Studies on the Caldwell-Luc Operation with or without Counteropening at the Inferior Meatus

Saitô, Hitoshi; Takanami, Nizo; Saito, Takehisa; Wakui, Shinya; Fujieda, Shigeharu

doi:10.1159/000276143

Cited by 15 publications

(9 citation statements)

References 5 publications

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“…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). Similarly, it is important to emphasize that the surgically made opening in a lower nasal hall can cause an injury of nasal lachrymal channel (13) and the bleeding from sphenopalatal artery (19).…”

Section: Discussionmentioning

confidence: 91%

“…U savremenoj oralnohirurškoj praksi, esto se postavlja pitanje svrsishodnosti drenaže maksilarnog sinusa kroz otvor u donjem nosnom hodniku posebno iz razloga što je je pod sinusa niži od poda nosa, te se nazalna antrostoma ne nalazi na najnižem mestu sinusa koji se drenira (12). Kako je preparacija arteficijalnog otvora hirurški postupak i zahteva dodatno vreme ime se produžava i trajanje hirurške intervencije (13), uo eni su brojni nedostaci i mogu e komplikacije kada je u pitanju postojanje ovog otvora. 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).…”

Section: Discussionunclassified

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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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Section: Discussionmentioning

confidence: 91%

Section: Discussionunclassified

Balloon -catheter usage in maxillary sinus surgery: Case report

Brković

Radulovic²

2006

SERBIAN DENT J

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“…Dada la sintomatología clínica de la paciente se optó por realizar tratamiento quirúrgico mediante abordaje de Caldwell-Luc. [13][14][15][16][17][18][19][20][21] Bajo anestesia general e intubación oro-traqueal se realizó incisión de Neumann a nivel de vestíbulo superior derecho. Tras elevación de colgajo mucoperióstico se visualizó la cápsula quística y la cortical maxilar de aspecto papiráceo con adherencias y fibrosis.…”

Section: Discussionunclassified

“…Given the clinical symptoms of the patient, surgical treatment using the Caldwell-Luc approach was decided on. [13][14][15][16][17][18][19][20][21] Under general anesthesia and following oro-tracheal intubation, a Neumann incision was made in the upper right vestibule. After raising a mucoperiosteal flap, a cystic capsule was observed.…”

Section: Case Reportmentioning

confidence: 99%

Tercer molar ectópico a nivel de región infraorbitaria-seno maxilar

García

López

Gil

et al. 2007

Rev Esp Cirug Oral y Maxilofac

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Resumen: Introducción. Los cordales ectópicos son aquellos incluidos en posiciones inusuales o desplazados a distancia de su normal localización anatómica. La erupción ectópica de un diente dentro de la cavidad oral es común pero en otros lugares es raro. La erupción ectópica puede ir asociada con alteraciones en el desarrollo, procesos patológicos o yatrogenia. Caso Clínico. Mujer de 56 años de edad con tercer molar superior derecho ectópico a nivel de región infraorbitaria-seno maxilar. Presentaba dolor e inflamación hemifacial derecha de larga evolución y resistente a tratamiento médico. Se realizó exéresis quirúrgica de dicho cordal mediante abordaje de Caldwell-Luc. Discusión. En muchos casos la etiología de un cordal ectópico no puede ser identificada. La mayor parte de las veces son asintomáticos y diagnosticados mediante estudios radiológicos. Conclusión. La indicación de la exodoncia en el caso de un diente ectópico en general viene determinada por la presencia de sintomatología o en prevención de futuras complicaciones.Palabras clave: Cordal ectópico; Región infraorbitaria-seno maxilar; Caldwell-Luc. Abstract: Introduction. Ectopic third molar teeth are those that are impacted in unusual positions, or that have been displaced and are at a distance from their normal anatomic location. Ectopic eruption of a tooth within the oral cavity is common, but rare in other sites. Ectopic eruption can be associated with developmental disturbances, pathologic processes or iatrogenic activity. Case Report. Female, fifty-six years old, with an upper right ectopic third molar located in the maxillary sinus-infraorbital region. She presented with pain and inflammation of the right side of her face that she had been experiencing for along time and which had been resistant to treatment. Surgical excision was carried out of the third molar tooth using the Caldwell-Luc approach. Discussion. In many cases the etiology of ectopic third molars cannot be identified. Generally they are asymptomatic and diagnosed by radiology studies. Conclusion. The indication for extraction in ectopic teeth cases is in general determined by the presence of symptomatology, or by the need for preventing future complications.

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“…Esta meatotomia inferior tem sido questionada quanto à sua indicação e real eficácia mesmo na Cirurgia de Caldwell-Luc. Alguns autores não a tem recomendado como complementação rotineira da cirurgia antral maxilar 20 . Não está bem esclarecido se o óstio se apresenta com maiores dimensões devido à presença do pendúculo da tumoração, ou se este já existia previamente, favorecendo então prolapso da hipertrofia da mucosa sinusal para o interior da cavidade nasal e rinofaríngea.…”

Section: Figura 9 -Tumoração Polipóide Antro-coanalunclassified

Antral choanal polyp - cause of nasal obstruction in children: report of 12 cases

Gomes¹,

Sakano²,

Lucchezi³

et al. 1994

J Pediatr (Rio J)

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ResumoA obstrução nasal é uma queixa comum em pediatria, englobando um grande número de patologias (rinopatia alérgica, hipertrofia de adenóides, deformidades septais, sinusopatias infecciosas, tumores benignos ou malignos, imperfuração coanal, corpos estranhos, etc.). Além da história e do exame físico acurado, os exames subsidiários são de grande importância no diagnóstico etiológico.Dentre as várias causas, os Pólipos Antro-Coanais (de Killian) devem sempre ser lembrados. Apresentam-se como uma massa tumoral polipóide nasal e/ou rinofaríngea, velamento do seio maxilar unilateral e imagem tumoral no cavum ao exame radiológico.Apresentamos 12 pacientes com Pólipos Antro-Coanais na Infância, com quadro clínico de obstrução nasal (91,6%) como queixa principal, seguido de roncos noturnos, respiração bucal, rinorréia, sonolência diurna, voz anasalada, etc. Encontramos ao exame físico pólipo em cavidade nasal (91,6%), rinofaringe (41,6%) e orofaringe (17,5%).O tratamento indicado é sempre cirúrgico, através de antrostomia via Caldwell-Luc, realizado em 91,7% dos casos, ou endoscópico via meato médio, em 8,3%. J. pediatr. (Rio J.). 1994; 70(5):291-298: pólipos nasais, seios paranasais. AbstractNasal obstruction is a common pediatric clinical complaint that involves a great number of pathologies (allergic rhinopaty, adenoid hypertrophy, septal deformities, infeccious sinusitis, tumours, choanal atresia, nasal foreign bodies, etc.). Not only the history, and a through physical examination but also, the subsidiary exams are of great value in the etiologic diagnostic.Antro-choanal polyp (Killian's polyp) must be remembered in the differential diagnosis of nasal obstruction, when a sinus roentgenogram with unilateral maxillary opacification is seen. Clinically, the lesion often protudes into the nasopharynx and in some cases it may even be seen extending into the oropharynx. The surgical procedure usually employed is a unilateral Caldwell-Luc antrostomy, with oropharyngeal remotion.We present 12 pediatric patients with antral-choanal polyps, and discuss history, radiology, nasal/nasopharyngeal endoscopic evaluation, considerations about the origin and surgical treatment of choice.

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Studies on the Caldwell-Luc Operation with or without Counteropening at the Inferior Meatus

Cited by 15 publications

References 5 publications

Balloon -catheter usage in maxillary sinus surgery: Case report

Balloon -catheter usage in maxillary sinus surgery: Case report

Tercer molar ectópico a nivel de región infraorbitaria-seno maxilar

Antral choanal polyp - cause of nasal obstruction in children: report of 12 cases

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