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J Otolaryngol.1994 Jun;23(3):197-203.

An endoscopic and tomographic evaluation of

patients with sinusitis after endoscopic sinussurgery and Caldwell-Luc operation: a

comparative study.

UnlHH1,Caylan R, Nala Y, Akyar S.

Author information

Abstract

To evaluate the outcome of surgery using objective methods in patients with sinusitis after endoscopic sinus surgery

(ESS) and Caldwell-Luc operation, we randomly selected 37 Caldwell-Luc-operated and 40 ESS-applied cases.

Selected patient groups were assessed and compared by endoscopic examination and computed tomography (CT). CT

was found to be normal in 12% of Caldwell-Luc-operated sides in comparison to 75% of ESS-applied sides. Endoscopy

revealed a patency rate of the windows as 48% in Caldwell-Luc-operated and 86.7% in ESS-applied sides. Fibrosis and

abnormal bony changes of the maxillary sinus were encountered in more than half of Caldwell-Luc-operated cases. In

conclusion, ESS has a much higher rate of cure compared to the Caldwell-Luc operation if subjective and objective

evaluation methods (CT and endoscopy) are applied.

PMID: 8064960

[PubMed - indexed for MEDLINE]

Abstract

Send to:

Eur J Radiol.2009 Apr;70(1):31-4. doi: 10.1016!."!rad.200#.01.007. Epub 200#$"b 2%.

Sinonasal imaging after Caldwell-Luc surgery:

MDCT findings of an abandoned procedure

in times of functional endoscopic sinus

surgery.

&"'"c $1 *"losc+", * o"lbli/"r "+rai r"sta R "r .

Author information

Abstract

http://www.ncbi.nlm.nih.gov/pubmed/8064960http://www.ncbi.nlm.nih.gov/pubmed/?term=Unl%C3%BC%20HH%5BAuthor%5D&cauthor=true&cauthor_uid=8064960http://www.ncbi.nlm.nih.gov/pubmed/?term=Unl%C3%BC%20HH%5BAuthor%5D&cauthor=true&cauthor_uid=8064960http://www.ncbi.nlm.nih.gov/pubmed/?term=Unl%C3%BC%20HH%5BAuthor%5D&cauthor=true&cauthor_uid=8064960http://www.ncbi.nlm.nih.gov/pubmed/?term=Caylan%20R%5BAuthor%5D&cauthor=true&cauthor_uid=8064960http://www.ncbi.nlm.nih.gov/pubmed/?term=Caylan%20R%5BAuthor%5D&cauthor=true&cauthor_uid=8064960http://www.ncbi.nlm.nih.gov/pubmed/?term=Nal%C3%A7a%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=8064960http://www.ncbi.nlm.nih.gov/pubmed/?term=Nal%C3%A7a%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=8064960http://www.ncbi.nlm.nih.gov/pubmed/?term=Nal%C3%A7a%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=8064960http://www.ncbi.nlm.nih.gov/pubmed/?term=Akyar%20S%5BAuthor%5D&cauthor=true&cauthor_uid=8064960http://www.ncbi.nlm.nih.gov/pubmed/8064960http://www.ncbi.nlm.nih.gov/pubmed/18302979http://www.ncbi.nlm.nih.gov/pubmed/18302979http://www.ncbi.nlm.nih.gov/pubmed/18302979http://www.ncbi.nlm.nih.gov/pubmed/?term=Nemec%20SF%5BAuthor%5D&cauthor=true&cauthor_uid=18302979http://www.ncbi.nlm.nih.gov/pubmed/?term=Peloschek%20P%5BAuthor%5D&cauthor=true&cauthor_uid=18302979http://www.ncbi.nlm.nih.gov/pubmed/?term=Koelblinger%20C%5BAuthor%5D&cauthor=true&cauthor_uid=18302979http://www.ncbi.nlm.nih.gov/pubmed/?term=Mehrain%20S%5BAuthor%5D&cauthor=true&cauthor_uid=18302979http://www.ncbi.nlm.nih.gov/pubmed/?term=Krestan%20CR%5BAuthor%5D&cauthor=true&cauthor_uid=18302979http://www.ncbi.nlm.nih.gov/pubmed/?term=Czerny%20C%5BAuthor%5D&cauthor=true&cauthor_uid=18302979http://www.ncbi.nlm.nih.gov/pubmed/18302979http://www.ncbi.nlm.nih.gov/pubmed/?term=Unl%C3%BC%20HH%5BAuthor%5D&cauthor=true&cauthor_uid=8064960http://www.ncbi.nlm.nih.gov/pubmed/?term=Caylan%20R%5BAuthor%5D&cauthor=true&cauthor_uid=8064960http://www.ncbi.nlm.nih.gov/pubmed/?term=Nal%C3%A7a%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=8064960http://www.ncbi.nlm.nih.gov/pubmed/?term=Akyar%20S%5BAuthor%5D&cauthor=true&cauthor_uid=8064960http://www.ncbi.nlm.nih.gov/pubmed/8064960http://www.ncbi.nlm.nih.gov/pubmed/18302979http://www.ncbi.nlm.nih.gov/pubmed/18302979http://www.ncbi.nlm.nih.gov/pubmed/18302979http://www.ncbi.nlm.nih.gov/pubmed/?term=Nemec%20SF%5BAuthor%5D&cauthor=true&cauthor_uid=18302979http://www.ncbi.nlm.nih.gov/pubmed/?term=Peloschek%20P%5BAuthor%5D&cauthor=true&cauthor_uid=18302979http://www.ncbi.nlm.nih.gov/pubmed/?term=Koelblinger%20C%5BAuthor%5D&cauthor=true&cauthor_uid=18302979http://www.ncbi.nlm.nih.gov/pubmed/?term=Mehrain%20S%5BAuthor%5D&cauthor=true&cauthor_uid=18302979http://www.ncbi.nlm.nih.gov/pubmed/?term=Krestan%20CR%5BAuthor%5D&cauthor=true&cauthor_uid=18302979http://www.ncbi.nlm.nih.gov/pubmed/?term=Czerny%20C%5BAuthor%5D&cauthor=true&cauthor_uid=18302979http://www.ncbi.nlm.nih.gov/pubmed/18302979http://www.ncbi.nlm.nih.gov/pubmed/8064960

7/24/2019 Tomographic Evaluation of Patients With Sinusitis

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BACKGROUND AND PURPOSE:

Today, functional endoscopic sinus surgery (FESS) is performed in most of the patients with sinonasal inflammatory

disease. The postoperative imaging findings of FESS in multidetector computed tomography (MDCT) considerably

differ from those of historic Caldwell-Luc (CL) maxillary sinus surgery which is an uncommon procedure today. Thus,

the postoperative CL imaging findings may lead to diagnostic confusion and misinterpretation. Therefore, this study

explicitly presents the MDCT findings of post-CL patients which have not been described previously.

METHODS:

Twenty-eight patients with clinically suspected sinusitis and documented history of CL-procedure underwent 16 row

MDCT (MDCT Mx8000 IDT Philips) with multiplanar reconstructions of the paranasal sinuses in the axial plane. The

following parameters were used: 140kV, 50mAs; 16mmx0.75mm detector collimation; 1mm reconstructed slice

thickness; 0.5mm increment. The studies were reconstructed with a bone algorithm (W3000/L600; 1mm slice thickness)

in axial plane and coronal plane (3mm slice thickness). The images were retrospectively evaluated for the presence of

normal surgery-related and pathological findings.

RESULTS:

Surgery-related imaging characteristics presented as follows: an anterior and a medial bony wall defect and sclerosis

and sinus wall thickening were observed in all 28/28 cases (100%). Collaps of the sinus cavity was seen in 26/28 cases

(92.9%). Furthermore, inflammatory disease of the operated sinus(es) was found in 23/28 cases (82.1%): 14/28 patients

(50%) had inflammatory mucosal thickening of the operated sinus(es) as well as of other sinonasal cavities and 9/28

patients (32.1%) had inflammatory mucosal thickening limited to the operated sinus(es). A postoperative mucocele was

depicted in 3/28 cases (10.7%). 2/28 patients (7.1%) showed neither maxillary nor other mucosal swelling.

CONCLUSION:

MDCT with multiplanar reconstructions is a precise method to evaluate post-CL patients and helps to differentiate

normal surgery-related findings, which may mimic pathology, from real pathological findings.

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