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Comparing the efficacy of sinus irrigation with traditional Caldwell–Luc procedure following odontogenic cyst surgery involving the maxillary sinus

A large maxillary odontogenic cyst could intrude into the maxillary sinus. The traditional approach following surgery for such a cyst is the Caldwell–Luc procedure. However, the traditional CDL procedure is associated with more complications and damage of the sinus mucosa. The purpose of this study...

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Autores principales: Gang, Niu, JiaMin, Chen, Ye, Wu, FuPing, Xie, HuanHuan, Liu, LiSong, Lin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8437990/
https://www.ncbi.nlm.nih.gov/pubmed/34518580
http://dx.doi.org/10.1038/s41598-021-97477-z
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author Gang, Niu
JiaMin, Chen
Ye, Wu
FuPing, Xie
HuanHuan, Liu
LiSong, Lin
author_facet Gang, Niu
JiaMin, Chen
Ye, Wu
FuPing, Xie
HuanHuan, Liu
LiSong, Lin
author_sort Gang, Niu
collection PubMed
description A large maxillary odontogenic cyst could intrude into the maxillary sinus. The traditional approach following surgery for such a cyst is the Caldwell–Luc procedure. However, the traditional CDL procedure is associated with more complications and damage of the sinus mucosa. The purpose of this study was to assess a new method with easier operation, which not only prevented postoperative infection but also caused less damage to the maxillary sinus mucosa. A large odontogenic cyst in the maxillary sinus of 40 patients was diagnosed through radiographic imaging and postoperative histopathology. Twenty patients were treated with maxillary sinus saline irrigation after surgery, while 20 patients underwent the traditional Caldwell–Luc procedure. The therapeutic efficacy was evaluated by clinical examination and radiographic imaging; the longest follow-up was 36 months. The postoperative reaction was evaluated. There was a statistically significant difference in facial swelling, visual analog scale (VAS) and temperature elevation between the 2 groups. Sinus irrigation following large odontogenic cyst surgery involving the maxillary sinus can serve as an alternative to standard CDL and has the advantages of fewer complications, reduced trauma, restoration of the mucosa and more satisfactory results.
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spelling pubmed-84379902021-09-15 Comparing the efficacy of sinus irrigation with traditional Caldwell–Luc procedure following odontogenic cyst surgery involving the maxillary sinus Gang, Niu JiaMin, Chen Ye, Wu FuPing, Xie HuanHuan, Liu LiSong, Lin Sci Rep Article A large maxillary odontogenic cyst could intrude into the maxillary sinus. The traditional approach following surgery for such a cyst is the Caldwell–Luc procedure. However, the traditional CDL procedure is associated with more complications and damage of the sinus mucosa. The purpose of this study was to assess a new method with easier operation, which not only prevented postoperative infection but also caused less damage to the maxillary sinus mucosa. A large odontogenic cyst in the maxillary sinus of 40 patients was diagnosed through radiographic imaging and postoperative histopathology. Twenty patients were treated with maxillary sinus saline irrigation after surgery, while 20 patients underwent the traditional Caldwell–Luc procedure. The therapeutic efficacy was evaluated by clinical examination and radiographic imaging; the longest follow-up was 36 months. The postoperative reaction was evaluated. There was a statistically significant difference in facial swelling, visual analog scale (VAS) and temperature elevation between the 2 groups. Sinus irrigation following large odontogenic cyst surgery involving the maxillary sinus can serve as an alternative to standard CDL and has the advantages of fewer complications, reduced trauma, restoration of the mucosa and more satisfactory results. Nature Publishing Group UK 2021-09-13 /pmc/articles/PMC8437990/ /pubmed/34518580 http://dx.doi.org/10.1038/s41598-021-97477-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Gang, Niu
JiaMin, Chen
Ye, Wu
FuPing, Xie
HuanHuan, Liu
LiSong, Lin
Comparing the efficacy of sinus irrigation with traditional Caldwell–Luc procedure following odontogenic cyst surgery involving the maxillary sinus
title Comparing the efficacy of sinus irrigation with traditional Caldwell–Luc procedure following odontogenic cyst surgery involving the maxillary sinus
title_full Comparing the efficacy of sinus irrigation with traditional Caldwell–Luc procedure following odontogenic cyst surgery involving the maxillary sinus
title_fullStr Comparing the efficacy of sinus irrigation with traditional Caldwell–Luc procedure following odontogenic cyst surgery involving the maxillary sinus
title_full_unstemmed Comparing the efficacy of sinus irrigation with traditional Caldwell–Luc procedure following odontogenic cyst surgery involving the maxillary sinus
title_short Comparing the efficacy of sinus irrigation with traditional Caldwell–Luc procedure following odontogenic cyst surgery involving the maxillary sinus
title_sort comparing the efficacy of sinus irrigation with traditional caldwell–luc procedure following odontogenic cyst surgery involving the maxillary sinus
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8437990/
https://www.ncbi.nlm.nih.gov/pubmed/34518580
http://dx.doi.org/10.1038/s41598-021-97477-z
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