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Caldwell Luc Surgery: Revisited

  • R. K. Datta
  • B. Viswanatha
  • M. Shree Harsha
Clinical Report

Abstract

Caldwell Luc surgery (CWS) is almost 120 years old now and it still enjoys an important place in ENT Surgeons armamentarium. The logic behind this surgery is to replace the diseased and scarred mucosa from maxillary sinus with new mucosa. In the initial period of this long journey the surgery gained many other important indications which also includes approach to surrounding structures which makes us to think if it’s really a radical surgery as it is used just an approach to other structure. This was a retrospective study of CWS done during period of 2002–2014 in Sri Venkateshwara ENT Institute and Bowring & Lady Harding Hospital both of these attached to Bangalore Medical College & Research Institute. In this study we have tried to analyze the indications and surgical procedure adapted and complications. Even though it has synonym of radical antrostomy the complications were minor and temporary, except for permanent tooth anesthesia and nasal vestibular stenosis. With reasonable expertise if this surgery is done for proper indication: its worth to face these complications and it’s a versatile surgery even today.

Keywords

Caldwell Luc surgery Antrostomy Complications 

References

  1. 1.
    Wright J. A history of laryngology and rhinology. Vol. 21, Series 2. Index Catalog of the Library of the Surgeon—General’s Office, US Army. Washington DC: Government Printing Office, 1914Google Scholar
  2. 2.
    Fallopius G. Abstract Anatomica, Frankfurt 1600, 367. Quoted in Jeanty JM. De l’empyeme latent de l’antra d’Higmore, Bordeaux, 1891Google Scholar
  3. 3.
    Lamorier L. Quoted by Mickulicz J. Sur operative Behandlung das Empyens der Highmorshohle. Archiv fu¨r Klinische Chirurgie. 1743; 34: 626–34Google Scholar
  4. 4.
    Desault PJ. Oeuvres chirurgicales ou expose de la doctrine et de la pratique de P.J. Desault. Vol. 1: Maladie des parties molles. Chez Meguignon, 1798; 142–53Google Scholar
  5. 5.
    Hunter J. Collected works, Vol. ii, edited by Palmer, London: Longman. London: Royal College of Surgeons, 1835:77Google Scholar
  6. 6.
    Caldwell GW (1893) Diseases of the accessory sinuses of the nose and an improved method of treatment of suppuration of the maxillary antrum. New J Med J 58:526–528Google Scholar
  7. 7.
    McBeth R (1971) Caldwell, Luc, and their operation. Laryngoscope 81:1652–1657Google Scholar
  8. 8.
    Luc H. Une nouvelle methode operatoire pur la cure radicle et l’empyeme chronique du sinus maxillazire. Archives internationals de laryngologie, d’otologie et de rhinologie. 1897; 10:273–85Google Scholar
  9. 9.
    Har-El G (2005) Combined endoscopic transmaxillary-transnasal approach to the pterygoid region, lateral sphenoid sinus, and retrobulbar orbit. Ann Otol Rhinol Laryngol 114:439–442CrossRefPubMedGoogle Scholar
  10. 10.
    Becker SS, Roberts DM, Beddow PA, Russell PT, Duncavage JA (2011) Comparison of maxillary sinus specimens removed during Caldwell-Luc procedures and traditional maxillary sinus antrostomies. Ear Nose Throat J 90(6):262–266PubMedGoogle Scholar
  11. 11.
    NärkiöMäkelä M, Qvarnberg Y (1997) Endoscopic sinus surgery or CaldwellLuc operation in the treatment of chronic and recurrent maxillary sinusitis. Acta Otolaryngol Suppl 529:17780Google Scholar
  12. 12.
    Penttilä MA, Rautiainen ME, Pukander JS, Karma PH (1994) Endoscopic versus CaldwellLuc approach in chronic maxillary sinusitis: comparison of symptoms at oneyear followup. Rhinology 32(4):1615Google Scholar
  13. 13.
    Huang YC, Chen WH (2012) CaldwellLuc operation without inferior meatal antrostomy: a retrospective study of 50 cases. J Oral Maxillofac Surg 70(9):20804Google Scholar

Copyright information

© Association of Otolaryngologists of India 2015

Authors and Affiliations

  1. 1.ENT DepartmentBangalore Medical College & Research InstituteBangaloreIndia

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