Indications for the Caldwell-Luc approach in the endoscopic era

The (radical antrostomy) is an external surgical procedure used to access and treat diseases of the maxillary sinus by creating a window in the anterior wall of the maxilla. While largely replaced by Functional Endoscopic Sinus Surgery (FESS) , it remains a critical "last resort" for specific conditions. 1. Key Indications

Affiliation. 1 Department of Otolaryngology-Head and Neck Surgery, Carmel Medical Center, Haifa, Israel. geva_b@hotmail.com. PMID: National Institutes of Health (.gov) Caldwell–Luc Surgery | Ento Key

Access for managing midface or orbital floor fractures.

Resection or biopsy of tumors in the maxillary sinus or pterygopalatine fossa.

Massive polyposis or fungal disease (e.g., fungal ball) that cannot be fully cleared endoscopically.

Transantral ligation of the internal maxillary artery. 2. Surgical Procedure Steps