Tags

Type your tag names separated by a space and hit enter

Surgical revision of the post-Caldwell-Luc maxillary sinus.
Am J Rhinol. 2005 Sep-Oct; 19(5):478-82.AJ

Abstract

BACKGROUND

Endoscopic sinus surgeons are commonly faced with the management of patients with persistent maxillary sinusitis despite previous Caldwell-Luc surgery. Given the potential for altered mucociliary clearance in the post-Caldwell-Luc maxillary sinus, the optimal approach for surgical revision has not been well characterized. The objective of this study was to review our experience in endoscopic versus repeat Caldwell-Luc approaches in patients who have failed Caldwell-Luc surgery for chronic maxillary sinusitis.

METHODS

Retrospective chart review was performed on patients who had a history of a Caldwell-Luc procedure and who then underwent a surgical revision for persistent maxillary sinusitis at the Oregon Health and Science University and Medical College of Wisconsin between 1983 and 2002.

RESULTS

Sixty-eight patients were identified, with a total of 156 revision procedures performed on 103 maxillary sinuses. Fifty-three percent of the sinuses underwent endoscopic maxillary antrostomy as the first surgical revision, while 47% underwent a revision Caldwell-Luc procedure. Sixty-seven percent of the sinuses in the revision endoscopic group had clinical resolution with a single surgical revision, and 60% of the sinuses in the revision Caldwell-Luc group had clinical improvement with one surgical revision (p = 0.46). The endoscopic group averaged 1.3+/-0.5 revision procedures per sinus to achieve clinical resolution, and the revision Caldwell-Luc group averaged 1.7+/-1.0 revision procedures per sinus (p = 0.3). Mean follow-up was 25 months.

CONCLUSION

Endoscopic revision of the maxillary sinus yields comparable outcomes to repeat Caldwell-Luc procedure in patients with a history of previous failed Caldwell-Luc surgery. Endoscopic revision surgery is a viable alternative for surgical rehabilitation of the post-Caldwell-Luc maxillary sinus.

Authors+Show Affiliations

University of Virginia, Charlottesville, Virginia, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16270602

Citation

Han, Joseph K., et al. "Surgical Revision of the post-Caldwell-Luc Maxillary Sinus." American Journal of Rhinology, vol. 19, no. 5, 2005, pp. 478-82.
Han JK, Smith TL, Loehrl TA, et al. Surgical revision of the post-Caldwell-Luc maxillary sinus. Am J Rhinol. 2005;19(5):478-82.
Han, J. K., Smith, T. L., Loehrl, T. A., Fong, K. J., & Hwang, P. H. (2005). Surgical revision of the post-Caldwell-Luc maxillary sinus. American Journal of Rhinology, 19(5), 478-82.
Han JK, et al. Surgical Revision of the post-Caldwell-Luc Maxillary Sinus. Am J Rhinol. 2005 Sep-Oct;19(5):478-82. PubMed PMID: 16270602.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical revision of the post-Caldwell-Luc maxillary sinus. AU - Han,Joseph K, AU - Smith,Timothy L, AU - Loehrl,Todd A, AU - Fong,Karen J, AU - Hwang,Peter H, PY - 2005/11/8/pubmed PY - 2006/2/1/medline PY - 2005/11/8/entrez SP - 478 EP - 82 JF - American journal of rhinology JO - Am J Rhinol VL - 19 IS - 5 N2 - BACKGROUND: Endoscopic sinus surgeons are commonly faced with the management of patients with persistent maxillary sinusitis despite previous Caldwell-Luc surgery. Given the potential for altered mucociliary clearance in the post-Caldwell-Luc maxillary sinus, the optimal approach for surgical revision has not been well characterized. The objective of this study was to review our experience in endoscopic versus repeat Caldwell-Luc approaches in patients who have failed Caldwell-Luc surgery for chronic maxillary sinusitis. METHODS: Retrospective chart review was performed on patients who had a history of a Caldwell-Luc procedure and who then underwent a surgical revision for persistent maxillary sinusitis at the Oregon Health and Science University and Medical College of Wisconsin between 1983 and 2002. RESULTS: Sixty-eight patients were identified, with a total of 156 revision procedures performed on 103 maxillary sinuses. Fifty-three percent of the sinuses underwent endoscopic maxillary antrostomy as the first surgical revision, while 47% underwent a revision Caldwell-Luc procedure. Sixty-seven percent of the sinuses in the revision endoscopic group had clinical resolution with a single surgical revision, and 60% of the sinuses in the revision Caldwell-Luc group had clinical improvement with one surgical revision (p = 0.46). The endoscopic group averaged 1.3+/-0.5 revision procedures per sinus to achieve clinical resolution, and the revision Caldwell-Luc group averaged 1.7+/-1.0 revision procedures per sinus (p = 0.3). Mean follow-up was 25 months. CONCLUSION: Endoscopic revision of the maxillary sinus yields comparable outcomes to repeat Caldwell-Luc procedure in patients with a history of previous failed Caldwell-Luc surgery. Endoscopic revision surgery is a viable alternative for surgical rehabilitation of the post-Caldwell-Luc maxillary sinus. SN - 1050-6586 UR - https://www.unboundmedicine.com/medline/citation/16270602/Surgical_revision_of_the_post_Caldwell_Luc_maxillary_sinus_ DB - PRIME DP - Unbound Medicine ER -