9) Proposed contraindications to an endonasal approach to the management of maxillary mucoceles include (1) a far laterally located mucocele, (2) revision surgery with severe scar formation after a Caldwell-Luc procedure
, (3) a mucocele location within the zygomatic bone, (4) the presence of a cutaneous fistula that needs to be excised, and (5) a malignancy as the cause of the mucocele.
It is reported in the literature that this anatomical structure is frequently compromised during surgical elevation of the maxillary sinus, the Caldwell-Luc procedure
and the Le Fort I osteotomy (Rahpeyma & Khajehahmadi, 2014).
During Caldwell-Luc procedure
, incision is made 5mm below the gingivolabial sulcus extending from pyriform aperture medially to the maxillary tuberosity laterally.
14] extirpated a polyp of an "unusual size" of 8x5 cm by removing antral portion of the polyp applying the Caldwell-Luc procedure
, and the epipharyngeal portion was extirpated by using forceps, through oropharynx.
Removal of extensive maxillary dentigerous cyst via a Caldwell-Luc procedure
Cases of secondary mucoceles that occur following sinus endoscopic surgery develop more frequently in the ethmoid sinus compared to those following the Caldwell-Luc procedure
Despite this, the Caldwell-Luc procedure
still has well documented indications in varied diseases involving the maxillary sinus.
The advent of functional endoscopic sinus surgery, to replace the more traditional Caldwell-Luc procedure
as the treatment of choice of chronic sinusitis, has placed new demands on imaging of the paranasal sinuses.
Acute sinus disease was treated with antibiotics while chronic sinus disease underwent Caldwell-Luc procedure
Overall, the Caldwell-Luc procedure
is safe and effective as described, and should remain in the repertoire of surgeons managing the maxillary sinus.
Retrieval of a root fragment from the maxillary sinus--an appreciation of the Caldwell-Luc procedure
The patient underwent another Caldwell-Luc procedure
, and this time the bony lesion was completely removed.