J Rhinol.
2010 Nov;17(2):87-91.
Role of the "Mini" Caldwell-Luc Operation for Treatment of Chronic Maxillary Sinusitis
- Affiliations
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- 1Department of Otolaryngology-Head & Neck Surgery, Inha University School of Medicine, Incheon, Korea. jangty@inha.ac.kr
Abstract
- BACKGROUND AND OBJECTIVES
The aims of the study were to reintroduce a surgical technique for a "mini" Caldwell-Luc operation and to determine its efficacy.
MATERIALS AND METHODS
A prospective study was performed in 23 patients undergoing the "mini" Caldwell-Luc operation. Improvements in clinical symptoms and endoscopic and computed tomographic (CT) findings were evaluated postoperatively over a follow-up period ranging from 6 to 21 months. All patients were surveyed for nasal symptoms (nasal obstruction, rhinorrhea, posterior nasal drip, headache, and anosmia), complications (tooth or gum pain, numbness, persistent facial pain, and facial hypo-paresthesia), and recurrence. Preoperative nasal polyps were classified by the Gaskins method, and preoperative paranasal sinusitis was graded according to the Kennedy CT staging system.
RESULTS
Symptom scores were all significantly reduced postoperatively (paired t-test, p<0.05). There were no major complications specific to this technique. Among 29 maxillary sinuses that received the "mini" Caldwell-Luc operation, seven showed recurrence (24%).
CONCLUSION
The "mini" Caldwell-Luc operation provides an alternative method of obtaining access to the maxillary antrum and is associated with minimal morbidity.