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Orbitozygomatic Fracture Repairs: Are Antibiotics Necessary?
Weber Huang1, Anthony Lynham2, Martin Wullschleger3
1Department of Oral and Maxillofacial Surgery, Westmead Hospital, Sydney, New South Wales, Australia.
Craniomaxillofacial Trauma & Reconstruction
|November 18, 2015
Summary
Orbitozygomatic fractures are common. This study found no infections in 160 patients at RBWH, suggesting prophylactic antibiotics may not be necessary for surgical management.
Area of Science:
- Maxillofacial Surgery
- Trauma Management
- Ophthalmology
Background:
- Orbitozygomatic fractures are frequent maxillofacial injuries.
- Effective management and complication assessment are crucial.
- Postoperative infection rates require examination.
Purpose of the Study:
- To review the management and complications of orbitozygomatic fractures.
- To specifically examine postoperative infection rates.
- To determine the necessity of adjunctive antibiotics in surgical management.
Main Methods:
- Retrospective case selection of 160 patients treated in 2011.
- Chart review with up to 6 weeks of clinical and radiological follow-up.
- Analysis of surgical techniques including fixation methods.
Main Results:
- Only three complications (1.9%) occurred, requiring surgical correction.
- No early postoperative infections were observed in any patients.
- All surgically treated patients received perioperative antibiotic prophylaxis.
Conclusions:
- Excellent outcomes with minimal complications were achieved.
- The nil infection rate suggests further investigation into antibiotic necessity.
- Future studies should focus on the role of prophylactic antibiotics.
