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Granulomatous Disease of the Nose

Question
27 out of 35
 

In Caldwell-Luc operation the nasoantral window is made through: [AIIMS May 2010]



A Superior meatus

B Inferior meatus

C Middle meatus

D None of the above

Ans. B Inferior meatus Ref. Dhingra 5th/ed p 418,

Caldwell-Luc Operation

a. It was earlier done in case of chronic maxillary sinusitis with an aim to remove "irreversibly" damaged mucosa of maxillary sinus and to facilitate gravitational drainage and aeration via an infra meatal antrostomy.

b. It was predominantly being used for persistent chronic rhinosinusitis when medication, lavage and inferiormeatal antrostomy has failed.

c. But it is now not being used - as it is not the normal ciliated respiratory epithelium which replaces the nasal mucosa but fibrous tissue, hich can obliterate the cavity and lead to cyst formation

d. Contraindications - It should not be done in children as it can damage the secondary dentition.

Surgery

Done through

Caldwell-Luc operation

Antral puncture

Dacryocystorhinostomy

Inferior meatus

Inferior meatus

Middle meatus

Granulomatous Disease of the Nose Flashcard List

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