title: In-Office Jones tube exchange using the Seldinger technique.
abstract: 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.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, NJ 07103, USA. jean.anderson.eloy@gmail.com
authors.forename: Jean Anderson
authors.initials: JA
authors.lastname: Eloy
authors.forename: Osamah J
authors.initials: OJ
authors.lastname: Choudhry
authors.forename: Pratik A
authors.initials: PA
authors.lastname: Shukla
authors.forename: Paul D
authors.initials: PD
authors.lastname: Langer
mesh_terms: D000553:Ambulatory Care / Q000379:methods*; D003608:Dacryocystorhinostomy / Q000009:adverse effects / Q000295:instrumentation*; D020878:Device Removal / Q000379:methods*; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007767:Lacrimal Duct Obstruction / Q000175:diagnosis; D009819:Office Visits; D012086:Reoperation / Q000379:methods; D016896:Treatment Outcome