Abstract
Caldwell-Luc's operation is a historic surgery. It was a major treatment for chronic sinusitis in the past. However, it has been replaced by functional endoscopic sinus surgery. We discuss its role in this modern medical era in this article by reviewing the literature. Traditionally, it includes sublabial antrostomy and permanent inferior antrostomy. It has four important indications: radical treatment of chronic maxillary sinusitis, removal of lesion in deep maxillary sinus, a route for special aim, and preparation for Denker's operation. The majority of indications were treated with endoscopic surgery, and permanent inferior antrostomy is not encouraged now. However well exposure and radical treatment of maxillary sinus are unique in Caldwell-Luc's operation. Therefore, cooperation of endoscopic surgery and Caldwell-Luc's operation can be indicated to treat severe diffuse chronic sinusitis, to get a broader view, and even to become a modified (”mini”) Caldwell-Luc's procedure.
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