Aplicabilidade da técnica caldwell-luc e a remoção de corpos estranhos do seio maxilar

Abstract

The Caldwell-Luc technique is a procedure that provides ease of use and optimal exposure of the operative field in the maxillary sinus, ensuring the treatment of diseases that affect and that the removal of foreign objects. The aim of this study, based on a literature review, was to elucidate the removal of foreign bodies from the maxillary sinus using the Caldwell-Luc technique. PubMed, Scielo, Periódico CAPES and Lilacs databases were consulted, in English, Spanish and Portuguese, between the years 2007 and 2022. It was possible to verify that the maxillary sinus, the main pneumatic cavity of the skull, is a very important structure of the face and must be taken into account in dental activities, as it varies in size according to the individual's age and the presence or absence of elements acquired in the posterior maxilla. The dental professional must have extensive knowledge of anatomy and be aware of these remodeling, as surgical techniques involving, mainly, implant installations, can promote bucosinusal communications and, accidentally, the displacement of foreign objects into the maxillary sinus. It was concluded that from the moment the migration occurs, the professional must, in the first instance, treat the bucosinusal communication, forward it to the Oral and Maxillofacial Surgeon, in order to execute an adequate planning for the removal of these quickly, using appropriate imaging exams. case, such as Cone Beam Computed Tomography. A quick resolution of the case is needed to avoid the development of acute and chronic sinusitis, as well as the possible formation of oroantral fistulas.