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Indian J Otolaryngol Head Neck Surg. 2011 Jul;63(3):214-9. doi: 10.1007/s12070-011-0262-2. Epub 2011 May 08.

A comparative study between endoscopic middle meatal antrostomy and caldwell-luc surgery in the treatment of chronic maxillary sinusitis.

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

K Joe Jacob, Shibu George, S Preethi, V S Arunraj

Affiliations

  1. Department of Otorhinolaryngology, Government Medical College, Kottayam, 686 008 Kerala India.

PMID: 22754797 PMCID: PMC3138946 DOI: 10.1007/s12070-011-0262-2

Abstract

Functional endoscopic sinus surgery (FESS) has almost completely replaced the radical Caldwell-Luc approach. About 20 years after its origin of FESS a comparative study with Caldwell-Luc Surgery (C-L) definitely should be on cards to validate the previous results. To compare the effectiveness of endoscopic middle meatal antrostomy and Caldwell-Luc's surgery in the management of Chronic Maxillary Sinusitis. This is a prospective randomized comparative study based on the analysis of eighty patients who were diagnosed to have chronic, unilateral, maxillary sinusitis and underwent surgery, after a failed trial of conservative management. One year after surgery 44% of the C-L patients and 89% of the FESS patients reported distinct improvement of their symptoms. Both are effective in the management of chronic sinusitis. Endoscopic middle meatal antrostomy is superior to Caldwell-Luc in intraoperative and postoperative parameters.

Keywords: Calwell-Luc’s surgery; Maxillary sinusitis; Middle meatal antrostomy

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