A patient with chronic sinus infections is scheduled for the Caldwell-Luc procedure. What should the nurse include when teaching the patient about this procedure?
Select all that apply.
1. Dentures should be inserted immediately after the surgery.
2. Avoid the Valsalva maneuver for 2 weeks after the surgery.
3. Packing will be present for 24 to 48 hours after the procedure.
4. A liquid diet will be permitted for the first day after the surgery.
5. The upper lip and teeth may be numb for several months after the surgery.
Correct Answer: 2, 3, 4, 5
The Caldwell-Luc procedure may be necessary if endoscopic sinus surgery is unsuccessful. It is performed under local or general anesthesia. An incision is made under the upper lip into the maxillary sinus, and diseased mucous membrane and periosteum are removed. An opening between the maxillary sinus and lateral nasal wall, a "nasal antral window," is created to increase aeration of the sinus and promote drainage into the nasal cavity. The area is packed with gauze for 24 to 48 hours postoperatively. The upper lip and teeth may be numb for several months after the procedure because of nerve trauma. Only liquids are given for the first 24 hours, followed by a soft diet. The patient is instructed to avoid wearing dentures and the Valsalva maneuver (no blowing the nose, coughing, or straining at stool) for about 2 weeks after the packing has been removed to prevent bleeding.
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