Caldwel-Luc operation without intranasal antrostomy

Authors

  • AKM Asaduzzaman Graded Specialist in Otolaryngology, Combined Military Hospital, Dhaka
  • Md Rafiquzzaman Classified Specialist in Otolaryngology, Combined Military Hospital, Comilla
  • Mani Lal Aich Assistant Prof., ENT - Head & Neck Surgery, SSMC & Mitford Hospital, Dhaka
  • Md Abdul Mannan Professor & Head, Dept of Otolaryngology, Armed Forces Medical College, Dhaka
  • Md Rabiul Alam Classified Specialist in Anaesthesiology, Combined Military Hospital, Chittagong
  • Md Tauhidul Islam Graded Specialist in Otolaryngology, Combined Military Hospital, Chittagong
  • M A Rouf Sarder Associate Prof., ENT - Head & Neck Surgery, Bangladesh Medical College, Dhaka

DOI:

https://doi.org/10.3329/bjo.v18i2.12007

Keywords:

Caldwel-Luc operation, intranasal antrostomy

Abstract

Introduction: Sub-labial antrostomy also known as Caldwel-Luc operation is a well-accepted procedure to remove any diseased mass, organic tissue or non-organic foreign body from maxillary antrum. The proceedings of this operation are though complex but not complicated if done by an expert hand. In addition to sub-labial approach this procedure is followed by an intranasal antrostomy to facilitate future drainage and through which the antral pack is introduced and removed post-operatively.

Methods: In our series of 30 patients, we performed the same procedure through sub-labial approach only. No intranasal antrostomy were done. Also we opened the antrum by a small hole made over antero-lateral wall of the antrum.

Results: The adopted method decreased the post-operative morbidity and also reduced the period of healing. No patient developed any major complication like oro-antral fistula either on immediate or long term follow-up up to one year. Only one (3.33%) patient had a temporary obstruction in drainage of collection in antrum even after not performing the intranasal antrostomy.

Conclusion: Thus we conclude that this modification of Caldwel-Luc operation only through sub-labial approach without performing intranasal antrostomy could be accepted as an innovative procedure for better outcome of the patients as well as its cost-effectiveness

DOI: http://dx.doi.org/10.3329/bjo.v18i2.12007

Bangladesh J Otorhinolaryngol 2012; 18(2): 156-160

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Published

2012-11-24

How to Cite

Asaduzzaman, A., Rafiquzzaman, M., Aich, M. L., Mannan, M. A., Alam, M. R., Islam, M. T., & Sarder, M. A. R. (2012). Caldwel-Luc operation without intranasal antrostomy. Bangladesh Journal of Otorhinolaryngology, 18(2), 156–160. https://doi.org/10.3329/bjo.v18i2.12007

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Original Articles