A modified trephining technique for the insertion of Jones tube

The functional success of a Jones Pyrex tube depends on the accurate positioning of the tube. The modified trephining technique for the insertion of a Jones tube ensures accurate positioning by using a guide wire to maintain the selected position and direction of the tube while a 1.5-mm-diameter trephine cuts a cylindrical track around the guide wire, down which a straight Pyrex tube is threaded. The snug fit between the tube and the trephined track has minimized postoperative extrusion (5%) and migration (7%). This technique has been used to insert 93 tubes in 84 patients aged 7 to 83 years.