Dlaczego niechętnie proponujemy pacjentomwszczepienie rurki Jonesa? Czyli Minimalnie inwazyjny zabieg conjunctivodacryocystorhinostomii z wszczepieniem zmodyfikowanej rurki Jonesa pod kontrolą endoskopową jako alternatywa dla klasycznego zabiegu conjunctivodacryocystorhinostomii. Doświadczenia własne
Autorzy: Jarosław Kuśmierczyk, Harriet Hafkamp

Why Do We Hesitate to Implant Jones Tubes?
Minimally Invasive Conjunctivodacryocystorhinostomy Procedure
with Implantation of the Modified Jones Tube Under Endoscopic Guidance as Alternative for Classic Conjunctivodacryocystorhinostomy Procedure.
Own Experience

Wydanie 3/2023
str. 60-63

Autor: Jarosław Kuśmierczyk1,2,3,Harriet Hafkamp4

1 Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgia
2 Reinier de Graaf, Department of Ophthalmology Delft, Niderlandy
3 Centrum Mikrochirurgii Oka Laser w Warszawie, Polska
4 Reinier de Graaf, Department of Otorhinolaryngology Delft, Niderlandy

Summary: 

The aim of this paper is to familiarize the reader with simplified technique of the modified Jones bypass surgery under endoscopic visualization with implantation of the modified Jones tubes.
The original tube was introduced in 1961 by Jones and for many years the problem of the tube migration and hence the diminishing of its function was one of the main long term complications (issues, drawbacks) of the procedure.
Precise positioning under endoscopic guidance combined with implantation of the meticulously selected and measured tube results in beter long term outcomes regarding the position of the tube and its function.