Datta R K, Viswanatha B, Shree Harsha M
ENT Department, Bangalore Medical College & Research Institute, Bangalore, India.
Indian J Otolaryngol Head Neck Surg. 2016 Mar;68(1):90-3. doi: 10.1007/s12070-015-0883-y. Epub 2015 Jul 31.
Caldwell Luc surgery (CWS) is almost 120 years old now and it still enjoys an important place in ENT Surgeons armamentarium. The logic behind this surgery is to replace the diseased and scarred mucosa from maxillary sinus with new mucosa. In the initial period of this long journey the surgery gained many other important indications which also includes approach to surrounding structures which makes us to think if it's really a radical surgery as it is used just an approach to other structure. This was a retrospective study of CWS done during period of 2002-2014 in Sri Venkateshwara ENT Institute and Bowring & Lady Harding Hospital both of these attached to Bangalore Medical College & Research Institute. In this study we have tried to analyze the indications and surgical procedure adapted and complications. Even though it has synonym of radical antrostomy the complications were minor and temporary, except for permanent tooth anesthesia and nasal vestibular stenosis. With reasonable expertise if this surgery is done for proper indication: its worth to face these complications and it's a versatile surgery even today.
考德威尔-卢氏手术（CWS）至今已有近120年历史，在耳鼻喉科医生的手术器械库中仍占据重要地位。该手术的原理是用新的黏膜替代上颌窦患病和瘢痕化的黏膜。在这漫长历程的初期，该手术获得了许多其他重要适应证，其中还包括用于接近周围结构，这让我们思考它是否真的是一种根治性手术，因为它只是被用作接近其他结构的一种方法。这是一项对2002年至2014年期间在斯里兰卡文卡特斯瓦拉耳鼻喉研究所以及与班加罗尔医学院和研究所附属的鲍林与哈丁夫人医院所做的考德威尔-卢氏手术的回顾性研究。在本研究中，我们试图分析适应证、所采用的手术步骤及并发症。尽管它有根治性窦切开术的别称，但并发症轻微且为暂时性，除了永久性牙齿麻醉和鼻前庭狭窄。如果以合理的专业技术针对恰当适应证进行该手术：那么面对这些并发症是值得的，即便在今天它仍是一种用途广泛的手术。
