Caldwell Luc surgery.pptx
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Caldwell Luc Surgery uses an external approach for surgical treatment of the severely diseased maxillary sinus.
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Caldwell luc surgery
1. Caldwell Luc surgery (CWS) is over 120 years old and remains an important procedure for ENT surgeons. It involves making a window in the anterior maxillary bone to access and treat diseases of the maxillary sinus.
2. Indications for CWS include chronic maxillary sinusitis, cysts and polyps in the sinus, and benign or malignant tumors. Contraindications are acute infections and performing it in children due to risk of damaging developing teeth.
3. The procedure involves making a U-shaped incision over the canine fossa, removing bone to create a window, excising the sinus lining and lesions, debriding, irrigating, placing a drain, and packing with
Management of oral cyst
This document discusses cysts of the oral and maxillofacial region. It defines true cysts as pathological cavities lined by epithelium and containing fluid, and pseudo cysts as cavities not lined by epithelium that may contain fluid. Cysts are classified based on their origin (odontogenic vs non-odontogenic) and location. Diagnosis involves history, clinical examination, radiographic evaluation and sometimes aspiration biopsy or surgical biopsy. Treatment options include enucleation, marsupialization, or a combination depending on the cyst size and location.
Maxillary Sinus
Dr. Ahmed M. Adawy, Professor Emeritus, Dep. Oral & Maxillofacial Surgery. Former Dean, Faculty of Dental Medicine
Al-Azhar University. There are four pairs of air sinuses making the boundaries of the nasal cavity. Maxillary sinus is the largest air cell. Anatomy and physiology of the maxillary sinus are given. Maxillary sinusitis is an inflammation of the sinus. Odontogenic causes represent nearly 30% of the etiology. Clinical and radiographic examinations are discussed together with treatment plan.
Oro-antral fistula is a rare complication of surgery at the posterior maxillary region. Several techniques for closure are presented. Additionally, information about sinus lift procedure is given.
Cyst Of Jaw
This document provides an overview of cysts of the oral and maxillofacial region. It defines cysts and discusses their classification, parts, pathogenesis and mechanisms of enlargement. It also describes key cysts such as dentigerous cysts, odontogenic keratocysts and eruption cysts in detail, covering their definitions, locations, clinical and radiographic features, histology, differential diagnosis and complications. Dentigerous and odontogenic keratocysts are the most common epithelial cysts of the jaws.
Salivary gland disorders
The document discusses salivary gland disorders. It begins with definitions and classifications of salivary glands. It then discusses the anatomy, functions, and disorders of the parotid, submandibular, and sublingual salivary glands. Diagnostic aids are outlined including clinical history, physical examination, imaging such as CT, MRI, ultrasound and sialography. Cystic conditions of the minor salivary glands such as mucoceles are also summarized. Disorders are classified and inflammatory, obstructive, neoplastic and other conditions are described.
Management of Mandibular Fractures
Management of Mandibular Fractures - Presented as a aprt of weekly Presentation in OMFS Department, Dhaka Dental College; Dhaka; Bangladesh
Odontogenic cysts
A cyst is an epithelium-lined sac containing fluid or semisolid material. In the formation of a cyst, the epithelial cells first proliferate and later undergo degeneration and liquefaction. The liquefied material exerts equal pressure on the walls of the cyst from within. Cysts grow by expansion and thus displace the adjacent teeth by pressure. May can produce expansion of the cortical bone. On a radiograph, the radiolucency of a cyst is usually bordered by a radiopaque periphery of dense sclerotic bone. The radiolucency may be unilocular or multilocular. Odontogenic cysts are those which arise from the epithelium associated with the development of teeth. The source of epithelium is from the enamel organ, the reduced enamel epithelium, the cell rests of Malassez or the remnants of the dental lamina.
Ameloblastoma
classification , etiopathogenesis , clinical feature and management of ameloblastoma includes recent advancement and recurrence rate .
Recommended
Caldwell luc surgery
1. Caldwell Luc surgery (CWS) is over 120 years old and remains an important procedure for ENT surgeons. It involves making a window in the anterior maxillary bone to access and treat diseases of the maxillary sinus.
2. Indications for CWS include chronic maxillary sinusitis, cysts and polyps in the sinus, and benign or malignant tumors. Contraindications are acute infections and performing it in children due to risk of damaging developing teeth.
3. The procedure involves making a U-shaped incision over the canine fossa, removing bone to create a window, excising the sinus lining and lesions, debriding, irrigating, placing a drain, and packing with
Management of oral cyst
This document discusses cysts of the oral and maxillofacial region. It defines true cysts as pathological cavities lined by epithelium and containing fluid, and pseudo cysts as cavities not lined by epithelium that may contain fluid. Cysts are classified based on their origin (odontogenic vs non-odontogenic) and location. Diagnosis involves history, clinical examination, radiographic evaluation and sometimes aspiration biopsy or surgical biopsy. Treatment options include enucleation, marsupialization, or a combination depending on the cyst size and location.
Maxillary Sinus
Dr. Ahmed M. Adawy, Professor Emeritus, Dep. Oral & Maxillofacial Surgery. Former Dean, Faculty of Dental Medicine
Al-Azhar University. There are four pairs of air sinuses making the boundaries of the nasal cavity. Maxillary sinus is the largest air cell. Anatomy and physiology of the maxillary sinus are given. Maxillary sinusitis is an inflammation of the sinus. Odontogenic causes represent nearly 30% of the etiology. Clinical and radiographic examinations are discussed together with treatment plan.
Oro-antral fistula is a rare complication of surgery at the posterior maxillary region. Several techniques for closure are presented. Additionally, information about sinus lift procedure is given.
Cyst Of Jaw
This document provides an overview of cysts of the oral and maxillofacial region. It defines cysts and discusses their classification, parts, pathogenesis and mechanisms of enlargement. It also describes key cysts such as dentigerous cysts, odontogenic keratocysts and eruption cysts in detail, covering their definitions, locations, clinical and radiographic features, histology, differential diagnosis and complications. Dentigerous and odontogenic keratocysts are the most common epithelial cysts of the jaws.
Salivary gland disorders
The document discusses salivary gland disorders. It begins with definitions and classifications of salivary glands. It then discusses the anatomy, functions, and disorders of the parotid, submandibular, and sublingual salivary glands. Diagnostic aids are outlined including clinical history, physical examination, imaging such as CT, MRI, ultrasound and sialography. Cystic conditions of the minor salivary glands such as mucoceles are also summarized. Disorders are classified and inflammatory, obstructive, neoplastic and other conditions are described.
Management of Mandibular Fractures
Management of Mandibular Fractures - Presented as a aprt of weekly Presentation in OMFS Department, Dhaka Dental College; Dhaka; Bangladesh
Odontogenic cysts
A cyst is an epithelium-lined sac containing fluid or semisolid material. In the formation of a cyst, the epithelial cells first proliferate and later undergo degeneration and liquefaction. The liquefied material exerts equal pressure on the walls of the cyst from within. Cysts grow by expansion and thus displace the adjacent teeth by pressure. May can produce expansion of the cortical bone. On a radiograph, the radiolucency of a cyst is usually bordered by a radiopaque periphery of dense sclerotic bone. The radiolucency may be unilocular or multilocular. Odontogenic cysts are those which arise from the epithelium associated with the development of teeth. The source of epithelium is from the enamel organ, the reduced enamel epithelium, the cell rests of Malassez or the remnants of the dental lamina.
Ameloblastoma
classification , etiopathogenesis , clinical feature and management of ameloblastoma includes recent advancement and recurrence rate .
Ameloblastoma
1) Ameloblastoma is a benign, locally invasive odontogenic tumor of enamel organ-type tissue that is the second most common odontogenic tumor.
2) It typically presents as a painless swelling in the mandible and is classified based on histological and clinical features into subtypes including follicular, plexiform, unicystic, and peripheral ameloblastoma.
3) Treatment involves surgical resection such as segmental resection for large tumors due to the high recurrence risk with more conservative treatments like curettage or enucleation.
Cysts of the Oral Cavity
CYST
-Odontogenic
(a) Periodontal/Radicular Cyst
(b) Dentigerous Cyst
(c) Lateral Periodontal Cyst
(d) Odontogenic Keratocyst
(e) Calcifying Odontogenic Cyst
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(a) Globulomaxillary Cyst
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Le fort fractures
This document discusses Le Fort fractures and their management. It begins by describing the three areas that make up the facial skeleton: upper third, lower third, and middle third. It then provides detailed descriptions and classifications of Le Fort I, II, and III fractures based on the location and direction of the fracture lines. For each type of fracture, it outlines the characteristic signs, symptoms, and clinical features both externally and internally. It also discusses other midface fractures and dentoalveolar fractures. In summary, the document provides an in-depth overview of Le Fort fractures, including their anatomical basis, classification, and clinical presentation.
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This document provides information on fascial spaces of the head and neck region. It begins by defining fascial spaces as clefts or compartments containing connective tissue. It then classifies the spaces based on mode of involvement and clinical significance. Several key fascial spaces are described in detail, including boundaries, contents, etiology, clinical features, and spread of infection. These include the buccal, sublingual, submandibular, pterygomandibular, masseteric, temporal, lateral pharyngeal, and retropharyngeal spaces. The objectives and microbiology of odontogenic infections are also summarized.
Odontogeniccysts OKC
This document discusses odontogenic keratocysts (OKCs), a type of jaw cyst. It covers the classification, causes, histopathology, clinical features, radiographic features, differential diagnosis, treatment principles, and surgical treatment options for OKCs. OKCs most commonly occur in the mandibular molar and ramus areas and are often radiolucent and multilocular in appearance on radiographs. Treatment options include wide surgical excision or marsupialization to prevent recurrence of these cysts which have a high rate of recurrence compared to other jaw cysts.
Condylar fractures
This document discusses condylar fractures of the mandible. It begins by providing background on condylar fracture development, anatomy, surgical anatomy, blood supply, nerve supply and muscle attachments. It then covers the etiology, associated injuries, mechanisms of injury and various classification systems for condylar fractures. The document outlines the diagnosis process including history, clinical examination and radiographic imaging. It concludes by discussing treatment approaches, focusing on the aims of surgery and indications for conservative versus surgical management.
Odontogenic Tumors
This document discusses odontogenic tumors, specifically ameloblastoma. It provides details on the classification, clinical features, histologic features, treatment and prognosis of ameloblastoma. Key points include:
- Ameloblastoma is the most common odontogenic tumor and occurs most often in the mandible. It is typically benign but locally invasive.
- Radiographically, it appears as a well-circumscribed radiolucent lesion that can be unilocular or multilocular.
- Treatment options range from curettage to marginal resection, with the goal of obtaining clear margins of at least 1cm. Wide excision is necessary in the maxilla due to risk of local invasion.
Zygomatic arch fracture
The document discusses various approaches for reducing fractures of the zygomatic arch. It describes the temporal (Gillies) approach which involves a temporal incision to access the arch. The trans-oral (Keen) approach uses a lateral maxillary vestibular incision for a more direct approach. Quinn's approach and the towel clip technique are also indirect approaches described for reducing depressed zygomatic arch fractures. A bi-coronal incision provides direct visualization of fractures involving multiple facial bones.
Mandibular fractures
This document discusses mandibular fractures, including:
- The anatomy and common sites of fracture in the mandible.
- Various classification systems used to describe fracture location and complexity.
- Clinical signs seen with mandibular fractures like swelling, step deformities, and malocclusion.
- Radiographic tools like panoramic x-rays, CT scans, and occlusal views used to diagnose and characterize fractures.
- Principles of managing mandibular fractures through techniques like open reduction and internal fixation.
Mucocele and Renula
Mucocele and ranula are lesions caused by the extravasation of mucus from salivary glands into surrounding tissues. Mucoceles are commonly caused by trauma that severs or obstructs salivary ducts, allowing mucus to pool in surrounding tissues. Ranulas specifically occur on the floor of the mouth associated with sublingual or submandibular gland ducts. Histologically, they consist of mucus-filled cavities surrounded by granulation tissue and inflammatory cells. Treatment involves complete surgical excision to prevent recurrence.
Nasopalatine duct cyst
1) The nasopalatine duct cyst originates from epithelial remnants of the nasopalatine duct and most commonly presents as a well-defined radiolucency in the midline of the anterior maxilla near the incisive foramen.
2) A 35-year-old male presented with a painless swelling over the palate that was diagnosed as a nasopalatine duct cyst based on radiographic and histological features.
3) The cyst was treated by surgical enucleation and recurrence is uncommon.
Sialolithiasis and its management in oral and maxillofacial surgery
Sialolithiasis refers to calcified structures that develop within the salivary glands or ductal system. The document discusses the pathogenesis, diagnosis and treatment of sialolithiasis. It notes that 80-92% of sialoliths occur in the submandibular gland, which has an abundant calcium concentration and alkaline pH that promotes stone formation. Diagnosis involves imaging like sialography, ultrasound or CT scan to detect radiopaque stones. Treatment options include surgical removal of stones, sialoendoscopy or shockwave lithotripsy depending on the size and location of the sialolith.
space infection
This document discusses various spaces in the mandible that can become infected from dental infections, including the submental, sublingual, submandibular, masseteric, pterygomandibular, and temporal spaces. It describes the anatomy and boundaries of each space, potential causes of infection, clinical signs and symptoms, and surgical approaches for incision and drainage. Infections can spread between spaces if not properly treated.
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This document discusses oroantral communications and fistulas. It defines them as abnormal connections between the oral and maxillary sinus cavities. Causes include tooth extraction, tumors, cysts, and trauma. Signs and symptoms may include unpleasant taste/odor, fluid/food reflux into the nose, and air leakage. Examination involves inspection, suctioning the socket, and radiographs. Management includes immediate closure attempts and antibiotics to prevent sinusitis. Surgical techniques like buccal and palatal flaps are used for larger defects or fistulas based on factors like location, size, and presence of infection.
ODONTOGENIC CYSTS
This document discusses various types of odontogenic cysts. It begins with introducing cysts in general and then classifies odontogenic cysts based on etiology and tissue of origin. Several specific types of odontogenic cysts are then described in more detail, including their clinical features, radiographic features, and differential diagnosis. These include dentigerous cysts, eruption cysts, odontogenic keratocysts, gingival cysts of newborn and adult, lateral periodontal cysts, calcifying odontogenic cysts, periapical cysts, residual cysts, and paradental cysts.
Tumors of jaw bones
The document discusses various tumors of the jaw bones, including benign and malignant tumors. It provides classifications for odontogenic tumors, which originate from tooth-forming tissues, and non-odontogenic tumors. Specific benign jaw tumors mentioned include ameloblastoma, calcifying epithelial odontogenic tumor (CEOT), adenomatoid odontogenic tumor (AOT), odontoma, and cementoblastoma. Ameloblastoma is described as a locally invasive benign epithelial odontogenic neoplasm with a strong tendency to recur. Surgical treatment options aim to completely remove the tumor while preserving normal tissue.
Best dental clinic in delhi
Cosmetic Dentistry is generally used to refer to any dental work that improves the appearance of a person's teeth, gums and/or bite. It primarily focuses on improvement dental esthetics in color, position, shape, size, alignment and overall smile appearance.
http://sachdevadentalcare.com/
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Ameloblastoma
1) Ameloblastoma is a benign, locally invasive odontogenic tumor of enamel organ-type tissue that is the second most common odontogenic tumor.
2) It typically presents as a painless swelling in the mandible and is classified based on histological and clinical features into subtypes including follicular, plexiform, unicystic, and peripheral ameloblastoma.
3) Treatment involves surgical resection such as segmental resection for large tumors due to the high recurrence risk with more conservative treatments like curettage or enucleation.
Cysts of the Oral Cavity
CYST
-Odontogenic
(a) Periodontal/Radicular Cyst
(b) Dentigerous Cyst
(c) Lateral Periodontal Cyst
(d) Odontogenic Keratocyst
(e) Calcifying Odontogenic Cyst
-Non-Odontogenic
(a) Globulomaxillary Cyst
(b) Nasolabial Cyst
(c) Nasopalatine Cyst
ENUCLEATION
MARSUPIALIZATION
Le fort fractures
This document discusses Le Fort fractures and their management. It begins by describing the three areas that make up the facial skeleton: upper third, lower third, and middle third. It then provides detailed descriptions and classifications of Le Fort I, II, and III fractures based on the location and direction of the fracture lines. For each type of fracture, it outlines the characteristic signs, symptoms, and clinical features both externally and internally. It also discusses other midface fractures and dentoalveolar fractures. In summary, the document provides an in-depth overview of Le Fort fractures, including their anatomical basis, classification, and clinical presentation.
Submandibular and retromandibular approach
The document describes the submandibular and retromandibular surgical approaches. The submandibular approach involves making a 1.5-2 cm incision inferior to the mandible and dissecting through the layers of the skin, subcutaneous tissue, platysma muscle, and pterygomasseteric sling. The retromandibular approach uses a vertical incision 2 cm posterior to the mandibular ramus and dissects through the same layers to the pterygomasseteric sling. Both approaches give access below the mandible for surgical procedures.
Fascial space & infections
This document provides information on fascial spaces of the head and neck region. It begins by defining fascial spaces as clefts or compartments containing connective tissue. It then classifies the spaces based on mode of involvement and clinical significance. Several key fascial spaces are described in detail, including boundaries, contents, etiology, clinical features, and spread of infection. These include the buccal, sublingual, submandibular, pterygomandibular, masseteric, temporal, lateral pharyngeal, and retropharyngeal spaces. The objectives and microbiology of odontogenic infections are also summarized.
Odontogeniccysts OKC
This document discusses odontogenic keratocysts (OKCs), a type of jaw cyst. It covers the classification, causes, histopathology, clinical features, radiographic features, differential diagnosis, treatment principles, and surgical treatment options for OKCs. OKCs most commonly occur in the mandibular molar and ramus areas and are often radiolucent and multilocular in appearance on radiographs. Treatment options include wide surgical excision or marsupialization to prevent recurrence of these cysts which have a high rate of recurrence compared to other jaw cysts.
Condylar fractures
This document discusses condylar fractures of the mandible. It begins by providing background on condylar fracture development, anatomy, surgical anatomy, blood supply, nerve supply and muscle attachments. It then covers the etiology, associated injuries, mechanisms of injury and various classification systems for condylar fractures. The document outlines the diagnosis process including history, clinical examination and radiographic imaging. It concludes by discussing treatment approaches, focusing on the aims of surgery and indications for conservative versus surgical management.
Odontogenic Tumors
This document discusses odontogenic tumors, specifically ameloblastoma. It provides details on the classification, clinical features, histologic features, treatment and prognosis of ameloblastoma. Key points include:
- Ameloblastoma is the most common odontogenic tumor and occurs most often in the mandible. It is typically benign but locally invasive.
- Radiographically, it appears as a well-circumscribed radiolucent lesion that can be unilocular or multilocular.
- Treatment options range from curettage to marginal resection, with the goal of obtaining clear margins of at least 1cm. Wide excision is necessary in the maxilla due to risk of local invasion.
Zygomatic arch fracture
The document discusses various approaches for reducing fractures of the zygomatic arch. It describes the temporal (Gillies) approach which involves a temporal incision to access the arch. The trans-oral (Keen) approach uses a lateral maxillary vestibular incision for a more direct approach. Quinn's approach and the towel clip technique are also indirect approaches described for reducing depressed zygomatic arch fractures. A bi-coronal incision provides direct visualization of fractures involving multiple facial bones.
Mandibular fractures
This document discusses mandibular fractures, including:
- The anatomy and common sites of fracture in the mandible.
- Various classification systems used to describe fracture location and complexity.
- Clinical signs seen with mandibular fractures like swelling, step deformities, and malocclusion.
- Radiographic tools like panoramic x-rays, CT scans, and occlusal views used to diagnose and characterize fractures.
- Principles of managing mandibular fractures through techniques like open reduction and internal fixation.
Mucocele and Renula
Mucocele and ranula are lesions caused by the extravasation of mucus from salivary glands into surrounding tissues. Mucoceles are commonly caused by trauma that severs or obstructs salivary ducts, allowing mucus to pool in surrounding tissues. Ranulas specifically occur on the floor of the mouth associated with sublingual or submandibular gland ducts. Histologically, they consist of mucus-filled cavities surrounded by granulation tissue and inflammatory cells. Treatment involves complete surgical excision to prevent recurrence.
Nasopalatine duct cyst
1) The nasopalatine duct cyst originates from epithelial remnants of the nasopalatine duct and most commonly presents as a well-defined radiolucency in the midline of the anterior maxilla near the incisive foramen.
2) A 35-year-old male presented with a painless swelling over the palate that was diagnosed as a nasopalatine duct cyst based on radiographic and histological features.
3) The cyst was treated by surgical enucleation and recurrence is uncommon.
Sialolithiasis and its management in oral and maxillofacial surgery
Sialolithiasis refers to calcified structures that develop within the salivary glands or ductal system. The document discusses the pathogenesis, diagnosis and treatment of sialolithiasis. It notes that 80-92% of sialoliths occur in the submandibular gland, which has an abundant calcium concentration and alkaline pH that promotes stone formation. Diagnosis involves imaging like sialography, ultrasound or CT scan to detect radiopaque stones. Treatment options include surgical removal of stones, sialoendoscopy or shockwave lithotripsy depending on the size and location of the sialolith.
space infection
This document discusses various spaces in the mandible that can become infected from dental infections, including the submental, sublingual, submandibular, masseteric, pterygomandibular, and temporal spaces. It describes the anatomy and boundaries of each space, potential causes of infection, clinical signs and symptoms, and surgical approaches for incision and drainage. Infections can spread between spaces if not properly treated.
Temporomandibular joint dislocation
Temporomandibular joint dislocation
Temporomandibular joint pathology and management
Oral and maxillofacial surgery
Management of jaw tumors
The document discusses the management of jaw tumors, including diagnosis, treatment planning, and surgical excision principles. Diagnosis involves history, examination, biopsy, and imaging. Treatment planning considers tumor factors like location, size, and histology. Surgical excision modalities range from conservative enucleation to more aggressive resection, depending on the tumor's aggressiveness, location, size, and duration. The goal is to completely remove the tumor while preserving adjacent structures.
Oroantral Communication and Fistula
This document discusses oroantral communications and fistulas. It defines them as abnormal connections between the oral and maxillary sinus cavities. Causes include tooth extraction, tumors, cysts, and trauma. Signs and symptoms may include unpleasant taste/odor, fluid/food reflux into the nose, and air leakage. Examination involves inspection, suctioning the socket, and radiographs. Management includes immediate closure attempts and antibiotics to prevent sinusitis. Surgical techniques like buccal and palatal flaps are used for larger defects or fistulas based on factors like location, size, and presence of infection.
ODONTOGENIC CYSTS
This document discusses various types of odontogenic cysts. It begins with introducing cysts in general and then classifies odontogenic cysts based on etiology and tissue of origin. Several specific types of odontogenic cysts are then described in more detail, including their clinical features, radiographic features, and differential diagnosis. These include dentigerous cysts, eruption cysts, odontogenic keratocysts, gingival cysts of newborn and adult, lateral periodontal cysts, calcifying odontogenic cysts, periapical cysts, residual cysts, and paradental cysts.
Tumors of jaw bones
The document discusses various tumors of the jaw bones, including benign and malignant tumors. It provides classifications for odontogenic tumors, which originate from tooth-forming tissues, and non-odontogenic tumors. Specific benign jaw tumors mentioned include ameloblastoma, calcifying epithelial odontogenic tumor (CEOT), adenomatoid odontogenic tumor (AOT), odontoma, and cementoblastoma. Ameloblastoma is described as a locally invasive benign epithelial odontogenic neoplasm with a strong tendency to recur. Surgical treatment options aim to completely remove the tumor while preserving normal tissue.
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- 2. CONTENTS • Introduction • Symptoms • Surgery procedure • Benefits • About Meddco • Meddco Logo
- 3. INTRODUCTION • Caldwell –Luc surgery is also know as Caldwell luc antrostomy and radical antrostomy. • Caldwell luc operation is the oral surgical used for removal of tooth root from within maxillary sinus.
- 4. Symptoms • Chronic sinusitis can be caused by an infection, growths in the sinuses or swelling of the lining of your sinuses. • Difficulty breathing through your nose, and pain and swelling around your eyes, cheeks, nose or forehead.
- 5. Caldwell Luc Surgery procedure • Caldwell Luc surgery is an operation to removal of tooth root from within the maxillary sinus. • Window is created through inferior meatus in to the antrum.
- 6. Benefits • Reduce facial cheeck swelling. • Reduce numbness of the upper teeth. • Reduce tooth root injury. • Prevent nosebleeds.
- 7. About Meddco • Compare Prices of surgical Diagnostic Test And other healthcare services more than 16000 hospitals. • Meddco .com is India first Digital pricing online platform, where price Transparency is the key. • You can find Related to Caldwell Luc surgery.
- 9. Thank you