Select City
location
Get my Location
search icon
phone icon in white color

Call Us

Book Free Appointment

Caldwell-Luc Surgery | Maxillary Sinus Treatment

Caldwell-Luc surgery, also known as Caldwell-Luc antrostomy, is a specialised operation aimed at treating chronic maxillary sinusitis, especially when other treatments have not been successful. This procedure involves removing the damaged tissue in the maxillary sinus through an incision made inside the mouth. If you're suffering from persistent sinus issues and other remedies haven't worked, consulting a doctor for this surgery might be a viable option. Book your appointment with Pristyn Care today to consult with experienced specialists and get personalised care.

Caldwell-Luc surgery, also known as Caldwell-Luc antrostomy, is a specialised operation aimed at ... Read More

anup_soni_banner
Book FREE Doctor Appointment
cost calculator
Anup Soni - the voice of Pristyn Care pointing to download pristyncare mobile app
i
i
i
i
Call Us
We are rated
2 M+ Happy Patients
700+ Hospitals
45+ Cities

To confirm your details, please enter OTP sent to you on *

i

45+

Cities

Free Consultation

Free Consultation

Free Cab Facility

Free Cab Facility

No-Cost EMI

No-Cost EMI

Support in Insurance Claim

Support in Insurance Claim

1-day Hospitalization

1-day Hospitalization

USFDA-Approved Procedure

USFDA-Approved Procedure

Best Doctors for Sinusitis

Choose Your City

It help us to find the best doctors near you.

Bangalore

Delhi

Hyderabad

Mumbai

Delhi

Gurgaon

Noida

Ahmedabad

Bangalore

  • online dot green
    Dr. Saloni Spandan Rajyaguru (4fb10gawZv)

    Dr. Saloni Spandan Rajya...

    MBBS, DLO, DNB
    17 Yrs.Exp.

    4.5/5

    17 Years Experience

    location icon 3A/79, Ekta Residency, Tilak Nagar, Chembur, Mumbai, Maharashtra 400089
    Call Us
    6366-421-528
  • online dot green
    Dr. Manu Bharath (mVLXZCP7uM)

    Dr. Manu Bharath

    MBBS, MS - ENT
    16 Yrs.Exp.

    4.7/5

    16 Years Experience

    location icon WH6J+7R6, MARIGOLD SQUARE, 9th Cross Rd, ITI Layout, 1st Phase, J. P. Nagar, Bengaluru, Karnataka 560078g
    Call Us
    9175-793-953
  • online dot green
    Dr. Shilpa Shrivastava (LEiOfhPy1O)

    Dr. Shilpa Shrivastava

    MBBS, MS
    16 Yrs.Exp.

    4.5/5

    16 Years Experience

    location icon Pristyn Care Clinic, Sri Ramnagar - Block C, Hyderabad
    Call Us
    6366-447-375
  • online dot green
    Dr. Divya Badanidiyur (XiktdZyczR)

    Dr. Divya Badanidiyur

    MBBS, DNB
    16 Yrs.Exp.

    4.5/5

    16 Years Experience

    location icon No. 76, HVV Plaza 15th Cross, 4th Main Rd, Malleshwaram, Bengaluru, Karnataka 560055
    Call Us
    9175-793-953

What is Caldwell-Luc Surgery?

Caldwell-Luc surgery is a specialised procedure aimed at treating chronic maxillary sinusitis, especially when other options haven’t solved the problem. This surgery focuses on removing damaged mucosa (the tissue lining the sinus) from the maxillary sinus. The maxillary sinus is one of the air-filled spaces behind your cheekbones and nose.

To perform this surgery, the doctor makes an incision inside the mouth in the area known as the canine fossa. This allows them to reach and clean out the affected sinus through the anterior wall of the maxilla, which is part of your upper jaw. Caldwell-Luc surgery is typically done when symptoms are severe and persistent despite other treatments.

The goal is to improve airflow and drainage in the sinuses, reduce pain and pressure, and ultimately improve quality of life for those dealing with chronic sinusitis. It’s a well-established procedure that can provide relief when less invasive methods fall short.

cost calculator

Sinusitis Surgery Cost Calculator

Fill details to get actual cost

i
i
i

To confirm your details, please enter OTP sent to you on *

i

Types Of Caldwell-Luc Surgery

There are two main types of Caldwell-Luc surgery. Each type caters to different severity levels of sinus conditions:

  • Radical Canine Fossa Antrostomy (RA): This approach involves creating a larger opening in the maxillary sinus. It’s suitable for severe cases like complicated chronic rhinosinusitis, massive polyposis (growths), or fungal infections where thorough cleaning is needed.
  • Mini-Canine Fossa Antrostomy (MA): A less invasive version, this involves smaller incisions and is usually paired with endoscopic sinus surgery (ESS). It targets patients with less severe disease, aiming to reduce trauma while still providing enough access for treatment.

Are you going through any of these symptoms?

Diagnosis Before Chronic Sinusitis Surgery

Before deciding on Caldwell-Luc sinus surgery, the doctor needs to confirm if you have chronic sinusitis. This means checking for inflammation in your sinuses that lasts for 12 weeks or more. The diagnosis usually involves:

  • Symptom Assessment: The doctor will ask about key symptoms like:
    • Thick nasal drainage that looks yellow or green.
    • Pain or pressure in the face, especially around the nose and eyes.
    • Blocked nose, making it hard to breathe.
    • Reduced sense of smell or complete loss of it.
  • Physical Examination: The doctor will carefully examine the inside of your nose using a small tool to peek into the nasal passages.
  • Imaging Studies: Imaging tests like a CT scan, which is a special type of X-ray, provide detailed pictures of the sinuses and help identify any swelling or issues. The doctor may also use a nasal endoscopy, which involves a camera on a thin tube, to get a clearer and more detailed view of the sinuses and nasal structures.
  • Additional Evaluations: Sometimes, the doctor might check for allergies or take cultures to find out what’s causing the sinusitis.

Procedure For Caldwell-Luc Surgery

Caldwell-Luc surgery is often the next step when other treatments don’t work for chronic sinusitis. Here’s what happens during the surgery:

  • Anaesthesia: You will receive either general anaesthesia, which puts you to sleep, or local anaesthesia with sedation, so you won’t feel pain.
  • Incision: The surgeon makes a small cut in the gum above your upper teeth to reach the maxillary sinus.
  • Creation of a Window: A tiny opening is created in the bone of your upper jaw. This gives direct access to the sinus.
  • Drainage and Cleaning: The surgeon removes any infected tissue, polyps, or debris, which helps unblock and clean the sinus cavity.
  • Closure: After cleaning, they stitch up the incision and might place packing inside the sinus to help it heal.
  • Postoperative Care: You’ll be given instructions on how to care for yourself after surgery, which may include antibiotics or rinsing your nose.

Pristyn Care’s Free Post-Operative Care

Diet & Lifestyle Consultation

Post-Surgery Free Follow-Up

Free Cab Facility

24*7 Patient Support

Who Is The Right Candidate For Caldwell-Luc Surgery?

Deciding on Caldwell-Luc surgery depends on how severe your chronic sinusitis symptoms are and if other treatments have failed. Some points that make someone suitable for this surgery include:

  • Ongoing Symptoms: If your sinus problems, like facial pain, stuffiness, or headaches, last for a long time and don’t get better with medicine.
  • Serious Blockage: If there’s a big blockage in your maxillary sinuses (the ones near your cheeks) that causes pain or infections.
  • Previous Treatments Didn’t Work: If things like nasal sprays, antibiotics, or other treatments haven’t helped relieve your symptoms.
  • Frequent Infections: If you keep getting sinus infections that don’t improve with antibiotics or other medications.
  • Structural Problems: If you have things like polyps, cysts, or other growths blocking your sinuses that can’t be fixed with non-surgical treatments.
  • Chronic Sinus Problems in the Cheek Area: If you have ongoing issues in your maxillary sinuses, like infections or fluid buildup, that don’t go away without surgery.
  • Impact on Daily Life: If your sinus symptoms are making it hard to breathe, sleep, or go about your daily routine, and other treatments haven’t helped.

Benefits Of Caldwell-Luc Surgery

Caldwell-Luc surgery is a type of operation aimed at helping people with persistent sinus issues. Here are some benefits of Caldwell-Luc surgery:

  • Effective for Chronic Sinusitis: If you’ve been struggling with maxillary sinusitis that just won’t budge with medicines or other treatments, this surgery can be the solution.
  • Removal of Damaged Tissue: During the procedure, the surgeon can take out unhealthy tissue from the sinuses. This can help your sinuses work better and clear up lingering issues.
  • Access to Nearby Areas: Occasionally, you need more than just sinus treatment. This method also allows surgeons to reach close structures easily for any additional problems like dental issues or tumours.
  • Long-term Symptom Relief: Many people find their symptoms get much better, and they have fewer sinus infections after the operation.

How To Prepare For Caldwell-Luc Surgery?

Getting ready for Caldwell-Luc sinus surgery is important to ensure a smooth experience and recovery. Here’s how you can prepare:

  • Preoperative Check-up: You will need a complete check-up, which may include things like CT scans and going over your medical history, to see if you’re fit for the surgery.
  • Medication Review: Let your doctor know about any medicines you’re currently taking because some might need adjustments or pauses before your operation.
  • Fasting Instructions: Typically, don’t eat or drink after midnight before your surgery day.
  • Plan Your Ride Home: Since you’ll likely have general anaesthesia during the procedure, ask someone to drive you home safely afterwards.

Recovery Tips To Follow After Caldwell-Luc Surgery

After Caldwell-Luc surgery, it’s key to follow recovery tips closely for the best outcome. Here are some tips for recovery:

  • Rest and Stay Hydrated: Make sure to get plenty of rest and drink fluids as they speed up healing.
  • Avoid Nose Blowing: Hold off on blowing your nose vigorously for at least a week. This helps prevent bleeding or slowing down healing.
  • Pain Management: Over-the-counter painkillers are generally helpful, but if you need something stronger, your doctor will prescribe it.
  • Follow-Up Appointments: Keep up with regular check-ups with your doctor to watch healing progress and handle any worries quickly.
  • Monitor for Symptoms: Be alert for any signs of infection or issues such as increased pain, swelling, or fever. Contact your doctor if anything seems wrong.

Complications Associated With Caldwell-Luc Surgery

While Caldwell-Luc surgery is often effective, it’s essential to know about possible risks and complications. Here are some risks associated with this surgery:

  • Bleeding: Some bleeding after surgery is common but should be monitored. Significant bleeding may require medical attention.
  • Facial Asymmetry and Discomfort: Occasionally, patients might experience temporary unevenness or discomfort in the cheeks after surgery.
  • Dental Issues: There’s a small chance of affecting nearby teeth or nerves, which might result in numbness or sensitivity.
  • Infection: Like with all surgeries, there is always a risk of infection at the site of surgery.
  • Long-term Effects: Some may notice changes in nasal function or ongoing discomfort in the sinus area.

Frequently Asked Questions

How long does Caldwell-Luc surgery take?

The procedure usually takes about 1 to 2 hours. However, the exact time can vary depending on the complexity of the condition being treated. Your doctor will provide a more accurate estimate based on your specific case.

Are there any dietary restrictions after Caldwell-Luc surgery?

Generally, doctors recommend starting with soft foods and gradually reintroducing regular foods as tolerated. Avoiding very hot or cold foods can also be beneficial. It’s wise to consult your doctor for personalised advice.

Is Caldwell-Luc surgery painful?

Some discomfort and pain are common after surgery, but these are usually manageable with prescribed painkillers. If you experience severe pain or discomfort, it’s important to contact your doctor for further guidance.

What dietary changes are recommended after undergoing Caldwell-Luc surgery?

After Caldwell-Luc surgery, it is advised to follow a soft diet initially to avoid discomfort while chewing. Hydration is crucial; drink plenty of fluids but avoid hot drinks which can increase swelling. Introduce solid foods gradually and consult your doctor if specific dietary restrictions are advised based on your case.

Are there any alternatives to Caldwell-Luc surgery?

Yes, there are non-surgical treatments and other surgical options that might be considered depending on your specific condition. These include nasal decongestants, antibiotics for infections, or other sinus surgeries. Consult with your doctor to explore the best option for you.

Why might someone need Caldwell-Luc surgery?

Caldwell-Luc surgery is often needed when other treatments for chronic sinusitis or persistent sinus infections haven’t worked. It is used to remove blockages, such as cysts or polyps, that may be causing repeated sinus problems. If someone experiences frequent sinus infections or facial pain that do not improve with medication, doctors might suggest this procedure.

What follow-up care is needed after Caldwell-Luc surgery?

Follow-up care typically includes regular check-ups with your doctor to monitor healing and ensure no complications arise. Your doctor will also advise on nasal saline rinses or other practices to promote healing and prevent infection.

Will I need another surgery after having Caldwell-Luc surgery?

While many patients do not require further surgery after a successful Caldwell-Luc procedure, some may need additional treatment if symptoms persist or recur. Regular monitoring by your doctor will help manage your condition effectively.

What are some potential signs of complications after Caldwell-Luc surgery?

After Caldwell-Luc surgery, watch out for symptoms like excessive bleeding, severe pain that does not improve with medication, high fever, or vision problems. These could indicate complications and should prompt an immediate visit to the doctor.

What can one expect during recovery from Caldwell-Luc sinus surgery?

Recovery from Caldwell-Luc sinus surgery usually involves a few days of rest at home. It’s normal to have some swelling, bruising, and discomfort in the face, but these symptoms typically subside within a week. Most people can return to their normal activities after a week or two, but it’s important to follow the doctor’s advice about avoiding certain activities, like heavy lifting, during the recovery period.

View more questions downArrow
green tick with shield icon
Medically Reviewed By
doctor image
Dr. Saloni Spandan Rajyaguru
17 Years Experience Overall
Last Updated : April 12, 2025

Our Patient Love Us

  • SH

    Shreyas

    verified
    5/5

    She is a great gift from God. If my son is not well, the woman I took him to will take good care of him. He is feeling much better now.Very good treatment was given.

    City : HYDERABAD
    Doctor : Dr. Vidya H
  • VE

    VEDANT

    verified
    5/5

    Very very thanks a lot for pristyn care for opportunity to meet Dr. And Fully free so i thankful for both.

    City : DELHI
  • SZ

    syed zubair

    verified
    5/5

    It was my 2nd time with pristyn care everything was good till the surgery and consultation with Dr divya

    City : BANGALORE
  • MM

    Mrs Manisha

    verified
    4/5

    checked my nose and confirmed that nose is completely distorted due to rhinoplasty surgery and needs correction. Breathing problem is due to deviated septum that needs correction. Over all consultation was good

    City : MUMBAI
  • MA

    Madhu

    verified
    5/5

    great for noise problem

    City : BANGALORE
  • NA

    Naseem Ahmad

    verified
    5/5

    good

    City : MUMBAI