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鼻或泪道系统恶性肿瘤切除术后琼斯管置入的时机:美国眼科整形与重建外科学会(ASOPRS)的一项调查

Timing of Jones Tube Placement After Excision of Nasal or Lacrimal Drainage System Malignancy: A Survey of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS).

作者信息

Kornhauser Tom, Ponder Christian M, Dockery Philip W, Sharabura Anna B, Brock Wade, Nguyen John, Pemberton John D

机构信息

Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

出版信息

Clin Ophthalmol. 2023 Oct 16;17:3057-3062. doi: 10.2147/OPTH.S425716. eCollection 2023.

DOI:10.2147/OPTH.S425716
PMID:37869042
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10589402/
Abstract

PURPOSE

To elicit, from a survey of oculoplastic surgeons, the timing and reason for delaying Jones tube placement after the excision of nasal or lacrimal drainage system malignancy.

METHODS

The authors reviewed current literature and distributed an anonymous survey to 627 members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) to determine the length of time members wait to perform a Jones tube placement after the removal of nasal or lacrimal drainage system malignancy. The survey also included questions about the rationale for this waiting period.

RESULTS

Fifty-eight members of ASOPRS (9.3%) responded to our survey, 49 (84.4%) of whom had performed Jones tube placement on patients who had an excision of a nasal or lacrimal drainage system malignancy. Nearly 52% of respondents waited one year for Jones tube placement. However, a sizeable number of respondents opted to wait five years (15.1%). The most common rationale for waiting was a concern for tumor recurrence (42 responses).

CONCLUSION

There is no consensus on when to perform Jones tube placement after the excision of nasal or lacrimal drainage system malignancy. This survey demonstrates a broad array of waiting periods between operations, although most surgeons wait 12 months.

摘要

目的

通过对眼整形医生的一项调查,了解鼻或泪道引流系统恶性肿瘤切除术后延迟放置琼斯管的时间及原因。

方法

作者查阅了当前文献,并向美国眼科整形与重建外科学会(ASOPRS)的627名成员发放了一份匿名调查问卷,以确定成员们在鼻或泪道引流系统恶性肿瘤切除后等待进行琼斯管置入的时间长度。该调查还包括关于这段等待期理由的问题。

结果

ASOPRS的58名成员(9.3%)回复了我们的调查,其中49名(84.4%)曾对鼻或泪道引流系统恶性肿瘤切除患者进行过琼斯管置入。近52%的受访者等待一年进行琼斯管置入。然而,相当数量的受访者选择等待五年(15.1%)。等待的最常见理由是担心肿瘤复发(42份回复)。

结论

对于鼻或泪道引流系统恶性肿瘤切除术后何时进行琼斯管置入,目前尚无共识。这项调查显示手术之间的等待期差异很大,尽管大多数外科医生等待12个月。

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A Staged Procedure in the Treatment of Primary Lacrimal Sac Epithelial Malignancy: A Retrospective Cases Analysis.原发性泪囊上皮恶性肿瘤的分期手术治疗:回顾性病例分析。
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