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Evaluation of Postoperative Infection Rates in 3084 Rhinoplasty Cases Using Antibiotic Soaks and/or Irrigations.

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Postoperative antibiotic soaks and irrigations in rhinoplasty significantly reduced infection rates, especially in revision cases. These safe and effective methods are recommended for high-risk patients.

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Area of Science:

  • Plastic Surgery
  • Infectious Disease Control

Background:

  • Postoperative infections following rhinoplasty are infrequent but can severely impact patient outcomes.
  • Existing literature indicates an overall infection incidence below 2%, with higher rates observed in revision procedures.

Purpose of the Study:

  • To evaluate the efficacy of postoperative antibiotic soaks and irrigations in reducing infection rates after rhinoplasty.
  • To assess the safety and tolerability of these antibiotic interventions.

Main Methods:

  • A retrospective chart review was conducted on 3084 rhinoplasty patients treated between 2002 and 2019.
  • Infection rates were compared between patients who received antibiotic soaks/irrigations and those who did not.

Main Results:

  • The overall postoperative infection rate was 0.62% (19 infections).
  • Patients not using antibiotic soaks or irrigations had a higher infection rate of 1.01% (17 infections).
  • Antibiotic soaks alone showed a significantly reduced infection rate (0.08%) compared to no antibiotic use (p=0.0053).

Conclusions:

  • The implementation of antibiotic soaks and irrigations in rhinoplasty resulted in a 0.62% infection rate.
  • Antibiotic soaks demonstrated a notable reduction in postoperative infections, particularly beneficial for secondary rhinoplasty.
  • These antibiotic techniques are safe, effective, and well-tolerated, warranting consideration for high-risk rhinoplasty patients.