상악동 천공술 후 발생한 경부안면 피하기종 1예

Abstract

Caldwell-Luc operation is an old surgery technique which opens the anterior wall of the maxillary sinus through a gingivo-labial incision and removes the inflamed sinus mucosa. After the advent of endoscopic sinus surgery, Caldwell-Luc operation is less performed, but it can be helpful for selected patients with recurrent chronic rhinosinusitis and extensive maxillary diseases such as massive polyposis or tumor, in which endoscopic approach is not sufficient enough to completely clear the maxillary sinus mucosa. Alternatively, less invasive maxillary sinus trephination can be performed, which makes a small anterior window of the maxillary sinus. We report a case of a 49-year-old male who underwent a maxillary sinus trephination for an extensive sinonasal mass and had cervicofacial subcutaneous emphysema one day after surgery, a rare postoperative complication reported in the literature. (J Clinical Otolaryngol 2021;32:80-84)