Department of Otolaryngology-Head and Neck Surgery, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, NJ 07103, USA.
Am J Otolaryngol. 2013 Jul-Aug;34(4):350-2. doi: 10.1016/j.amjoto.2012.09.002. Epub 2012 Oct 23.
Conjunctivodacryocystorhinostomy (CDCR) with Jones tube placement is usually performed as a primary procedure for severe stenosis or obstruction of both upper and lower canaliculi of the lacrimal drainage pathway, or occasionally, after unsuccessful dacryocystorhinostomy (DCR). Jones tube obstruction is quite common, and often requires removal of the obstructed tube and replacement or exchange of the tube in the operating room. This procedure is typically performed under general anesthesia, and is associated with the risks of general anesthesia, a significant investment of time, and the cost of the operating suite. Recently, there has been a movement toward in-office procedures in otolaryngology and ophthalmology due to greater patient satisfaction and savings in time and money for patients and physicians. In this report, we describe a novel in-office method to exchange an obstructed Jones tube that provides the aforementioned benefits while preserving patient comfort. No similar case has been previously reported in the literature.
经结膜鼻腔泪囊吻合术（CDCR）联合 Jones 管植入术通常作为治疗严重的上、下泪小管狭窄或阻塞的首选方法，或者在泪囊鼻腔吻合术（DCR）失败后偶尔使用。Jones 管阻塞较为常见，通常需要在手术室中移除阻塞的管子并更换或交换管子。该手术通常在全身麻醉下进行，与全身麻醉的风险、大量的时间投入以及手术室的费用相关。由于患者满意度提高以及患者和医生在时间和金钱上的节省，耳鼻喉科和眼科的门诊手术最近有所增加。在本报告中，我们描述了一种新颖的门诊交换阻塞 Jones 管的方法，该方法提供了上述优势，同时还保留了患者的舒适度。文献中尚无类似病例报道。
