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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 ...
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
However, if left untreated or not properly managed, complications can occur. These include extension of the infection to other sinuses, the orbit, or the intracranial structures, [ 13 ] or expose the patient to symptoms progression which can significantly affect quality of life.
Odontogenic sinusitis is an inflammatory condition of the paranasal sinuses that is the result of dental pathology, most often resulting from prior dentoalveolar procedures, infections of maxillary dentition, or maxillary dental trauma. [6] Infections associated with teeth may be responsible for approximately 20% of cases of maxillary sinusitis ...
Luma Wire Transillumination: This technique has a number of advantages [19] over antral Lavage, such as: 1) Discovery of the location of the Maxillary Sinus with greater accuracy. 2) A general improvement in safety of the procedure. 3) The ability to obtain cultures at the time of lavage, when clinically warranted or indicated by CT-scan evidence.
Extension into the maxillary alveolar process may cause the roots of the molars and even premolars to lie just beneath the floor of the sinus or even project through the floor and into the sinus; in such cases, the roots of the teeth are typically surrounded by a thin layer of bone, but may sometimes lie directly underneath the mucous membrane ...
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]