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January 1989

Review of Caldwell-Luc Procedures

Arch Otolaryngol Head Neck Surg. 1989;115(1):13. doi:10.1001/archotol.1989.01860250015005

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Frank Lucente, MD, and Junior DeFreitas, MD, New York, reviewed the records of 596 patients who underwent 670 Caldwell-Luc procedures at the New York Eye and Ear Infirmary and presented their data at the Triological Society meeting in Palm Beach, Fla. Five hundred twenty-two procedures were performed unilaterally, while 74 operations were performed bilaterally. The patients' ages varied widely. Nasal obstruction, rhinorrhea, postnasal drainage, and pain were the most common complaints made by patients. Plain roentgenograms revealed that 65% of patients had mucosal thickening and 10% had an air-fluid level.

Short-term complications were common. Eighty-nine percent of the patients had facial swelling for one week postoperatively and 33% complained of some form of cheek discomfort. Twelve percent had a temperature in excess of 38.3°C (101°F), and epistaxis requiring packing occurred in 3%. Long-term follow-up (two to ten years) was available for 464 patients. Fifty-three percent of these patients had complete

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