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Updated: Sep 2, 2025
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
16.9K
Are Antibiotics Needed in Septorhinoplasty? An Evidence-Based Approach
Angelos Mantelakis1, Konstantinos Argiris2, Anil Joshi1
1Department of Otolaryngology, Lewisham and Greenwich National Health Services Trust Ringgold Standard Institution, London, United Kingdom of Great Britain and Northern Ireland.
Facial Plastic Surgery : FPS
|August 5, 2022
Summary
Routine prophylactic antibiotics may not be necessary for simple septorhinoplasty (SRP) due to low infection rates. For complex SRP cases, targeted antibiotic use is recommended, with single preoperative doses showing similar efficacy to longer courses.
Area of Science:
- Plastic Surgery
- Infectious Disease Prevention
- Antimicrobial Stewardship
Background:
- Prophylactic antibiotic use in septorhinoplasty (SRP) is debated.
- Antimicrobial resistance necessitates optimizing antibiotic prescribing.
- Postoperative infection rates in SRP are a concern for surgeons.
Purpose of the Study:
- To evaluate the necessity and efficacy of prophylactic antibiotics in septorhinoplasty.
- To compare different antibiotic regimens for preventing postoperative infections in SRP.
- To inform evidence-based antibiotic prescribing practices in SRP.
Main Methods:
- Review of current evidence on postoperative infection rates in SRP.
- Analysis of infection incidence in simple versus complex SRP cases.
- Comparison of single-dose preoperative intravenous antibiotics versus 7-day postoperative oral antibiotics.
Main Results:
- Simple SRP has low infection rates (0.5-2%), often minor and treatable.
- Complex SRP (revision, grafts, implants) has higher infection rates (7-11%).
- Single preoperative intravenous antibiotic dose is as effective as a 7-day postoperative oral course.
Conclusions:
- Routine prophylactic antibiotics are likely unnecessary for simple SRP.
- Antibiotic use is reasonable for complex SRP cases.
- A single preoperative intravenous dose is an effective strategy, potentially supplemented for cases with non-nasal grafts.
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