Indications of the Caldwell-Luc procedure in the era of endoscopic sinus surgery

2020 ◽  
Vol 10 (39) ◽  
pp. 78-84
Author(s):  
Andreea Bajan ◽  
Codrut Sarafoleanu ◽  
Violeta-Gabriela Melinte ◽  
Roxana Decuseara
Keyword(s):  
Maxillary Sinus ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Malignant Tumors ◽  
Surgical Techniques ◽  
Lateral Wall ◽  
Sinus Surgery ◽  
Maxillary Artery ◽  
Vidian Canal

AbstractSurgical treatment of chronic rhinosinusitis is indicated after failure of correctly conducted maximal drug therapy or the occurrence of complications. Radical maxillary sinus surgery has been abandoned nowadays, to the detriment of endoscopic sinus surgery, for several reasons, such as: increased incidence of complications, decreased healing rate compared to the endoscopic technique. The literature cites many situations in which the Caldwell-Luc procedure is used as a first-line surgical technique: recurrent chronic rhinosinusitis, malignant tumors of the maxillary sinus extending to the lateral wall of the nasal fossa and the pterygomaxillary space, the cases where an extensive approach to the pterygopalatine fossa is required – for ligation of the internal maxillary artery or the approach of the vidian canal in vidian neurectomy.The authors highlight the use of Caldwell-Luc procedure in endoscopic sinus surgery era, by reviewing the complications rates, indications and long-term effectiveness of the two surgical techniques.

Long‐term results of endoscopic sinus surgery–oriented treatment for chronic rhinosinusitis with asthma

2013 ◽  
Vol 124 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Feng‐Hong Chen ◽  
Ke‐Jun Zuo ◽  
Yu‐Biao Guo ◽  
Zhi‐Ping Li ◽  
Geng Xu ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Long Term Results

scholarly journals Olfaction after endoscopic sinus surgery: long-term results

2012 ◽  
Vol 50 (2) ◽  
pp. 178-184
Author(s):  
H.R. Briner ◽  
N. Jones ◽  
D. Simmen
Keyword(s):  
Visual Analogue Scale ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Analogue Scale ◽  
Quantitative Measurement ◽  
Olfactory Function ◽  
Sinus Surgery ◽  
Long Term Results ◽  
Interventional Study

Loss of olfactory function is one of the main symptoms in patients with chronic rhinosinusitis. This prospective, non-randomized interventional study reports five years results of olfaction of patients with chronic rhinosinusitis who underwent endoscopic sinus surgery in conjunction with topical medical treatment. Forty-five patients with chronic rhinosinusitis who underwent endoscopic sinus surgery were evaluated preoperatively, after three months and 34 (76%) of them after five years. Olfactory function was assessed by a subjective visual analogue scale, by a screening test of olfaction with Smell Diskettes and by measuring the N-Butanol threshold. Patient`s subjective sense of olfaction using a visual analogue scale was improved in 79% at 5 years. Objective measurements by Smell Diskettes improved in 53% at 5 years whilst the quantitative measurement by the N-Butanol threshold improved in 85% at 5 years. The high percentage of patients with improvement of olfaction five years after surgery indicates that endoscopic sinus surgery in conjunction with continued topical treatment leads to a long term improvement of the sense of smell. However, it was found that - measured by the sensitive N-Butanol threshold - up to 9% had no improvement and 6% had deterioration in their olfaction at 5 years after endoscopic sinus surgery. This fact has to be considered in the preoperative counselling of patients.

Smoking in Chronic Rhinosinusitis: A Predictor of Poor Long-Term Outcome After Endoscopic Sinus Surgery

2004 ◽  
Vol 114 (1) ◽  
pp. 126-128 ◽  
Author(s):  
Russell D. Briggs ◽  
Steven T. Wright ◽  
Stephanie Cordes ◽  
Karen H. Calhoun
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Term Outcome ◽  
Long Term Outcome

scholarly journals Long-term outcomes of endoscopic sinus surgery for chronic rhinosinusitis with and without nasal polyps

2013 ◽  
Vol 79 (3) ◽  
pp. 306-311 ◽  
Author(s):  
Juliana Gama Mascarenhas ◽  
Viviane Maria Guerreiro da Fonseca ◽  
Vitor Guo Chen ◽  
Caroline Harumi Itamoto ◽  
Camila Atallah Pontes da Silva ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Nasal Polyps ◽  
Sinus Surgery ◽  
Long Term Outcomes

Chronic rhinosinusitis in ex-lepromatous leprosy patients with atrophic rhinitis

2013 ◽  
Vol 127 (3) ◽  
pp. 265-270 ◽  
Author(s):  
J Suzuki ◽  
T Oshima ◽  
K Watanabe ◽  
H Suzuki ◽  
T Kobayashi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Maxillary Sinus ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Lepromatous Leprosy ◽  
Sinus Surgery ◽  
Atrophic Rhinitis ◽  
Persistent Symptoms ◽  
Mucosal Involvement ◽  
Leprosy Patients

AbstractAim:Rhino-sinus mucosal involvement is well documented in untreated lepromatous leprosy, but less understood in ex-leprosy patients (i.e. leprosy patients who have been treated and cured) with atrophic rhinitis.Materials and methods:Rhino-sinus abnormalities were investigated in 13 ex-lepromatous leprosy patients with atrophic rhinitis, using interviews enquiring about sinonasal symptoms, nasal endoscopy, nasal swab culture and computed tomography. Endoscopic sinus surgery had been performed in three patients. The clinical course, computed tomography findings and nasal biopsy results of these three patients were evaluated.Results:All patients had turbinate atrophy and 6 of the 13 (46.2 per cent) had septal perforation. Paranasal sinus involvement was noted in 9 of 12 examined patients (75 per cent). The most commonly affected sinus was the maxillary sinus (in 8 of 12; 66.7 per cent). All three patients treated by endoscopic sinus surgery experienced relapse and required further surgery. Maxillary sinus irrigation was effective for reduction of persistent symptoms such as postnasal discharge and crusts.Conclusion:Ex-lepromatous leprosy patients with atrophic rhinitis had various rhino-sinus abnormalities and persistent symptoms. These patients had chronic rhinosinusitis because of underlying atrophic rhinitis. These patients required repeated otolaryngological observations together with combined surgery and conservative treatment.

scholarly journals Endoscopic Sinus Surgery with Antrostomy Has Better Early Endoscopic Recovery in Comparison to the Ostium-Preserving Technique

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Annika Luukkainen ◽  
Jyri Myller ◽  
Tommi Torkkeli ◽  
Markus Rautiainen ◽  
Sanna Toppila-Salmi
Keyword(s):  
Maxillary Sinus ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Radiologic Findings ◽  
Ostiomeatal Complex ◽  
Middle Meatal Antrostomy ◽  
Computed Tomography Scans ◽  
Endoscopic Score ◽  
Sinus Ostium

Background. Endoscopic sinus surgery (ESS) is considered for chronic rhinosinusitis (CRS) after failure of conservative therapy. Objective. The aim of this study was to evaluate endoscopically ostium patency and mucosal recovery after ESS, with either maxillary sinus ostium-preserving or -enlarging techniques. Materials and Methods. Thirty patients with non-polypous CRS were enrolled. Uncinectomy-only and additional middle meatal antrostomy were randomly and single-blindly performed for each side. Pre- and postoperative endoscopic scores were semi-quantitatively determined according to findings in the ostiomeatal complex area. Adhesions, maxillary sinus mucosal swelling, secretions, and ostium obstruction were also endoscopically evaluated. In addition, symptoms were asked and computed tomography scans were taken preoperatively and 9 months postoperatively. Results. At 16 days postoperatively, a better endoscopic score and a less obstructed ostium were found with antrosomy. At 9 months postoperatively the endoscopic score improved significantly and identically with both procedures, however, obstructed ostia and sinus mucosal swelling/secretions were insignificantly more frequently found on the uncinectomy-only side. Endoscopic and radiologic findings of the maxillary sinus mucosa and ostium correlated significantly 9 months postoperatively. Conclusion. There was a good long-term mucosal recovery with both surgical procedures. In terms of early mucosal recovery and ostium patency, antrostomy might be slighly superior.

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