How do you do Caldwell Luc?

Where is the incision made for a Caldwell Luc procedure?

Technique. First, the incision is made from lateral incisor to the second molar tooth. Then the flap of mucosa and periosteum is elevated and dissected to expose the anterior wall of sinus and then anterior wall is opened in the canine fossa where the bone is relatively thin with the drill.

Which of the following is a postoperative complication of a Caldwell Luc?

The most common postoperative complications in the Caldwell-Luc approach are represented by facial swelling or numbness, facial and cheek dis- comfort, facial asymmetry, facial paresthesia in the suborbital region, hemorrhage, persistent subor- bital neuralgias, oro-antral fistulas, gingival-labial fistulas, dental …

What is removed in endoscopic sinus surgery?

Endoscopic sinus surgery is a procedure used to remove blockages in the sinuses. These blockages may cause pain, drainage, recurring infections, impaired breathing or loss of smell. Sinus surgery is used to relieve symptoms associated with: Sinusitis and nasal polyps.

How is functional endoscopic sinus surgery performed?

In a FESS procedure, the surgeon uses a magnifying endoscope to see and remove affected tissue and bone. Before FESS, surgeons cut directly into the outside of the face to find the problem and remove it, increasing infection risk and recovery time.

What are the complications of radical antrum operation?

There were three common complications found: facial swelling (61 . 9%), pain and/or numbness of the face (46.0%) and pain and/or numbness of the teeth/gums (30.9%). Rare complications are postoperative epistaxis (0.4%). oroantral fistulae (0.4%).

What is a nasal antral window?

Nasal antral windows are designed to establish a. drainage port and ventilation for the maxillary sinus. The maxillary sinus window can be placed in the. middle meatus, at the site of the natural ostium, or in. the inferior meatus.

What is antral puncture?

What is Antral puncture? It is a procedure done both for diagnosis and treatment of sinusitis, where a canula is inserted into the maxillary sinus via an opening made in the inferior meatus.

What is middle meatal Antrostomy?

Page 1. MIDDLE MEATAL ANTROSTOMY. 1. Definition: Enlargement of the natural opening of the maxillary sinus into the middle meatus.

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What is nasal Antrostomy?

Maxillary antrostomy is a surgical procedure to enlarge the opening (ostium) of the maxillary sinus. This allows for further surgical intervention within the maxillary sinus cavity as well as improved sinus drainage.

Can well Luc operation?

The Caldwell-Luc operation uses an external approach for surgical treatment of the severely diseased maxillary sinus. It is an alternative to middle meatal antrostomy done via endonasal endoscopic surgery and was the primary approach used for accessing the maxillary sinus before the advent of endoscopic sinus surgery.

What is Oroantral fistula in dentistry?

The oroantral fistula (OAF) is a pathological communication between the oral cavity and the maxillary sinus; depending on the location it can be classified as alveolo-sinusal, palatal-sinusal and vestibulo-sinusal.

How successful is endoscopic sinus surgery?

In fact, endoscopic sinus surgery, which is the most common type of sinus surgery performed today, is about 85 to 90 percent effective. During endoscopic sinus surgery, the surgeon looks directly into your nose and sinuses through a narrow tube called an endoscope.

How long is recovery from sinus surgery?

You will probably be able to return to work or school in about 1 week and to your normal routine in about 3 weeks. But this varies with your job and the extent of your surgery. Most people feel normal in 1 to 2 months. You will have to visit your doctor regularly for 3 to 4 months after your surgery.

Are you awake during sinus surgery?

Sinus surgery is performed with general anesthesia so you will be asleep during your procedure. After surgery you will spend a few hours in a recovery room to allow you to wake up. Most patients feel good enough to go home a few hours after their surgery.

Do you get black eyes after sinus surgery?

Recovery. After sinus surgery, it is normal to experience pain (usually a headache or a slight burning sensation in the mid-face region), nosebleeds, and bad breath for the first 24 to 72 hours. Less commonly, you may develop a black eye or have temporary numbness or tingling in the face or gums.

How many Post op visits after sinus surgery?

You will usually be scheduled for post-operative office visits for nasal endoscopy with debridement. The initial visit usually occurs within the first week of your surgery, and the second visit within the following one to two weeks.

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Does sinus surgery change your nose?

Usually, septoplasty doesn’t change the appearance of the nose, as all the improvements are on the inside.

What comes out of nose after sinus surgery?

You may notice some dark brown nasal discharge for several weeks after your surgery. This is old blood and mucus being cleared from the sinuses and is normal. Also, thick yellow or white drainage is common. This does not mean you have a sinus infection.

Is endoscopic sinus surgery painful?

Pain: You should expect some nasal and sinus pressure and pain for the first several days after surgery. This may feel like a sinus infection or a dull ache in your sinuses. Extra-strength Tylenol is often all that is needed for mild post-operative discomfort.

Is it normal I lost my sense of taste after a sinus surgery?

Nasal obstruction after surgery may temporarily decrease your sense of taste (hypogeusia). After you heal from surgery, your sense of smell along with your sense of taste should be restored.

How do you treat mucosal thickening?


  1. Nasal corticosteroids. …
  2. Saline nasal irrigation, with nasal sprays or solutions, reduces drainage and rinses away irritants and allergies.
  3. Oral or injected corticosteroids. …
  4. Allergy medications. …
  5. Aspirin desensitization treatment, if you have reactions to aspirin that cause sinusitis and nasal polyps.

What causes thickening of the sinus?

Infections in your respiratory tract most commonly colds can inflame and thicken your sinus membranes and block mucus drainage. These infections can be caused by viruses or bacteria. Allergies such as hay fever. Inflammation that occurs with allergies can block your sinuses.

What causes mucosal thickening in maxillary sinus?

Mucosal thickening is an inflammatory reaction with hyperplasia of the mucous lining of the maxillary sinus. This condition may result from harmful actions caused by trauma, infections, chemical agents, foreign body reaction, neoplasm, or airway conditions such as allergies, rhinitis, or asthma.

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How is balloon sinuplasty done?

Sinuplasty is performed under general anesthesia, in the operating room or, for select patients, in the office using topical numbing medication. To perform the procedure, the surgeon threads a guidance wire through the nostril and into the sinus cavity opening, which is then followed by a small balloon.

Can a punctured sinus cavity heal?

How Long Will Does It Take for a Sinus Perforation to Heal? If your sinus is perforated from tooth extraction, the tissue normally heals within four to six weeks. Bone grafting is often needed, though, and it will heal in about six months.

Where are the paranasal sinuses?

One of many small hollow spaces in the bones around the nose. Paranasal sinuses are named after the bones that contain them: frontal (the lower forehead), maxillary (cheekbones), ethmoid (beside the upper nose), and sphenoid (behind the nose).

What tissue is removed in a total ethmoidectomy?

A complete ethmoidectomy is the removal of the anterior and posterior ethmoid air cells. A complete ethmoidectomy follows a maxillary antrostomy and is one component of complete functional endoscopic sinus surgery.

Can maxillary sinus be cured?

Their study showed that more patients were cured or improved more quickly with antibiotic therapy compared to placebo, but also that two thirds of patients receiving placebo recovered spontaneously. In addition, serious complications of bacterial sinusitis were rare.

What is right concha bullosa?

Concha bullosa happens when one of the conchae, or turbinates, inside your nose becomes filled with a pocket of air. This is also known as pneumatization of the turbinate. There are three pairs of conchae in your nose on either side of the septum. Your septum is the structure that divides your nose in half.