Caldwell-luc antrostomy
Caldwell-luc antrostomy |
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Caldwell-luc antrostomy —also known as Radical antrostomy— is an operation to remove irreversibly damaged mucosa of the maxillary sinus. It is done when maxillary sinusitis is not cured by medication or other non-invasive technique.The approach is mainly from anterior wall of maxilla bone.[1]
Medical uses
Contraindications
It is rarely done in children as the damage to secondary dentition may occur.[3]
Complications
Procedure
Anaesthesia
Operation may be performed under local anaesthesia but it is commonly carried under general anaesthesia. The use of topical anaesthesia and injection of adrenaline into soft tissue of canine fossa is recommended.[3]
Technique
First of all the incision is made from lateral incisor to the second molar tooth.Then the flap of mucosa and periosteum is elevated and dissected to expose the anterior wall of sinus and then anterior wall is opened in the canine fossa where the bone is relatively thin with the drill. The opening can be enlarged by hayek or kerrison punch forceps to produce hole sufficiently large to provide access for example to allow removal of sinus mucosa or introduction of an endoscope and instruments.
The entire lining of sinus is dissected and removed as the success of the operation in chronic rhinosinusitis. Packing of nasal cavity and sinus is sometime required. Suturing of buccal incision is recommended with absorbable suture material.
The patient should be advised against overenthusiastic blowing of the nose for at least a week.[3]
History
It was described by George Caldwell in 1893 and Henry Luc in 1897. They describe the operation of maxillary sinus diseases via canine fossa.Functional endoscopic sinus surgery is the standard surgery for maxillary sinusitis nowadays.[10]
References
- ↑ Gleeson, edited by Michael (2008). Scott-Brown's otolaryngology, head and neck surgery (7th ed.). London: Hodder Arnold. ISBN 9780340808931.
- ↑ Schneider, John S.; Day, Andrew; Clavenna, Matthew; Russell, Paul T.; Duncavage, James (October 2015). "Early Practice". Otolaryngologic Clinics of North America. 48 (5): 839–850. doi:10.1016/j.otc.2015.05.010.
- 1 2 3 4 5 6 Scott-Brown's otolaryngology, head and neck surgery
- ↑ Lotfi, AR; Zarrintan, S; Naderpour, M; Sokhandan, M; Fakhrjou, A; Bayat, A; Salehpour, F; Djalilian, H (October 2014). "Primary hydatid cyst of the right maxillary sinus: a case report". Iranian journal of otorhinolaryngology. 26 (77): 257–61. PMC 4196450. PMID 25320704.
- ↑ Datarkar, Abhay N.; Dhawad, Madhumati; Deshpande, Ajay (16 March 2012). "Unusual Foreign Body in Mid Face". Journal of Maxillofacial and Oral Surgery. 14 (S1): 96–99. doi:10.1007/s12663-012-0341-2. PMC 4379253.
- ↑ Dong, J; Lu, M; Zhou, H; Zhang, W; Li, Y; Dong, W (January 2015). "[Clinical analysis of primary nasal sinus osteoma]". Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery. 50 (1): 8–13. PMID 25764920.
- ↑ Xu, W; Zhao, C; Jin, L; Ge, R (March 2015). "[Clinical analysis of simple orbital blowout fracture]". Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery. 29 (5): 418–21. PMID 26103660.
- ↑ Balikci, H. H.; Ozkul, M. H.; Uvacin, O.; Yasar, H.; Karakas, M.; Gurdal, M. (21 November 2012). "Antrochoanal polyposis: analysis of 34 cases". European Archives of Oto-Rhino-Laryngology. 270 (5): 1651–1654. doi:10.1007/s00405-012-2274-2.
- ↑ Early Practice: External Sinus Surgery and Procedures and Complications.Otolaryngologic clinics of North America
- ↑ Cummings otolaryngology : head and neck surgery, 3 volume set. [S.l.]: Elsevier Saunders. 2014. ISBN 978-1-4557-4696-5.