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Caldwell-Luc operation: long-term results and sequelaes
P Stefánsson1, L Andréasson, M Jannert
1Department of Otorhinolaryngology, Borgarspitalinn, Reykjavík, Iceland.
Acta Oto-Laryngologica. Supplementum
|January 1, 1988
Summary
Long-term sinusitis outcomes after Caldwell-Luc surgery show significant postoperative complaints in many patients. A persistent antrostomy appears crucial for favorable long-term results following this procedure.
Area of Science:
- Otolaryngology
- Surgical Outcomes Research
Background:
- The Caldwell-Luc operation is a common surgical approach for sinusitis management.
- Postoperative complications and long-term patient satisfaction following this procedure require further investigation.
Purpose of the Study:
- To evaluate the long-term outcomes and patient satisfaction after Caldwell-Luc operation for sinusitis.
- To identify factors associated with favorable or unfavorable postoperative results.
Main Methods:
- A follow-up study was conducted on 65 patients who underwent the Caldwell-Luc operation for sinusitis.
- Patients were assessed 4-7 years postoperatively and divided into groups based on the presence and severity of complaints.
Main Results:
- 58 out of 65 patients (89%) experienced postoperative complaints, with 18 patients (28%) reporting significant issues like facial/dental paresthesia or infraorbital neuralgia.
- Group A (satisfied patients, 47/65) had a persistent antrostomy in 82% of cases, while Group B (dissatisfied patients, 18/65) showed a persistent antrostomy in only 37%.
Conclusions:
- A significant proportion of patients experience long-term complaints after Caldwell-Luc surgery for sinusitis.
- Maintaining an open antrostomy is strongly associated with better long-term outcomes and patient satisfaction.