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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.
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 ...
Maxillary sinuses are more radiolucent than orbits. Maxillary sinusitis [2] Differentiating pathology in maxillary sinus. Maxillary sinus shows radiopacity. [2] Mucous membrane shows thickening. [2] Air-fluid level may be observed if the radiograph is taken in "head-up" position. [2] It is not seen in radiograph taken in lying down position.
Maxillary sinusitis is common due to the close anatomic relation of the frontal sinus, anterior ethmoidal sinus and the maxillary teeth, allowing for easy spread of infection. Differential diagnosis of dental problems needs to be done due to the close proximity to the teeth since the pain from sinusitis can seem to be dentally related. [ 1 ]
Recent studies have classified two types of maxillary sinus septa: primary and secondary. Primary septa are those initially described by Underwood and that form as a result of the floor of the sinus sinking along with the roots of erupting teeth; these primary septa are thus generally found in the sinus corresponding to the space between teeth, as explained by Underwood.
Xray showing a sinus lift in the left upper jaw Sinus lift surgery, 3D Illustration. Maxillary sinus floor augmentation [1] (also termed as sinus lift, sinus graft, sinus augmentation, or sinus procedure) is a surgical procedure that aims to increase the amount of bone in the posterior maxilla (upper jaw bone), in the area of the premolar and molar teeth, by lifting the lower Schneiderian ...
separation of the mucosa from the cartilage in nasal surgery like Septomarginal resectiondisplacement of inferior turbinate Farabuef's periosteal elevator: used in mastoid surgeries like mastoidectomy: Rose's sinus washing canula: to irrigate the maxillary sinuses: Higginson's syringe: irrigating the antrum,nasal douching for atrophic rhinitis
Expansion of the cyst causes erosion of the floor of the maxillary sinus. As soon as it enters the maxillary antrum, the expansion rate increases due to available space for expansion. Performing a percussion test by tapping the affected teeth will cause shooting pain. This is often clinically diagnostic of pulpal infection. [citation needed]