The Caldwell-Luc operation revisited.

The controversy concerning the indications for intranasal antrostomy versus the Caldwell-Luc operation has been debated for many years. 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. Some technical considerations that have produced good results are suggested. The exact indications for nasal antrostomy remain unclear.