Antrum Surgery in Kyiv: Endoscopic & Caldwell-Luc Procedure

The procedure is performed in various ways depending on the goal, complexity, and the patient’s overall health.

The most common types of antrum surgery include:

01 — Endonasal endoscopic antrotomy
A modern, minimally invasive approach in which a thin probe with a camera and instruments is inserted through the nose to open and irrigate the sinus.

02 — Caldwell-Luc procedure
The classic technique, in which an incision is made under the upper lip to create an opening in the anterior sinus wall, through which the sinus contents are removed.

03 — Moore approach
An alternative technique in which an incision on the cheek is used to create an opening in the lateral sinus wall, followed by removal of the sinus contents.

Indications for Antrum Surgery

Maxillary sinus surgery may be recommended or prescribed by an ENT specialist in the following cases:

• Chronic sinusitis that does not respond to other treatment methods
• Polypoid formations on the mucous membranes of the maxillary sinus
• Benign growths
• Cysts in the upper jaw
• Traumatic damage to the walls of the maxillary sinus
• Foreign bodies in the sinus (e.g., a tooth fragment or filling material that has migrated into the sinus during dental treatment)
• Suspected malignant tumor

Contraindications

Conditions in which antrum surgery is generally not performed include:

• Pregnancy
• Acute infectious disease
• Decompensated anemia
• Blood clotting disorders
• Chronic conditions of the internal organs or metabolic disorders in the decompensated stage (diabetes mellitus, renal failure, etc.)

In some cases, contraindications may be relative — that is, they depend on the severity of the patient’s condition and the urgency of the procedure. In such situations, the decision to proceed with surgery is made by the physician, taking all risks and potential benefits into account.

The most advanced and safest method used by Med-Deo surgeons in Kyiv is endoscopic antrotomy. It delivers high efficacy with minimal invasiveness. This tissue-sparing procedure is typically performed without complications, under local anesthesia, and patients recover quickly.

The procedure proceeds as follows:

1. The surgeon inserts an endoscope through the nasal passage and examines the maxillary sinus and its ostium — the opening that connects the sinus to the nasal cavity.
2. The ostium is widened using specialized instruments to improve drainage and ventilation of the maxillary sinus.
3. Pus, cysts, polyps, or other formations are removed from the sinus using forceps, a suction device, or a laser.
4. Any bleeding is identified and controlled using packing, coagulation, or hemostatic materials.
5. The endoscope and other instruments are withdrawn from the nose, and the procedure is concluded.

The cost of endoscopic antrotomy is determined following a physician’s consultation and takes into account several factors, including the complexity of the procedure, the type of anesthesia, and the need for additional materials and medications.