The CO 2 Laser in the Performance of the Caldwell-Luc Operation

Abstract

The classic surgical approach to the maxillary sinus originally described by Caldwell and Luc is still widely used. An incision is made with a scalpel in the upper part of the buccal vestibulum, and the anterior wall of the sinus is fenestrated with an osteotome. This procedure often is performed under general anesthesia. Postoperative swelling, edema, and pain are usually seen. The CO₂ laser is an alternative surgical technique that cuts the mucosa and the periosteum, opens the anterior wall of the sinus, and vaporizes the contents of the sinus. The procedure can be used with local anesthesia. Aside from the hemostasis, postoperative swelling, pain, and discomfort are negligible.