Surgical revision of the post-Caldwell-Luc maxillary sinus

Joseph K. Han, Timothy Smith, Todd A. Loehrl, Karen J. Fong, Peter H. Hwang

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: Endoscopic sinus surgeons are commonly faced with the management of patients with persistent maxillary sinusitis despite previous Caldwell-Luc surgery. Given the potential for altered mucociliary clearance in the post-Caldwell-Luc maxillary sinus, the optimal approach for surgical revision has not been well characterized. The objective of this study was to review our experience in endoscopic versus repeat Caldwell-Luc approaches in patients who have failed Caldwell-Luc surgery for chronic maxillary sinusitis. Methods: Retrospective chart review was performed on patients who had a history of a Caldwell-Luc procedure and who then underwent a surgical revision for persistent maxillary sinusitis at the Oregon Health and Science University and Medical College of Wisconsin between 1983 and 2002. Results: Sixty-eight patients were identified, with a total of 156 revision procedures performed on 103 maxillary sinuses. Fifty-three percent of the sinuses underwent endoscopic maxillary antrostomy as the first surgical revision, while 47% underwent a revision Caldwell-Luc procedure. Sixty-seven percent of the sinuses in the revision endoscopic group had clinical resolution with a single surgical revision, and 60% of the sinuses in the revision Caldwell-Luc group had clinical improvement with one surgical revision (p = 0.46). The endoscopic group averaged 1.3 ± 0.5 revision procedures per sinus to achieve clinical resolution, and the revision Caldwell-Luc group averaged 1.7 ± 1.0 revision procedures per sinus (p = 0.3). Mean follow-up was 25 months. Conclusion: Endoscopic revision of the maxillary sinus yields comparable outcomes to repeat Caldwell-Luc procedure in patients with a history of previous failed Caldwell-Luc surgery. Endoscopic revision surgery is a viable alternative for surgical rehabilitation of the post-Caldwell-Luc maxillary sinus.

Original languageEnglish (US)
Pages (from-to)478-482
Number of pages5
JournalAmerican Journal of Rhinology
Volume19
Issue number5
StatePublished - Sep 2005

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Maxillary Sinus
Reoperation
Maxillary Sinusitis
Mucociliary Clearance
Rehabilitation
Health

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Han, J. K., Smith, T., Loehrl, T. A., Fong, K. J., & Hwang, P. H. (2005). Surgical revision of the post-Caldwell-Luc maxillary sinus. American Journal of Rhinology, 19(5), 478-482.

Surgical revision of the post-Caldwell-Luc maxillary sinus. / Han, Joseph K.; Smith, Timothy; Loehrl, Todd A.; Fong, Karen J.; Hwang, Peter H.

In: American Journal of Rhinology, Vol. 19, No. 5, 09.2005, p. 478-482.

Research output: Contribution to journalArticle

Han, JK, Smith, T, Loehrl, TA, Fong, KJ & Hwang, PH 2005, 'Surgical revision of the post-Caldwell-Luc maxillary sinus', American Journal of Rhinology, vol. 19, no. 5, pp. 478-482.
Han JK, Smith T, Loehrl TA, Fong KJ, Hwang PH. Surgical revision of the post-Caldwell-Luc maxillary sinus. American Journal of Rhinology. 2005 Sep;19(5):478-482.
Han, Joseph K. ; Smith, Timothy ; Loehrl, Todd A. ; Fong, Karen J. ; Hwang, Peter H. / Surgical revision of the post-Caldwell-Luc maxillary sinus. In: American Journal of Rhinology. 2005 ; Vol. 19, No. 5. pp. 478-482.
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