Antibiotics and nasal surgery

The Laryngoscope
T A Weimert, M G Yoder

Abstract

Despite the widespread use of prophylactic antibiotics in nasal surgery, the subject has been paid little attention in the literature. In a retrospective analysis of 210 patients who underwent septal surgery or a rhinoplasty, only 5 developed minor infections. Patients undergoing septal surgery or rhinoplasty (174) were evaluated in a randomized sequence, prospectively, to study the efficacy of systemic antibiotic prophylaxis. Only 4 patients developed minor infections; and 173 patients demonstrated no clinical nor radiographic evidence of subsequent sinusitis. The incidence of infectious complications resulting from intranasal surgery is not sufficient to warrant the use of prophylactic antibiotics. Furthermore, proof of their effectiveness in preventing such infections is lacking.

Citations

Apr 5, 2002·Plastic and Reconstructive Surgery·John A PerrottiJames E Zins
Feb 5, 2005·Plastic and Reconstructive Surgery·Orhan BabuccuBerfu Babuccu
Dec 6, 2005·Plastic and Reconstructive Surgery·Gunesh P RajanGeoffrey K Hee
Nov 1, 1983·American Journal of Otolaryngology·J T Johnson
Jul 13, 2016·Facial Plastic Surgery Clinics of North America·Javier González-Castro, Jessyka G Lighthall
Oct 30, 1986·The New England Journal of Medicine·A B Kaiser
Feb 7, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Priyesh N PatelDavid O Francis
Jul 19, 2017·American Journal of Rhinology & Allergy·Jessica L LangeScott P Stringer
Nov 30, 2018·JAMA Facial Plastic Surgery·Brian NuyenMikhail Saltychev
Mar 1, 1992·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·M G Yoder, T A Weimert
Dec 12, 2018·Plastic and Reconstructive Surgery. Global Open·Ravina KullarPaul S Nassif

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