Maxillary Sinusitis: Value of Endoscopic Middle Meatus Antrostomy Versus Caldwell-Luc Procedure
Document Type
Article
Publication Date
1-1-1992
Description
A retrospective study on 153 patients with chronic maxillary sinusitis necessitating surgical therapy was conducted. Patients were subdivided into a Caldwell-Luc (CL) group consisting of 71 patients and followed up for a mean of 22.9 months, and an endoscopic middle meatus antrostomy (EMMA) group consisting of 82 patients followed up for a mean of 13.8 months. The objective of the study was to assess the influence of age, CT scan staging, the presence of nasal allergy and bronchial asthma, the bacterial growth of the culture at the time of the operation, and the concurrent surgical procedures performed on the outcome of the surgical procedure. The failure rate in CL procedures was 18.3% and in EMMA procedures 23.2%. It was noted that EMMA showed very favorable results in patients younger than 40 years of age, in patients with neither allergic rhinosinusitis nor bronchial asthma, and in patients with nasal anatomical abnormalities that are corrected concurrently during the surgical procedure. The CL procedure seems to have a favorable outcome in bronchial asthma patients in comparison with EMMA procedure. The presence of allergic rhinosinusitis and the presence of growth of a specific organism on culture at the time of the operation were two conditions associated with an unfavorable outcome irrespective of the surgical procedure performed.
Citation Information
Ragheb, Sherif; and Duncavage, James A.. 1992. Maxillary Sinusitis: Value of Endoscopic Middle Meatus Antrostomy Versus Caldwell-Luc Procedure. Operative Techniques in Otolaryngology - Head and Neck Surgery. Vol.3(2). 129-133. https://doi.org/10.1016/S1043-1810(10)80256-8 ISSN: 1043-1810