caldwell luc procedure

The CaldwellLuc procedure which has long been fundamental in the treatment of perisinus disease has undergone increasing scrutiny when used for inflammatory antritis. The maxillary sinus is located behind the cheek.

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The Caldwell-Luc procedure is a surgery that was first described over a 100 years ago.

. Medical Definition of Caldwell-Luc operation. This article describes the operation in detail. Though advances in endoscopic techniques and tools have greatly diminished the indications for this operation.

The Caldwell-Luc procedure was described by George Caldwell of the United States 1893 and Henri Luc of France 1897 independently Today this procedure bears both names. An educated patient is the best patient. Caldwell-Luc Procedure Definition This procedure involves making a temporary opening into the maxillary sinus and re-establishing an opening into the sinus from the nose if necessary.

This article describes the operation in detail. However the Caldwell-Luc procedure still offers optimal exposure for decompression of Graves ophthalmopathy pterygomaxillary space surgery management of some maxillary trauma removal of antral foreign bodies repair of some oral-antral fistulae management of maxillary osteomyelitis and benign maxillary tumors and irreversible mucosal. Though advances in endoscopic techniques and tools have greatly diminished the indications for this operation it is still a procedure in which there is great utility in the right patient.

The Caldwell-Luc procedure is a surgery that was first described over a 100 years ago. Though advances in endoscopic techniques and tools have greatly diminished the indications for this operation it is still a procedure in which there is great utility in the right patient. The Caldwell-Luc procedure in 1991 In the pre-antibiotic era George Caldwell and Guy Luc both designed an operation to remove infected polypoid tissue from the maxillary antrum as well as to provide drainage and ventilation of the sinus.

To assess the data from our own institution a retrospective study of 670 Caldwell-Luc procedures was undertaken. Care should be taken by the surgeon here to not to damage the bundle. It is an alternative to middle meatal antrostomy done via endonasal endoscopic surgery and was the primary approach used for accessing the maxillary sinus before the advent of endoscopic sinus surgery.

Patients ranged in age from 10 to 82 with a mean age of 429 years. Arguments against the Caldwell-Luc procedure are primarily based upon morbidity of the procedure while arguments against nasal antrostomy point to inadequate access exposure and failure to eradicate disease. The Caldwell-Luc operation uses an external approach for surgical treatment of the severely diseased maxillary sinus.

It is an alternative to middle meatal antrostomy done via endonasal endoscopic surgery and was the primary approach used for accessing the maxillary sinus before the advent of endoscopic sinus surgery. The controversy concerning the indications for intranasal antrostomy versus the Caldwell-Luc operation has been debated for many years. The Langenbachs retractor is used to retract the soft tissue and a periosteal elevator to retract the anterior wall of the sinus till the infraorbital bundle is visible.

The Caldwell-Luc procedure is a surgery that was first described over a 100 years ago. A Caldwell-Luc antrostomy is a procedure often used to remove a damaged mucosal lining from the maxillary sinus developed by George Caldwell in 1893 and Henry Luc in 1897. CALDWELL LUC SURGERY 174566 views Aug 8 2010 500 Dislike Share Save KREATIV NEURONZ 232K subscribers Subscribe Even though we are in the FESS era the caldwell luc approach to the maxillary.

A surgical procedure used especially for clearing a blocked or infected maxillary sinus that involves entering the sinus through the mouth by way of an incision into the canine fossa above a canine tooth cleaning the sinus and creating a new and enlarged opening for drainage through the nose. Individual morbidity rates of less than 10 to greater than 40 have been reported. The surgeon gives a 3 to 4 cm incision on the buccogingival sulcus at the canine eminence area.

With the development of antibiotics and the surgical endoscopes many of the former indications. In their original descriptions these surgeons advocated removal of mucosal lining of the maxillary sinus and establishment of an inferior meatal antrostomy for drainage. The Caldwell-Luc operation indications are usually when sinusitis in the area has not responded to antibiotic treatment sinus rinses and other non-invasive treatments.

The Caldwell-Luc operation uses an external approach for surgical treatment of the severely diseased maxillary sinus.

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