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Caldwell-Luc surgery, Caldwell-Luc operation, also known as Caldwell-Luc antrostomy, and Radical antrostomy, is an operation to remove irreversibly damaged mucosa of the maxillary sinus. It is done when maxillary sinusitis is not cured by medication or other non-invasive technique. The approach is mainly from the anterior wall of the maxilla bone.
In October 1903, Hirschmann published "Endoscopy of the nose and its accessory sinuses." [2] In 1910, M. Reichart performed the first endoscopic sinus surgery using a 7 mm endoscope. In 1925, Maxwell Maltz created the term "sinuscopy," referring to the endoscopic method of visualizing the sinuses. Maltz also encouraged the use of endoscopes as ...
to create an artificial passage into the maxillary sinus through the nose; puncture medial wall of inferior meatuses Tilly's antral bur: to enlarge the artificial passage into the maxillary sinus through the nose made by the harpoon trochar; dilate and smoothen the antrostomy opening Freer's double-ended mucoperichondrium elevator
Silent sinus syndrome is a subtype of stage three chronic maxillary atelectasis. The distinguishing factor is that in silent sinus syndrome, there is an absence of sinusitis symptoms. [ 3 ] [ 4 ] [ 5 ] To be clear, chronic maxillary sinusitis may be a primary causitive factor in a significant number of silent sinus syndrome cases, it just may ...
Antral lavage is a largely obsolete [citation needed] surgical procedure in which a cannula is inserted into the maxillary sinus via the inferior meatus to allow irrigation and drainage of the sinus. [1] It is also called proof puncture, as the presence of an infection can be proven during the procedure.
The maxillary sinus is known for its thin floor and close proximity to the posterior maxillary (upper) teeth. [ 1 ] [ 6 ] The extraction of a maxillary tooth (typically a maxillary first molar which lies close to the lowest point of antral floor although any premolar or molar can be affected) is the most common cause of an OAC (which can then ...
This picture shows important anatomy involved in endoscopic endonasal surgery. The pituitary gland sits at the top of the picture behind the sphenoid sinus. This approach is the most common and useful technique of endoscopic endonasal surgery and was first described in 1910 concurrently by Harvey Cushing and Oskar Hirsch.
A combination of external frontal sinus trephination and intranasal endoscopy is used to approach the frontal sinus. Frontal sinus trephination also enhances the visualization in anatomy. The incision is made in the medial aspect of the eyebrow above, parallel to the hair line. A 4–5mm diameter hole is drilled into the anterior table of the ...