Sunday, October 16, 2011

Caldwell-Luc operation

The Caldwell-Luc operation (in the Oral Surgical use of
the procedure) is used for the:


In the Ear, Nose & Throat sense, the 
Caldwell-Luc 
procedure is used for:

  • Treatment of chronic sinusitis
  • Removal of antral polyps and cysts & antro-choanal polyps
  • Removal of antral mucocœles
  • A route to the ethmoid and sphenoid sinuses
  • Visualisation of the orbital floor for decompression
  • Vidian (nerve of the Pterygoid Canal) neurectomy
  • Various forms of tumour surgery and
  • Access to the pterygo-maxillary fossa (the space
behind the maxillary sinus).


The procedure can be carried out under Local 
Anaesthetic
 though it may be a pleasanter experience all 
round for it to be carried out under 
General Anaesthetic.

A small cut is made between the upper lip and gum and a
bone window is made (giving access to the 
maxillary 
sinus
) in the anterior wall of the maxillary sinus.
The natural opening of the sinus into the nasal cavity is 
often enlarged at the same time to improve drainage of 
normal secretions and reduce the chance of recurrent 
disease.

Occasionally, a new opening (
naso-antral window) is also 
created between the nose and maxillary sinus.

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