Comparing the efficacy of sinus irrigation with traditional Caldwell–Luc procedure following odontogenic cyst surgery involving the maxillary sinus

Abstract

A large maxillary odontogenic cyst could intrude into the maxillary sinus. The traditional approach following surgery for such a cyst is the Caldwell–Luc procedure. However, the traditional CDL procedure is associated with more complications and damage of the sinus mucosa. The purpose of this study was to assess a new method with easier operation, which not only prevented postoperative infection but also caused less damage to the maxillary sinus mucosa. A large odontogenic cyst in the maxillary sinus of 40 patients was diagnosed through radiographic imaging and postoperative histopathology. Twenty patients were treated with maxillary sinus saline irrigation after surgery, while 20 patients underwent the traditional Caldwell–Luc procedure. The therapeutic efficacy was evaluated by clinical examination and radiographic imaging; the longest follow-up was 36 months. The postoperative reaction was evaluated. There was a statistically significant difference in facial swelling, visual analog scale (VAS) and temperature elevation between the 2 groups. Sinus irrigation following large odontogenic cyst surgery involving the maxillary sinus can serve as an alternative to standard CDL and has the advantages of fewer complications, reduced trauma, restoration of the mucosa and more satisfactory results.

Sinus irrigation as an adjunctive therapy for odontogenic maxillary sinusitis — an in-depth analysis

“…If there is no improvement in symptoms, surgical treatment such as removing the odontogenic cause and irrigation of the maxillary sinus can be selected. After the dental cause is removed, primary closure is performed, and maxillary sinus irrigation is done as sinus irrigation can relieve postoperative reactions, reduce the probability of sinus infection, and protect the function of the maxillary sinus [ 9 , 18 ].…”

“…Gang et al showed that the chronic maxillary sinusitis was healed within 8–12 weeks of Caldwell–Luc surgery followed by sinus irrigation. None of the patients complained about nasal obstruction or facial paresthesia, and no further major complications were noticed after 36 months of surgery [ 9 ]. In our study, Fig.…”

“…In comparison to the conventional Caldwell-Luc procedure, sinus lavage has fewer complications, faster mucosal recovery, and is minimally invasive, so it can be performed under local anesthesia. In addition, the hospitalization period is short or temporary in some cases, so it has the advantage of less burden on patients and surgeons [ 9 ].…”

The Influence of Environmental Exposure to Heavy Metals on the Occurrence of Selected Elements in the Maxillary Bone

“…As a pneumatized bone, it consists mainly of a compact lamina. As a waste surgical material, part of the maxillary bone can be obtained during Caldwell-Luc maxillary sinus surgeries [26]. Currently, the development of less invasive endoscopic methods of maxillary sinus surgery, with the special role of functional endoscopic sinus surgery, has caused Caldwell-Luc operations to be performed relatively rarely [27,28].…”