Before seeking information one should say to himself that perhaps resolve the curiosity does not improve anything. I repeat it loudly, but did not hear me.
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Via gingivobuccal, Caldwell Luc operation: An incision on the side to operate at the buccal gingival sulcus, reaching to the bone the anterior wall of the maxillary sinus.
submucosal tissue are received treatment including muscle and widely exposed the anterior wall of the maxillary sinus.
Placed Farabeuf separators (2) at an angle of 90 degrees or according to surgeon's preference, we proceed to make a hole in 2 to 2.5 cm. in diameter by osteotome to that effect.
well be able to visualize the sinus cavity, posterior to suck their content, DeCola the mucoperiosteum attached to bone in its entire periphery, then removing the lining of the cavity.
intersinusonasal wall is identified at the inferior meatus and an aperture size as in the operation of Claoue.
Complemented with corrections septum and middle and inferior turbinate that may affect the ostium of mouth.
drainage catheters are left and gingivobuccal wound is closed. It is a surgery with a postoperative much more annoying than the previous one and that leaves opportunities for dental insensitivity because the fillets of these dental elements pass through the anterior wall.
must be taken as a reference upper limit of the surgical area and emergency opening of the infraorbital nerve which should not be hurt, so it must be present at all times.
Useful in severe sinusitis, pansinusitis and explore the heart in cases of doubt tumors. Over time allows the jaw surgery Ermira of Lima which is the realization of the ethmoid from emptying superomedial angle of the maxillary sinus.
The danger should be considered in this last step ethmoid is the entrance to the orbit and the cranium by passing through the lamina cribrosa. Respect of the orbit, keeping in mind the same maneuvers that prevent the damage.
As for the skull, the surgeon should not exceed their maneuvers an imaginary line passing through the pupils of both eyes, and that above it is the top of the cribriform plate.
PS: To see if the next time to restrain him before scare.
