Thumfart W, Steiner W, Jaumann M P
HNO. 1978 Sep;26(9):289-95.
Surgery of the maxillary sinus is one of the commonest in otorhinolaryngology. The classical Caldwell-Luc procedure however is not infrequently followed by infraorbital or some other facial neuralgia or discomfort. In 1976,246 patients were assessed for revision maxillary sinus surgery, and the symptomatology, clinical, transnasal endoscopic and radiological (polytomography) findings were documented. 59 revision operations were performed and a critical analysis of the preoperative, operative and postoperative findings are presented. Polytomography together with sinus endoscopy is a very valuable assessment of the need for revision surgery. Careful sublabial periosteal wound closure is emphasized, and as an alternative to the Caldwell-Luc procedure the intranasal antrostomy under endoscopic control is recommended.
上颌窦手术是耳鼻喉科最常见的手术之一。然而，经典的考德威尔-卢氏手术术后常伴有眶下或其他面部神经痛或不适。1976年，对246例接受上颌窦翻修手术的患者进行了评估，并记录了症状、临床、经鼻内镜及放射学（断层摄影）检查结果。共进行了59例翻修手术，并对术前、术中及术后的检查结果进行了批判性分析。断层摄影与鼻窦内镜检查相结合对于评估翻修手术的必要性非常有价值。强调要仔细进行唇下骨膜伤口缝合，并且推荐在内镜控制下进行鼻内窦造口术作为考德威尔-卢氏手术的替代方法。
