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Caldwell-Luc operation without inferior meatal antrostomy: a retrospective study of 50 cases.
J Oral Maxillofac Surg. 2012 Sep; 70(9):2080-4.JO

Abstract

PURPOSE

In the standard Caldwell-Luc operation, an inferior meatal antrostomy is performed to promote sinus drainage. However, inferior meatal antrostomy has been criticized for its additional operation time and wound, early loss of the opening, and risk of injury to the nasolacrimal duct. This study retrospectively reviewed the results of the Caldwell-Luc operation without inferior meatal antrostomy in the treatment of odontogenic maxillary sinusitis or odontogenic sinus disease.

PATIENTS AND METHODS

The records of 50 patients who had an odontogenic sinus disease and underwent the Caldwell-Luc operation without inferior meatal antrostomy were reviewed. The data included the patient's age, gender, surgical indications, surgical condition, and complications.

RESULTS

From April 2004 to October 2010, there were 27 male patients and 23 female patients aged 14 to 70 years (mean, 37 years) who underwent the modified Caldwell-Luc operation. The surgical indications included intrasinus odontogenic cysts (44%), oroantral fistulae with chronic sinusitis (44%), odontoma (4%), odontogenic sinusitis (4%), and foreign bodies in the maxillary sinus (4%). The patients were successfully treated with minimal complications.

CONCLUSIONS

The modified Caldwell-Luc operation provides easier postoperative care and involves fewer complications. It is not necessary to create the inferior meatal antrostomy in the Caldwell-Luc operation when treating odontogenic sinus disease.

Authors+Show Affiliations

Department of Oral and Maxillofacial Surgery, Chang Gung Memorial Hospital, LinKou Medical Center, Taoyuan, Taiwan.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22209108

Citation

Huang, Yu-Chen, and Wen-Ho Chen. "Caldwell-Luc Operation Without Inferior Meatal Antrostomy: a Retrospective Study of 50 Cases." Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, vol. 70, no. 9, 2012, pp. 2080-4.
Huang YC, Chen WH. Caldwell-Luc operation without inferior meatal antrostomy: a retrospective study of 50 cases. J Oral Maxillofac Surg. 2012;70(9):2080-4.
Huang, Y. C., & Chen, W. H. (2012). Caldwell-Luc operation without inferior meatal antrostomy: a retrospective study of 50 cases. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 70(9), 2080-4. https://doi.org/10.1016/j.joms.2011.09.044
Huang YC, Chen WH. Caldwell-Luc Operation Without Inferior Meatal Antrostomy: a Retrospective Study of 50 Cases. J Oral Maxillofac Surg. 2012;70(9):2080-4. PubMed PMID: 22209108.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Caldwell-Luc operation without inferior meatal antrostomy: a retrospective study of 50 cases. AU - Huang,Yu-Chen, AU - Chen,Wen-Ho, Y1 - 2011/12/30/ PY - 2011/07/23/received PY - 2011/09/25/revised PY - 2011/09/27/accepted PY - 2012/1/3/entrez PY - 2012/1/3/pubmed PY - 2012/12/10/medline SP - 2080 EP - 4 JF - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JO - J. Oral Maxillofac. Surg. VL - 70 IS - 9 N2 - PURPOSE: In the standard Caldwell-Luc operation, an inferior meatal antrostomy is performed to promote sinus drainage. However, inferior meatal antrostomy has been criticized for its additional operation time and wound, early loss of the opening, and risk of injury to the nasolacrimal duct. This study retrospectively reviewed the results of the Caldwell-Luc operation without inferior meatal antrostomy in the treatment of odontogenic maxillary sinusitis or odontogenic sinus disease. PATIENTS AND METHODS: The records of 50 patients who had an odontogenic sinus disease and underwent the Caldwell-Luc operation without inferior meatal antrostomy were reviewed. The data included the patient's age, gender, surgical indications, surgical condition, and complications. RESULTS: From April 2004 to October 2010, there were 27 male patients and 23 female patients aged 14 to 70 years (mean, 37 years) who underwent the modified Caldwell-Luc operation. The surgical indications included intrasinus odontogenic cysts (44%), oroantral fistulae with chronic sinusitis (44%), odontoma (4%), odontogenic sinusitis (4%), and foreign bodies in the maxillary sinus (4%). The patients were successfully treated with minimal complications. CONCLUSIONS: The modified Caldwell-Luc operation provides easier postoperative care and involves fewer complications. It is not necessary to create the inferior meatal antrostomy in the Caldwell-Luc operation when treating odontogenic sinus disease. SN - 1531-5053 UR - https://www.unboundmedicine.com/medline/citation/22209108/Caldwell_Luc_operation_without_inferior_meatal_antrostomy:_a_retrospective_study_of_50_cases_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0278-2391(11)01644-2 DB - PRIME DP - Unbound Medicine ER -