333-6.
Severe comminuted fractures of the facial bones involving the cranial base are often accompanied by heavy bleeding into the nasopharynx. This presents considerable problems in primary care both for the anesthesiologist and the surgeon. Such bleeding can be controlled by Bellocq tamponade or using a Foley inflatable catheter. Skull base fractures may involve the risk of the catheter inadvertently penetrating into the brain. The authors describe a case in which a misguided Foley catheter, which was blindly inserted through the nose in an attempt to tampon the nasopharynx, resulted in fatal cerebral damage.
累及颅底的面骨严重粉碎性骨折常伴有大量血液流入鼻咽部。这给麻醉医生和外科医生在初级护理中带来了相当大的问题。这种出血可通过贝洛克填塞法或使用福莱氏可充气导管来控制。颅底骨折可能存在导管意外刺入脑部的风险。作者描述了这样一个病例：一根福莱氏导管盲目经鼻插入试图填塞鼻咽部，但误入歧途，导致了致命的脑损伤。
