Indications for the Caldwell‐Luc approach in the endoscopic era

Barzilai, Geva; Greenberg, Elhanan; Uri, Nechama

doi:10.1016/j.otohns.2004.09.014

Cited by 60 publications

(42 citation statements)

References 6 publications

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“…Access to the orbit and pterygoid space can also be achieved through this approach. 16,17 Furthermore, an antral punch to introduce a balloon dilation catheter to approach the maxillary infundibulum is being used with increasing frequency. 18 These open, anterior approaches to the maxillary sinus place a protruding ION at increased risk of iatrogenic injury because most are connected to a bony septum attached to the anterior maxillary sinus wall.…”

Section: Discussionmentioning

confidence: 99%

Protrusion of the Infraorbital Nerve into the Maxillary Sinus on CT: Prevalence, Proposed Grading Method, and Suggested Clinical Implications

Lantos¹,

Pearlman

Gupta³

et al. 2015

AJNR Am J Neuroradiol

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Section: Discussionmentioning

confidence: 99%

Protrusion of the Infraorbital Nerve into the Maxillary Sinus on CT: Prevalence, Proposed Grading Method, and Suggested Clinical Implications

Lantos¹,

Pearlman

Gupta³

et al. 2015

AJNR Am J Neuroradiol

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“…The Caldwell-Luc approach is a common procedure frequently undertaken for a variety of indications. Open anterior transantral approaches to the pterygopalatine space, to the orbital floor, and even to the posterior ethmoid and sphenoid sinuses are still part of every otolaryngologist's repertoire [15]. The midfacial degloving approach offers excellent bilateral exposure of the nasal cavities, the middle third of the face, and the central skull base, whereas its limitations include access to the nasal bones, lacrimal duct, frontal sinus, and orbit.…”

Section: Discussionmentioning

confidence: 99%

Schwannoma of the Sinonasal Tract and the Pterygopalatine Fossa with or without Intracranial Extension

Zhou¹,

Xing

Gao³

et al. 2015

ORL

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Aims: Compared with those in other head and neck regions, schwannomas in the nasal cavity or paranasal sinuses are rare. The aim of this study was to present the experience of the authors in 11 schwannoma cases of the sinonasal tract and pterygopalatine fossa over a decade. Methods: A retrospective study from 2003 to 2014. Results: Three female and 8 male patients from 22 to 61 years of age (mean age 42 years) were admitted. The most common complaints were unilateral nasal congestion. A total of 10 of the patients received surgery, including 6 functional endoscopic sinus surgeries (FESS). The postoperative course was generally uneventful. Among the patients, 10 remained regionally asymptomatic, and there has been no clinical or radiological evidence of recurrence or residual tumor. Conclusion: Surgical treatment is effective for schwannomas of the sinonasal tract and the pterygopalatine fossa with a low recurrence rate. Conducting CT and MRI (particularly fluid-attenuated inversion recovery) before surgery is mandatory. FESS could become the primary treatment of choice.

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“…In all other cases, the preferred approach should now be endoscopic. [6] Ray B et al also described a rare cause of nasolacrimal duct obstruction: dentigerous cyst in the maxillary sinus. The clinical documentations of mechanical nasolacrimal duct obstructions due to a dentigerous cyst in the maxillary sinus are very rare in literature.…”

Section: Discussionmentioning

confidence: 99%

A Study of Caldwell-Luc Approach in Various Etiologies

Minutha¹,

Nathan²

2013

jemds

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BACKGROUND: Caldwell Luc procedure was designed to remove irreversibly damaged mucosa of the maxillary sinus and to facilitate gravitational drainage and aeration via an inferior meatal antrostomy. Though the frequency of Caldwell Luc procedure has reduced with the advent of the more conservative functional endoscopic sinus surgery, it is still indicated in cases of irreversible scarring, polypoidal mucosal inflammation and chronic inflammation associated with mucociliary dysfunction. Although initially confined to the treatment of maxillary sinusitis, nowadays, it is also indicated in case of removal of foreign bodies from maxillary sinus, as an access to pterygomaxillary fissure and pterygo-palatine fossa, evaluation and stabilization of orbital floor fracture or removal of orbital floor in decompression. In spite of its effectiveness and variety of indication, it can be associated with complications, such as numbness, pain, paresthesia, damage to teeth and oro antral fistula. OBJECTIVES: This study aims to know the possible indications of Caldwell Luc procedure and to understand the effectiveness and the complication that can be associated with the procedure.

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Indications for the Caldwell‐Luc approach in the endoscopic era

Abstract: The use of this surgical approach is rational in cases of fungal disease and in endoscopic medial maxillectomy for treating inverted papilloma. In all other cases, the preferred approach should now be endoscopic.

Cited by 60 publications

References 6 publications

Protrusion of the Infraorbital Nerve into the Maxillary Sinus on CT: Prevalence, Proposed Grading Method, and Suggested Clinical Implications

Protrusion of the Infraorbital Nerve into the Maxillary Sinus on CT: Prevalence, Proposed Grading Method, and Suggested Clinical Implications

Schwannoma of the Sinonasal Tract and the Pterygopalatine Fossa with or without Intracranial Extension

A Study of Caldwell-Luc Approach in Various Etiologies

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