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).

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.

Autogenous dermis skin grafts in lower eyelid reconstruction.

PURPOSE: To describe a new procedure using autogenous dermis to correct lower eyelid retraction secondary to posterior lamella shortening. METHODS: A retrospective case series of 10 eyelids in 7 patients. Autogenous dermis grafts were created from postauricular skin by using dermabrasion. The grafts were placed as posterior lamellar spacers to provide elevation and support for the retracted lower eyelids. The postoperative eyelid height, contour, and complications were documented. RESULTS: All patients demonstrated an elevation of the lower eyelid and a decrease in inferior scleral show. Minimal and transient complications were encountered. CONCLUSIONS: The technique described offers a simple alternative to other methods of posterior lamellar lower eyelid reconstruction.