KMID : 0900220100170020087
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´ëÇѺñ°úÇÐȸÁö 2010 Volume.17 No. 2 p.87 ~ p.91
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Role of the ¡°Mini¡± Caldwell-Luc Operation for Treatment of Chronic Maxillary Sinusitis
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Oh Yoon-Suk
Kim Young-Hyo Yang Tae-Yong Lee Seok-Jae Kim Beom-Joon Jang Tae-Young
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Abstract
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Background and Objectives£ºThe aims of the study were to reintroduce a surgical technique for a ¡°mini" Caldwell-Luc operation and to determine its efficacy.
Materials and Methods£ºA prospective study was performed in 23 patients undergo¡þing the "mini" Caldwell-Luc operation. Improvements in clinical symptoms and endoscopic and computed tomographic (CT) findings were evaluated postoperatively over a follow-up period ranging from 6 to 21 months. All patients were surveyed for nasal symptoms (nasal obstruction, rhinorrhea, posterior nasal drip, headache, and anosmia), complications (tooth or gum pain, numbness, persistent facial pain, and facial hypo-paresthesia), and recurrence. Preoperative nasal polyps were classified by the Gaskins method, and preoperative paranasal sinusitis was graded according to the Kennedy CT staging system.
Results£ºSymptom scores were all significantly reduced postoperatively (paired t-test, p£¼0.05). There were no major complica¡þtions specific to this technique. Among 29 maxillary sinuses that received the "mini" Caldwell-Luc operation, seven showed recurrence (24%).
Conclusion£ºThe "mini" Caldwell-Luc operation provides an alternative method of obtaining access to the maxillary antrum and is associated with minimal morbidity.
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KEYWORD
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Caldwell-Luc operation, Chronic maxillary sinusitis, Endoscopic sinus surgery
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