MAXILLARY ANTROSTOMY BY CALDWELL-LUC APPROACH: CASE REPORT
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista Uningá (Online) |
Texto Completo: | https://revista.uninga.br/uninga/article/view/3446 |
Resumo: | Although well reported in the literature, endoscopic antrostomy cannot provide full access to the maxillary sinus, a fact that raises some controversy about its extension. Caldwell-luc access antrostomy has been performed for more than 120 years, under general or local anesthesia, managing to ensure greater visibility of the area being explored. A 40-year-old female patient attended the maxillofacial service of the Hospital do Oeste - Barreiras (BA) for evaluation. She claims to be suffering from chronic sinusitis for approximately one year after undergoing endodontic treatment, with constant nasal obstruction on the right side and failing to reach a considerable improvement with the medication use. The proposed treatment was the maxillary antrostomy with Caldwell-luc approach, under general anesthesia, followed by the installation of a rigid drain for direct irrigation in the maxillary sinus through an opening in the lateral wall of the nasal cavity on the affected side. Caldwell-luc approach is a classic procedure in the literature and has remained as a hegemonic surgical technique for the treatment of sinusitis until functional endoscopic surgery has emerged, which has made a less invasive technique possible. However, the advances in endoscopic surgery find a barrier in the limitation of the area accessed by this type of procedure. Despite the possible complications regarding the technique, the Caldwell-luc approach remains as a plausible method for the treatment of maxillary sinus morbidities. |
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MAXILLARY ANTROSTOMY BY CALDWELL-LUC APPROACH: CASE REPORTANTROSTOMIA MAXILAR MEDIANTE AO ACESSO DE CALDWELL-LUC: RELATO DE CASOIrrigação terapêuticaseio maxilar sinusite.Maxillary sinus sinusitis therapeutic irrigation. Case report Although well reported in the literature, endoscopic antrostomy cannot provide full access to the maxillary sinus, a fact that raises some controversy about its extension. Caldwell-luc access antrostomy has been performed for more than 120 years, under general or local anesthesia, managing to ensure greater visibility of the area being explored. A 40-year-old female patient attended the maxillofacial service of the Hospital do Oeste - Barreiras (BA) for evaluation. She claims to be suffering from chronic sinusitis for approximately one year after undergoing endodontic treatment, with constant nasal obstruction on the right side and failing to reach a considerable improvement with the medication use. The proposed treatment was the maxillary antrostomy with Caldwell-luc approach, under general anesthesia, followed by the installation of a rigid drain for direct irrigation in the maxillary sinus through an opening in the lateral wall of the nasal cavity on the affected side. Caldwell-luc approach is a classic procedure in the literature and has remained as a hegemonic surgical technique for the treatment of sinusitis until functional endoscopic surgery has emerged, which has made a less invasive technique possible. However, the advances in endoscopic surgery find a barrier in the limitation of the area accessed by this type of procedure. Despite the possible complications regarding the technique, the Caldwell-luc approach remains as a plausible method for the treatment of maxillary sinus morbidities.Apesar de consagrada na literatura, a antrostomia endoscópica nem sempre consegue fornecer acesso absoluto à mucosa do seio maxilar, fato que suscita debates a respeito da sua extensão. A antrostomia mediante ao acesso de Caldwell-luc é realizada há mais de 120 anos, com anestesia geral ou local, e busca garantir maior visibilidade da área explorada. Sendo assim, o presente caso versa sobre paciente do sexo feminino, 40 anos, que comparece ao ambulatório de cirurgia e traumatologia bucomaxilofacial do Hospital do Oeste - Barreiras (BA) para avaliação. Refere sinusite crônica há aproximadamente um ano, após tratamento endodôntico, com constante obstrução nasal em lado direito e sem melhora com uso de medicamentos. O tratamento proposto foi a antrostomia maxilar com acesso de Caldwell-luc, com anestesia geral, seguido da instalação de dreno rígido para irrigação direta em seio maxilar, através de abertura na parede lateral da cavidade nasal do lado acometido. A antrostomia mediante ao acesso cirúrgico de Caldwell-luc é um procedimento clássico na literatura, tendo permanecido como técnica cirúrgica hegemônica para tratamento de sinusites até o surgimento da cirurgia endoscópica funcional, que possibilitou uma técnica menos invasiva. No entanto, os avanços da cirurgia endoscópica esbarram na limitação da área acessada neste tipo de procedimento. Apesar das possíveis complicações relacionadas à técnica, a cirurgia de Caldwell-luc permanece como um método viável para tratamento de morbidades do seio maxilar.Editora Uningá2021-03-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionTextoinfo:eu-repo/semantics/otherapplication/pdfapplication/pdfhttps://revista.uninga.br/uninga/article/view/344610.46311/2318-0579.58.eUJ3446Revista Uningá; Vol. 58 (2021); eUJ3446Revista Uningá; v. 58 (2021); eUJ34462318-057910.46311/ru.v58i0reponame:Revista Uningá (Online)instname:Centro Universitário Uningáinstacron:UNINGAporenghttps://revista.uninga.br/uninga/article/view/3446/2710https://revista.uninga.br/uninga/article/view/3446/2711Copyright (c) 2021 Revista Uningá https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFialho, Priscila VitalSilva, Larissa Oliveira RamosVarela, Dimas Albertiny Barradas de SousaBezerra, Rafael Macedo Padilha, Walter Suruagy MottaSeixas, Alexandre Martins2024-03-01T17:11:48Zoai:ojs.revista.uninga.br:article/3446Revistahttps://revista.uninga.br/uninga/indexPUBhttps://revista.uninga.br/uninga/oairevistauninga@uninga.edu.br2318-05792318-0579opendoar:2024-03-01T17:11:48Revista Uningá (Online) - Centro Universitário Uningáfalse |
dc.title.none.fl_str_mv |
MAXILLARY ANTROSTOMY BY CALDWELL-LUC APPROACH: CASE REPORT ANTROSTOMIA MAXILAR MEDIANTE AO ACESSO DE CALDWELL-LUC: RELATO DE CASO |
title |
MAXILLARY ANTROSTOMY BY CALDWELL-LUC APPROACH: CASE REPORT |
spellingShingle |
MAXILLARY ANTROSTOMY BY CALDWELL-LUC APPROACH: CASE REPORT Fialho, Priscila Vital Irrigação terapêutica seio maxilar sinusite. Maxillary sinus sinusitis therapeutic irrigation. Case report |
title_short |
MAXILLARY ANTROSTOMY BY CALDWELL-LUC APPROACH: CASE REPORT |
title_full |
MAXILLARY ANTROSTOMY BY CALDWELL-LUC APPROACH: CASE REPORT |
title_fullStr |
MAXILLARY ANTROSTOMY BY CALDWELL-LUC APPROACH: CASE REPORT |
title_full_unstemmed |
MAXILLARY ANTROSTOMY BY CALDWELL-LUC APPROACH: CASE REPORT |
title_sort |
MAXILLARY ANTROSTOMY BY CALDWELL-LUC APPROACH: CASE REPORT |
author |
Fialho, Priscila Vital |
author_facet |
Fialho, Priscila Vital Silva, Larissa Oliveira Ramos Varela, Dimas Albertiny Barradas de Sousa Bezerra, Rafael Macedo Padilha, Walter Suruagy Motta Seixas, Alexandre Martins |
author_role |
author |
author2 |
Silva, Larissa Oliveira Ramos Varela, Dimas Albertiny Barradas de Sousa Bezerra, Rafael Macedo Padilha, Walter Suruagy Motta Seixas, Alexandre Martins |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Fialho, Priscila Vital Silva, Larissa Oliveira Ramos Varela, Dimas Albertiny Barradas de Sousa Bezerra, Rafael Macedo Padilha, Walter Suruagy Motta Seixas, Alexandre Martins |
dc.subject.por.fl_str_mv |
Irrigação terapêutica seio maxilar sinusite. Maxillary sinus sinusitis therapeutic irrigation. Case report |
topic |
Irrigação terapêutica seio maxilar sinusite. Maxillary sinus sinusitis therapeutic irrigation. Case report |
description |
Although well reported in the literature, endoscopic antrostomy cannot provide full access to the maxillary sinus, a fact that raises some controversy about its extension. Caldwell-luc access antrostomy has been performed for more than 120 years, under general or local anesthesia, managing to ensure greater visibility of the area being explored. A 40-year-old female patient attended the maxillofacial service of the Hospital do Oeste - Barreiras (BA) for evaluation. She claims to be suffering from chronic sinusitis for approximately one year after undergoing endodontic treatment, with constant nasal obstruction on the right side and failing to reach a considerable improvement with the medication use. The proposed treatment was the maxillary antrostomy with Caldwell-luc approach, under general anesthesia, followed by the installation of a rigid drain for direct irrigation in the maxillary sinus through an opening in the lateral wall of the nasal cavity on the affected side. Caldwell-luc approach is a classic procedure in the literature and has remained as a hegemonic surgical technique for the treatment of sinusitis until functional endoscopic surgery has emerged, which has made a less invasive technique possible. However, the advances in endoscopic surgery find a barrier in the limitation of the area accessed by this type of procedure. Despite the possible complications regarding the technique, the Caldwell-luc approach remains as a plausible method for the treatment of maxillary sinus morbidities. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-03-11 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Texto info:eu-repo/semantics/other |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.uninga.br/uninga/article/view/3446 10.46311/2318-0579.58.eUJ3446 |
url |
https://revista.uninga.br/uninga/article/view/3446 |
identifier_str_mv |
10.46311/2318-0579.58.eUJ3446 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://revista.uninga.br/uninga/article/view/3446/2710 https://revista.uninga.br/uninga/article/view/3446/2711 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2021 Revista Uningá https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2021 Revista Uningá https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora Uningá |
publisher.none.fl_str_mv |
Editora Uningá |
dc.source.none.fl_str_mv |
Revista Uningá; Vol. 58 (2021); eUJ3446 Revista Uningá; v. 58 (2021); eUJ3446 2318-0579 10.46311/ru.v58i0 reponame:Revista Uningá (Online) instname:Centro Universitário Uningá instacron:UNINGA |
instname_str |
Centro Universitário Uningá |
instacron_str |
UNINGA |
institution |
UNINGA |
reponame_str |
Revista Uningá (Online) |
collection |
Revista Uningá (Online) |
repository.name.fl_str_mv |
Revista Uningá (Online) - Centro Universitário Uningá |
repository.mail.fl_str_mv |
revistauninga@uninga.edu.br |
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1797042158737293312 |