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Modifications of the Caldwell-Luc procedure for the prevention of post-operative sensitivity disorders

Published online by Cambridge University Press:  29 June 2007

E. Ferekidis ,
P. Tzounakos ,
D. Kandiloros ,
A. Kaberos  and
G. Adamopoulos
E. Ferekidis
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Athens, Greece.
P. Tzounakos
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Athens, Greece.
D. Kandiloros
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Athens, Greece.
A. Kaberos*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Athens, Greece.
G. Adamopoulos
Affiliation:
Department of Otolaryngology, Faculty of Medicine, University of Athens, Greece.
*
Address for correspondence: Dr A. Kaberos, Arifronos 6, Kypseli 11364, Athens, Greece.
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Abstract

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The effectiveness of some modifications of the Caldwell-Luc standard procedure in the prevention of postoperative mid-facial sensitivity disorders was investigated in a prospective comparative study at the ENT Department, Faculty of Medicine, University of Athens, Greece, from 1986–1992. Sixty-nine maxillary sinuses were operated on in 61 patients suffering from benign pathological conditions. The modifications concerned the type of mucoperiosteal incision and the site and size of the created anterior antrostomy. Only 8.7 per cent of the sinuses operated on by the modified technique presented with post-operative disorders whereas among those operated on by the classical technique, the ratio climbed to 33 per cent. In view of the findings of this study, the modifications applied can be valuable in treating non-extensive maxillary sinus disease with minimal post-operative sensitivity disorders.

Keywords

Maxillary sinussurgeryPost-operative complicationsprevention and control
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 3 , March 1996 , pp. 228 - 231
Copyright
Copyright © JLO (1984) Limited 1996

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