Clinical Ophthalmology (Oct 2023)
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)
Abstract
Tom Kornhauser,1 Christian M Ponder,1 Philip W Dockery,1 Anna B Sharabura,2 Wade Brock,2,3 John Nguyen,4 John D Pemberton1 1Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA; 2College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA; 3Arkansas Oculoplastic Surgery, PLLC, Little Rock, AR, USA; 4West Virginia University, Department of Ophthalmology and Visual Sciences, Department of Otolaryngology and Head and Neck Cancer, Morgantown, WV, USACorrespondence: Tom Kornhauser, Jones Eye Institute, University of Arkansas for Medical Sciences, 4301 W. Markham Street, Little Rock, AR, 72207, USA, Tel +501-686-5822, Fax +501-686-7037, Email [email protected]: 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.Keywords: Conjunctivodacryocystorhinostomy, cDCR, Jones Tube, Malignant Neoplasm
