Which of the following is a postoperative complication of a Caldwell Luc?
Which of the following is a postoperative complication of a Caldwell Luc?
There were three common complications found: facial swelling (61.9%), pain and/or numbness of the face (46.0%) and pain and/or numbness of the teeth/gums (30.9%). Rare complications are postoperative epistaxis (0.4%), oroantral fistulae (0.4%), epiphora (0.4%) and dental discoloration (0.4%).
What are the complications of radical antrum surgery?
The primary risks are bleeding or infection in the area of the septum; numbness of the front teeth; the development of a hole through the septum (septal perforation); brain fluid leak; or recurrence of septal deviation. There is a very small risk that such occurrences could alter the external appearance of the nose.
Where is the incision made for a Caldwell Luc procedure?
First, the incision is made from lateral incisor to the second molar tooth. Then the flap of mucosa and periosteum is elevated and dissected to expose the anterior wall of sinus and then anterior wall is opened in the canine fossa where the bone is relatively thin with the drill.
Can sinus surgery damage nerves?
During surgery, the nerve can swell which can give a numbness or pain of the upper teeth for several weeks. This usually resolves but if there is permanent nerve damage the numbness or pain can remain permanently.
How do you do Caldwell Luc?
The Caldwell-Luc operation involves creating an opening into the maxillary antrum through the canine fossa via a sublabial approach. puncture are used to obtain samples of pus from the antrum, to irrigate the antrum (“antral washout”), or as an adjunct to en- doscopic ethmoidectomy.
What is antrum puncture?
Antral lavage is a largely obsolete surgical procedure in which a cannula is inserted into the maxillary sinus via the inferior meatus to allow irrigation and drainage of the sinus. It is also called proof puncture, as the presence of an infection can be proven during the procedure.
Is antral washout painful?
Pain during antral irrigation is usually mild and should not hinder this procedure when indicated.
What is the complication rate of Caldwell Luc surgery?
It is, however, well known that Caldwell–Luc surgery has a high rate of complication and patient morbidity, and for this reason should be used only as a last resort. A 1988 review of 670 patients who underwent Caldwell–Luc surgery at a single institution found a 19% complication rate.
Are there any complications from gallbladder surgery?
While serious complications are rare, it’s important to know what to look out for. Speak to your doctor about proper aftercare following gallblader surgery to reduce your chances of a 0complication. Having your gallbladder removed, known as cholecystectomy, is a common surgical procedure in the United States.
Can gallbladder removal cause colicky pain?
Colicky Pain. A study published in March 2018 in the journal HPB found that among people who underwent gallbladder removal because of mild gallstone pancreatitis (inflamed pancreas), nearly 15 percent experienced an attack of pain in the area after the surgery.
What are the arguments against the Caldwell-Luc procedure?
Arguments against the Caldwell-Luc procedure are primarily based upon morbidity of the procedure, while arguments against nasal antrostomy point to inadequate access, exposure, and failure to eradicate disease. This presentation reviews the literature and the author’s experience with over 270 Caldwell-Luc procedures.