Joe Jacob K, George Shibu, Preethi S, Arunraj V S
Department of Otorhinolaryngology, Government Medical College, Kottayam, 686 008 Kerala India.
Indian J Otolaryngol Head Neck Surg. 2011 Jul;63(3):214-9. doi: 10.1007/s12070-011-0262-2. Epub 2011 May 8.
Functional endoscopic sinus surgery (FESS) has almost completely replaced the radical Caldwell-Luc approach. About 20 years after its origin of FESS a comparative study with Caldwell-Luc Surgery (C-L) definitely should be on cards to validate the previous results. To compare the effectiveness of endoscopic middle meatal antrostomy and Caldwell-Luc's surgery in the management of Chronic Maxillary Sinusitis. This is a prospective randomized comparative study based on the analysis of eighty patients who were diagnosed to have chronic, unilateral, maxillary sinusitis and underwent surgery, after a failed trial of conservative management. One year after surgery 44% of the C-L patients and 89% of the FESS patients reported distinct improvement of their symptoms. Both are effective in the management of chronic sinusitis. Endoscopic middle meatal antrostomy is superior to Caldwell-Luc in intraoperative and postoperative parameters.
功能性内镜鼻窦手术（FESS）几乎已完全取代了根治性的柯德威尔-卢氏手术。在FESS起源约20年后，与柯德威尔-卢氏手术（C-L）进行一项对比研究肯定是有必要的，以验证之前的结果。比较内镜下中鼻道上颌窦造口术与柯德威尔-卢氏手术治疗慢性上颌窦炎的效果。这是一项前瞻性随机对照研究，基于对80例被诊断为慢性单侧上颌窦炎且经保守治疗失败后接受手术的患者的分析。术后一年，44%的C-L手术患者和89%的FESS手术患者报告症状有明显改善。两者在慢性鼻窦炎的治疗中均有效。内镜下中鼻道上颌窦造口术在术中及术后参数方面优于柯德威尔-卢氏手术。
