Evaluation of Caldwell-Luc Operation in the Endoscopic Era: Experience From Past 7 Years

Şahin, Muammer Melih; Yılmaz, Metin; Karamert, Recep; Cebeci, Süleyman; Uzunoğlu, Eray; Düzlü, Mehmet; Ceylan, Alper

doi:10.1016/j.joms.2020.04.024

Cited by 10 publications

(13 citation statements)

References 15 publications

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“…The CL operation was the most common approach for the MS prior the advent of ESS. First described over 100 years ago by Caldwell (1893) and Luc (1897), the CL still remains an excellent option for odontogenic neoplasms, tumors, trauma, as well to pterygopalatine and infratemporal fossa 10 . In the modern era, this approach is especially useful to reach MS neoplasms with anterior attachment points that are difficult to access through an endoscopic medial maxillectomy.…”

Section: Resultsmentioning

confidence: 99%

“…First described over 100 years ago by Caldwell (1893) and Luc (1897), the CL still remains an excellent option for odontogenic neoplasms, tumors, trauma, as well to pterygopalatine and infratemporal fossa. 10 In the modern era, this approach is especially useful to reach MS neoplasms with anterior attachment points that are difficult to access through an endoscopic medial maxillectomy. It is also a useful adjunct to endoscopic cranial base approaches to allow contralateral access to lateral lesions (contralateral transmaxillary approach) or to allow improved instrument manipulation during endoscopic ipsilateral approaches to Meckel's cave and infratemporal fossa.…”

Section: Resultsmentioning

confidence: 99%

“…First described over 100 years ago by Caldwell (1893) and Luc (1897), the CL still remains an excellent option for odontogenic neoplasms, tumors, trauma, as well to pterygopalatine and infratemporal fossa. 10 In the modern era, this approach is especially useful to reach MS neoplasms with anterior F I G U R E 1 Endoscopic anterior ethmoidectomy (antrostomy) approach. (A) Endoscopic overview of the left nasal cavity and middle meatus; (B) medialization of middle turbinate with better visualization of ethmoid bulla; (C) immediately after completion of uncinectomy and initial expansion of the antrostomy; (D) further enlargement of the antrostomy posteriorly to connect the natural and any accessory ostium of MS; (E) complete removal of bulla; (F) overview of final aspect of maxillary sinus anterior ethmoidectomy attachment points that are difficult to access through an endoscopic medial maxillectomy.…”

Section: The Anterior Wall and CL (Anterior Transmaxillary) Approachmentioning

confidence: 99%

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Three‐hundred and sixty degrees of surgical approaches to the maxillary sinus

Rezende

Pinheiro‐Neto

Leonel

et al. 2022

World j. otorhinolaryngol.-head neck surg.

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Objectives To demonstrate three‐hundred and sixty degrees of maxillary sinus (MS) surgical approaches using cadaveric dissections, highlighting the step‐by‐step anatomy of each procedure. Methods Two latex‐injected cadaveric specimens were utilized to perform surgical dissections to demonstrate different approaches to the MS. The procedures were documented with macroscopic images and endoscopic pictures. Results Dissections were performed to approach the MS medially (endoscopic maxillary antrostomy and ethmoidectomy), anteriorly (Caldwell–Luc), superiorly (transconjunctival/transorbital approach), inferiorly (transpalatal approach), and posterolaterally (preauricular hemicoronal approach). Conclusion A number of approaches have been described to address pathology in the MS. Surgeons should be familiar with indications, limitations, and surgical anatomy from different perspectives to approach the MS. This paper illustrates anatomic approaches to the MS with detailed step‐by‐step cadaveric dissections and case examples.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…First described over 100 years ago by Caldwell (1893) and Luc (1897), the CL still remains an excellent option for odontogenic neoplasms, tumors, trauma, as well to pterygopalatine and infratemporal fossa. 10 In the modern era, this approach is especially useful to reach MS neoplasms with anterior F I G U R E 1 Endoscopic anterior ethmoidectomy (antrostomy) approach. (A) Endoscopic overview of the left nasal cavity and middle meatus; (B) medialization of middle turbinate with better visualization of ethmoid bulla; (C) immediately after completion of uncinectomy and initial expansion of the antrostomy; (D) further enlargement of the antrostomy posteriorly to connect the natural and any accessory ostium of MS; (E) complete removal of bulla; (F) overview of final aspect of maxillary sinus anterior ethmoidectomy attachment points that are difficult to access through an endoscopic medial maxillectomy.…”

Section: The Anterior Wall and CL (Anterior Transmaxillary) Approachmentioning

confidence: 99%

See 1 more Smart Citation

Three‐hundred and sixty degrees of surgical approaches to the maxillary sinus

Rezende

Pinheiro‐Neto

Leonel

et al. 2022

World j. otorhinolaryngol.-head neck surg.

View full text Add to dashboard Cite

show abstract

“…For example, the nasolacrimal canal and the inferior turbinate may be resected 9 , or a prelacrimal approach may need to be used 10 . Alternatively, an aperture in the canine fossa may be created (Caldwell–Luc procedure) 11 , 12 . These extra openings could lead to extra perioperative and postoperative complications 13 .…”

Section: Introductionmentioning

confidence: 99%

A miniature robotic steerable endoscope for maxillary sinus surgery called PliENT

Legrand

Ourak

Gerven

et al. 2022

Sci Rep

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In endoscopic maxillary sinus surgery, the maxillary sinus is accessed through the nasal cavity which constitutes a narrow and tortuous pathway. However, surgeons still use rigid endoscopes and rigid, straight or pre-bent instruments for this procedure. Resection of the uncinate process and creation of a medial antrostomy is warranted to access the pathology inside the maxillary sinus and depending on the location of the pathology (lateral, inferior or anterior wall), additional resection of healthy tissue and/or functional structures like the lacrimal duct and/or inferior turbinate is necessary to gain optimal access. In order to avoid this additional resection, a functional single-handed, steerable endoscope for endoscopic maxillary sinus surgery has been designed and built. This endoscope is, to our knowledge, the most slender active steerable endoscope ever reported for maxillary sinus surgery. The performance of the endoscope was validated by two surgeons on a cadaver. An increased field of view was found in comparison to currently used endoscopes. As a direct consequence, a reduced need for resection of healthy tissue was confirmed.

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“…In the case of localized mycotic chronic sinusitis or fungus ball, surgical treatment is curative and no antimycotic drug treatment is needed. In addition to removal of the mycotic and inflammatory lesions, adequate functioning of the maxillary ostium must be guaranteed ( 1 , 8 , 9 ).…”

Section: Introductionmentioning

confidence: 99%