Antibiotics and topical surgical preparation solution in septal surgery
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Abstract:
One thousand forty patients undergoing septal surgery of the nose were included in this 5-year study of no prophylactic antibiotics and no topical surgical preparation solution before surgery. Minor nasal infections developed in only five patients (0.48%) postoperatively. All five of these patients responded to oral antibiotic therapy and did not require hospitalization or intravenous antibiotic treatment. The incidence of infectious complications resulting from nasal surgery without the use of topical surgical preparation solution and without prophylactic antibiotics is minimal. No topical surgical preparation solution and no prophylactic antibiotic technique is a safe and acceptable approach for septoplasty and rhinoplasty surgery.
Insights
This study found that avoiding prophylactic antibiotics and topical prep solutions during septal surgery resulted in a minimal infection rate of 0.48%. This approach is safe and acceptable for nasal surgeries like septoplasty and rhinoplasty.
Area of Science:
- Otolaryngology
- Surgical Infections
- Nasal Surgery
Background:
- Septal surgery, including septoplasty and rhinoplasty, traditionally involves prophylactic antibiotics and topical preparation solutions.
- Concerns exist regarding the potential for infectious complications following these procedures.
Purpose of the Study:
- To evaluate the safety and efficacy of omitting prophylactic antibiotics and topical surgical preparation solutions in septal surgery.
- To determine the incidence of postoperative infectious complications in patients undergoing nasal surgery without these standard preventative measures.
Main Methods:
- A 5-year retrospective study included 1040 patients undergoing septal surgery.
- Patients did not receive prophylactic antibiotics or topical surgical preparation solutions before the procedure.
Main Results:
- Only five patients (0.48%) developed minor postoperative nasal infections.
- All infected patients responded successfully to oral antibiotic therapy.
- No hospitalizations or intravenous antibiotic treatments were required for infectious complications.
Conclusions:
- The incidence of infectious complications after septal surgery without prophylactic antibiotics or topical preparation solutions is minimal.
- This technique is a safe and acceptable approach for septoplasty and rhinoplasty, reducing unnecessary antibiotic use.