|Caldwell-Luc Operation /
The Caldwell-Luc operation (in the Oral Surgical use of
the procedure) is used for the:
- Reduction of facial fractures especially those involving
the orbital floor
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
- Removal of antral mucocœles
- A route to the ethmoid and sphenoid sinuses
- Visualisation of the orbital floor for decompression
- Various forms of tumour surgery and
behind the maxillary sinus).
Having said this though, this procedure is dying a death as
Functional Endoscopic Sinus Surgery (FESS) is
superceding the Caldwell-Luc procedure. It is associated
with far less problems (as listed below).
As I have experienced, when patients are given the option
of either a FESS or a Caldwell-Luc, most aptients opt for
a FESS (understandibly).
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 bony 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
Occasionally, a new opening (naso-antral window) is also created between the
nose and maxillary sinus.
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|Last Updated 19th September 2018