Legler U
Rhinology. 1981 Mar;19(1):25-34.
In the last decade an increasing number of authors advocates to avoid the Caldwell-Luc procedure whenever possible in rhinogenous and/or odotogenous maxillary sinusitis. Advantages and drawbacks of the intranasal inferior meatus fenestration and its modifications are discussed as well as some technical details. In some cases the intranasal operation could be enlarged as described by several authors many years ago. In a limited number of cases the intranasal procedures may fail to cure or improve the patients condition. Here we can still resort to a more radical type of operation via the fossa canina.
在过去十年中，越来越多的作者主张在鼻源性和/或牙源性上颌窦炎时尽可能避免采用柯-陆氏手术。本文讨论了鼻内下鼻道开窗术及其改良术式的优缺点以及一些技术细节。在某些情况下，鼻内手术可如多年前几位作者所描述的那样扩大范围。在少数情况下，鼻内手术可能无法治愈或改善患者病情。此时我们仍可采用经犬齿窝的更激进的手术方式。
