Antibiotics and Topical Surgical Preparation Solution in Septal Surgery

Yoder, Milton G.; Weimert, Thomas A.

doi:10.1177/019459989210600307

Cited by 43 publications

(59 citation statements)

References 11 publications

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“…Yoder and Weimer reported only 5 postoperative infections (0.48%) in 1040 patients undergoing either septoplasty or septorhinoplasty using an endonasal approach. 6) Makitie et al reported 12 postoperative septal abscesses (12%) in 100 patients undergoing septoplasty under local anesthesia by resecting the septal deformities and by reconstructing the septum. 7) Our study revealed eight PSAs (5.7%) in 141 septal surgeries.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Septal Abscesses According to the Techniques of the Septoplasty

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Postoperative Septal Abscesses According to the Techniques of the Septoplasty

et al. 2017

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“…The use of antibiotics in otorhinolaryngological surgeries is a common practice among most ENT doctors, however there are few studies proving the efficacy and need for this practice, which is considered as unnecessary by some authors [3][4][5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

“…Many otorhinolaryngologists also use topic formulations of antibiotics after nasal surgeries 4,10 . There is no evidence, however, that this practice reduces the incidence of postoperative infection 4 .…”

Section: Introductionmentioning

confidence: 99%

“…There is no evidence, however, that this practice reduces the incidence of postoperative infection 4 .…”

Section: Introductionmentioning

confidence: 99%

“…The indiscriminate use of antibiotics may also result in severe complications such as toxic reactions, reduction of the antibody formation stimuli, in addition to representing high costs and encouraging less strict compliance with good surgical practices 4,6 . The incidence of allergic reactions and antibiotics may vary from 0.7 to 10%, and fatal anaphylaxis occurs in 1 out of twenty-five thousand patients 7 .…”

Section: Introductionmentioning

confidence: 99%

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Uso de antibióticos em septoplastias: é necessário?

Caniello

Passerotti

Goto

et al. 2005

Rev. Bras. Otorrinolaringol.

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The use of antibiotics is a common practice among otorhinolaryngogists for surgical procedures. The majority of the American Rhinology Society members uses postoperative antibiotics routinely in septoplasties, which is considered unnecessary by many authors. Aim: To study the real necessity of the antibiotic usage in septoplasties, as well as the main post-operative complications described in the literature. Study design: clinical prospective with transversal cohort. Material and Method: We studied prospectively 35 patients who were undergone to septoplasty with or without turbinectomy, in the Clinical Hospital of the University of São Paulo. The patients were splited in three groups: Group A: without antibiotics; Group B: antibiotics (cefazolin) only during the anesthesical induction; Group C: antibiotics both in the anesthesical induction and post-operatively for seven days. A questionnaire was applied in the immediate postoperatory, in the 7th post-operative day and in the 30th post-operative day asking for bleeding, fever, pain, nauseas, vomits and followed by physical and endoscopic evaluation looking for hematoma, septal abscess and purulent secretion which as quantified. Result: We do not observed significative difference among the groups concerning to pain, fever, nauseas, vomits, bleeding and purulent secretion. None of the patients had hematoma or septal abscess. The groups also do not differ in respect to the quantity of purulent secretion. Conclusion: The nasal surgeries are clean contamined and do not need antibioticprophilaxy because of the low infection risk.

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Perioperative Antibiotic Usage by Facial Plastic Surgeons

Grunebaum

Reiter

2006

Archives of Facial Plastic Surgery

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Objectives:To determine current practice for use of perioperative antibiotics among facial plastic surgeons, to determine the extent of use of literature support for preferences of facial plastic surgeons, and to compare patterns of use with nationally supported evidencebased guidelines.Methods: A link to a Web site containing a questionnaire on perioperative antibiotic use was e-mailed to more than 1000 facial plastic surgeons in the United States. Responses were archived in a dedicated database and analyzed to determine patterns of use and methods of documenting that use. Current literature was used to develop evidence-based recommendations for perioperative an-tibiotic use, emphasizing current nationally supported guidelines.Results: Preferences varied significantly for medication used, dosage and regimen, time of first dose relative to incision time, setting in which medication was administered, and procedures for which perioperative antibiotic was deemed necessary.Conclusions: Surgical site infection in facial plastic surgery can be reduced by better conformance to currently available evidence-based guidelines. We offer specific recommendations that are supported by the current literature.

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Antibiotics and Topical Surgical Preparation Solution in Septal Surgery

Cited by 43 publications

References 11 publications

Postoperative Septal Abscesses According to the Techniques of the Septoplasty

Postoperative Septal Abscesses According to the Techniques of the Septoplasty

Uso de antibióticos em septoplastias: é necessário?

Perioperative Antibiotic Usage by Facial Plastic Surgeons

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