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Are Perioperative Antibiotics Necessary During Direct Microlaryngoscopy?

Megan Yetzke1, Richard Heyes2, Natasha Nakra3

  • 1University Voice and Swallowing Center, Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine School of Medicine, Irvine, California.

The Laryngoscope
|October 17, 2018
PubMed
Abstract

Insights

Perioperative antibiotics are not recommended for direct microlaryngoscopy (DML) procedures. Surgical site infections (SSIs) are rare after DML, even without antibiotic use.

Area of Science:

  • Otolaryngology
  • Surgical Infections

Background:

  • Direct microlaryngoscopy (DML) is a common procedure.
  • There are no current guidelines for perioperative antibiotic (PA) use to prevent surgical site infections (SSIs) in DML.

Purpose of the Study:

  • To determine the incidence of SSIs in patients undergoing DML.
  • To evaluate the necessity of PAs for preventing SSIs in DML.

Main Methods:

  • Retrospective, multi-institutional chart review of 834 patients undergoing DML.
  • Data collected included patient demographics, surgical details, and postoperative outcomes.
  • SSIs were assessed by a fellowship-trained laryngologist.

Main Results:

  • Only one SSI was reported among 834 patients.
  • The single SSI occurred in a patient who received PAs.
  • Most surgeries involved laser use and were classified as wound class II.

Conclusions:

  • Surgical site infections are very rare following DML.
  • Perioperative antibiotic use is not indicated for routine DML procedures.
Keywords:
Laryngologycomplicationssurgical site infection

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