Abstract

The Caldwell-Luc operation, introduced in 1897, has continued to be one of the most important surgical procedures for the treatment of chronic infection of the maxillary sinus. 1 Variations have been made in the technic, but the fundamental principles remain the same. The history of the development of this operation, which is familiar to all rhinologists, has recently been reviewed by Alden 2 and Williams 3 and Voorhees. 4 Specific indications for the Caldwell-Luc operation will be reflected in the case reports included in this study. According to Childrey, 5 when surgical intervention is necessary in the treatment of chronic maxillary sinusitis it should be as conservative as is consistent with cure of the disease. His operation, cristectomy, is similar to Sturman's and offers permanent aeration and drainage with an entirely satisfactory opening for subsequent observation. Childrey, however, recognized certain types of cases to which the transoral operation is best suited. Goodyear 6 reported a large

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