|Caldwell-Luc Operation / Intra-Oral Antrostomy
|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 polyps
- 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
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 patients 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 disease.
Occasionally, a new opening (naso-antral window) is also created between the nose and maxillary sinus.
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|Last Updated 13th February 2020