Inferior meatal antrostomy: is it necessary after radical sinus surgery through the Caldwell-Luc approach?

Al-Belasy, Fouad A.

doi:10.1016/j.joms.2003.07.009

Cited by 30 publications

(10 citation statements)

References 21 publications

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“…Moreover, this procedure carries the risks of an early loss of the antrostomy opening, epistaxis from the sphenopalatine artery, and an impaired dynamic orbital wall stability. 3,4…”

Section: Discussionmentioning

confidence: 99%

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Feasibility of Minimal Inferior Meatal Antrostomy and Fiber-Optic Sinus Exam for Fungal Sinusitis

Choi

Kim

Kang

et al. 2019

Am J Rhinol�Allergy

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Background/objective The aim of this study was to evaluate the usefulness of simultaneous middle and inferior meatal antrostomies (SMIAs) as a treatment modality in patients with maxillary fungal sinusitis and to compare the efficacy of SMIA with that of conventional middle meatal antrostomy (MMA). Methods A retrospective study was performed on consecutive patients with noninvasive fungal maxillary sinusitis. Twenty-one patients underwent endoscopic sinus surgery with SMIA group and the remaining 24 patients were treated with the conventional MMA group. Medical records were reviewed for history, clinical presentation, radiographic findings, surgical intervention, complications, and outcomes. Outcomes consisted of the visual analog scale (VAS) for the main symptoms and maxillary sinus endoscopic scores. The stenosis or obstruction of the antrostomy site and postoperative mucociliary function was also evaluated. Results VAS scores for facial pain and nasal discharge/postnasal drip were significantly improved in the SMIA group. The maxillary endoscopic score was also significantly reduced in the SMIA group. There were no significant differences between 2 groups with respect to the preoperative Lund–Mackay score, VAS score of nasal obstruction, nasal bleeding, postoperative mucociliary function, and MMA patency. Conclusions The SMIA technique is useful for identifying and removing fungal debris that cannot be reached through the MMA and could bring better surgical outcomes.

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“…Moreover, this procedure carries the risks of an early loss of the antrostomy opening, epistaxis from the sphenopalatine artery, and an impaired dynamic orbital wall stability. 3,4…”

Section: Discussionmentioning

confidence: 99%

“…For example, this procedure can disrupt mucociliary clearance in the sinuses; additionally, additional time may be required for additional antrostomies, and nasolacrimal duct injury may occur. 3,4…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Minimal Inferior Meatal Antrostomy and Fiber-Optic Sinus Exam for Fungal Sinusitis

Choi

Kim

Kang

et al. 2019

Am J Rhinol�Allergy

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“…Naime, ispitivanja na eksperimentalnim životinjama su pokazala da nema zna ajne razlike u rezultatima histološke analize sluznice maksilarnog sinusa, kao ni u pojavi akutne ili hroni ne infekcije sinusa bez obzira na to da li je otvor na injen u donjem ili srednjem nosnom hodniku (14). Analizom klini kih studija je pokazano da se zna ajna razlika u postoperativnom periodu ne uo ava kako na klini kim, tako i na radiografskim pregledima kod pacijentata kod kojih je otvor ura en u donjem nosnom hodniku, u odnosu na pacijente sa otvorom u srednjem nosnom hodniku (15,16). Tako e, klini ke studije Duraka i sar.…”

Section: Discussionunclassified

“…Namely, the tests on animals showed that there were no significant differences in the results of histology analyses of maxillary sinus mucosa, nor in the appearance of acute or chronic sinus infection, no matter if the opening was made in a lower or middle nasal hall (14). Analysing the clinical studies it was shown that there is no important difference in a post-operative period, either on a clinical nor on radiography checkups of the patient who had an opening made in a lower nasal hall in regard to the patients with an opening made in a middle nasal hall (15,16). Likewise, the clinical studies of Durak and assistants (17) show that the elimination of secretion of the maxillary sinus nasal cavity is directed exclusively towards a physiological opening in a middle nasal hall, and not towards the made opening a lower nasal hall, which was confirmed by the researches of Coleman and Duncavage (18).…”

Section: Discussionmentioning

confidence: 99%

Balloon -catheter usage in maxillary sinus surgery: Case report

Brković

Radulovic²

2006

SERBIAN DENT J

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Introduction: The postoperative drainage and the postoperative bleeding from maxillary sinus cavity have been controlled after functional sinus surgery. It has usually been done using the band of iodize gauze squeezed through the temporary opening in the vestibular mucosa or through the inferior meatal antrostomy. The aim of this study was to present the use of balloon-catheter in maxillary sinus surgery intendend for control of postoperative drainage and bleeding. Case report: Balloon-catheter was used in one female who was treated for anemia after chemotherapy and with allergy to iodine. It was inserted into the sinus cavity through the temporary inferior meatal antrostomy and removed five days after surgery without any postoperative discomforts and complications especially in this risk group of patients. Conclusion: The balloon-catheter surgery method used in risk group of patients improved the quality of postoperative period without significant complications

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“…In our case, we performed a Caldwell-Luc procedure with enucleation of the cyst as the cyst was large and the ectopic tooth lies more medially in the floor of the orbit (Figures 5–11). Also it is evidenced from the study that it is not necessary to perform antrostomy at the inferior meatus for Caldwell-Luc procedure for odontogenic pathology [11]. If the tooth is in a favorable position and space is available, it may occasionally possible to marsupialise a dentigerous cyst to allow the tooth to erupt.…”

Section: Treatmentmentioning

confidence: 99%

An Unusual Case of Tooth in the Floor of the Orbit: The Libyan Experience

Shetty

Majid

Patel

et al. 2012

Case Reports in Dentistry

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Maxillary dentigerous cysts although uncommon need to be considered in the differential diagnosis in children with painless facial swelling. We present a case of dentigerous cyst associated with maxillary deciduous canine and maxillary premolars manifesting as a unilateral swelling in canine region of the face. A ten-year-old boy came to oral and maxillofacial surgery unit with a painless left facial swelling. The local dentist had prescribed antibiotics for treatment for the facial swelling, but the swelling did not subside, and the parents brought the child to our unit in Zliten Dental College. After clinical examination and imaging, the diagnosis of dentigerous cyst was made. Caldwell-Luc approach was done, the cyst was enucleated, and primary closure was done. The patient was followed up for a period of two years and there was no evidence of any recurrence.

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Inferior meatal antrostomy: is it necessary after radical sinus surgery through the Caldwell-Luc approach?

Cited by 30 publications

References 21 publications

Feasibility of Minimal Inferior Meatal Antrostomy and Fiber-Optic Sinus Exam for Fungal Sinusitis

Feasibility of Minimal Inferior Meatal Antrostomy and Fiber-Optic Sinus Exam for Fungal Sinusitis

Balloon -catheter usage in maxillary sinus surgery: Case report

An Unusual Case of Tooth in the Floor of the Orbit: The Libyan Experience

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