The Caldwell-Luc procedure: institutional review of 670 cases: 1975-1985.

摘要: The Caldwell-Luc procedure, which has long been fundamental in the treatment of perisinus disease, undergone increasing scrutiny when used for inflammatory antritis. Individual morbidity rates less than 10% to greater 40% have reported. To assess data from our own institution, a retrospective study 670 procedures was undertaken. Patients ranged age 10 82, with mean 42.9 years. There were 271 males and 325 females. Parameters studied included symptoms, physical findings, operative techniques, surgical length hospitalization, postoperative complications. Immediate complications facial swelling 89% patients, cheek discomfort 33%, significant hemorrhage 2.9%, temperature elevation 12.1%. Long-term follow-up 2 years Overall complication 464 patients asymmetry (3), numbness or paresthesia (42), oroantral fistulas (5), gingivolabial wound dehiscences (7), dacryocystitis (12), devitalized tooth (2), recurrent sinusitis (56), polyposis (25). A revision antrostomy required 37 22 an intranasal sphenoethmoidectomy 17, root canal therapy patients. most frequent nasal obstruction, occurring 28% tended increase longer period.