| Role of the "Mini" Caldwell-Luc Operation for Treatment of Chronic Maxillary Sinusitis |
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Yoon Suk Oh, Young Hyo Kim, Tae Yong Yang, Seok Jae Lee, Bum Jun Kim, Tae Young Jang |
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Department of Otolaryngology-Head & Neck Surgery, Inha University School of Medicine, Incheon, Korea. jangty@inha.ac.kr |
| 만성 상악동 부비동염 환자의 치료에서 “Mini” Caldwell-Luc 수술의 효과 |
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오윤석, 김영효, 양태용, 이석재, 김범준, 장태영 |
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인하대학교 의학전문대학원 이비인후-두경부외과학교실 |
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| Abstract |
Background and Objectives
The aims of the study were to reintroduce a surgical technique for a "mini" Caldwell-Luc operation and to determine its efficacy.
MATERIALS AND METHODS
A prospective study was performed in 23 patients undergoing the "mini" Caldwell-Luc operation. Improvements in clinical symptoms and endoscopic and computed tomographic (CT) findings were evaluated postoperatively over a follow-up period ranging from 6 to 21 months. All patients were surveyed for nasal symptoms (nasal obstruction, rhinorrhea, posterior nasal drip, headache, and anosmia), complications (tooth or gum pain, numbness, persistent facial pain, and facial hypo-paresthesia), and recurrence. Preoperative nasal polyps were classified by the Gaskins method, and preoperative paranasal sinusitis was graded according to the Kennedy CT staging system.
Results
Symptom scores were all significantly reduced postoperatively (paired t-test, p<0.05). There were no major complications specific to this technique. Among 29 maxillary sinuses that received the "mini" Caldwell-Luc operation, seven showed recurrence (24%).
Conclusion
The "mini" Caldwell-Luc operation provides an alternative method of obtaining access to the maxillary antrum and is associated with minimal morbidity. |
| Key Words:
Caldwell-Luc operation;Chronic maxillary sinusitis;Endoscopic sinus surgery |
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