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Antibiotic Orthognathic

Jeffrey C Posnick, Elbert Choi, Anish Chavda
PURPOSE: Frequency estimates of surgical site infection (SSI) after orthognathic surgery vary considerably. The purpose of this study was to determine the incidence and site of SSIs and associated risk factors after bimaxillary orthognathic, osseous genioplasty, and intranasal surgery. MATERIALS AND METHODS: The authors executed a retrospective cohort study of patients with a bimaxillary developmental dentofacial deformity (DFD) and symptomatic chronic obstructive nasal breathing...
September 20, 2016: Journal of Oral and Maxillofacial Surgery
Seigo Ohba, Takako Kawasaki, Megumi Hashimoto, Noriaki Yoshida, Izumi Ashina
Orthognathic surgery including maxillary osteotomy, mandibular osteotomy, and genioplasty is a reliable treatment strategy for jaw deformity. However, there are some complications associated with these surgeries, including neurovascular damage and abnormal bleeding. The authors present here a patient of aspiration pneumonia after mandibular osteotomy.An 18-year-old female patient underwent sagittal split ramus osteotomy and genioplasty for mandibular prognathism. She began choking and coughing immediately after surgery...
June 2016: Journal of Craniofacial Surgery
Clayton M Davis, Curtis E Gregoire, Thomas W Steeves, Amanda Demsey
PURPOSE: The purpose of this retrospective study was to determine the prevalence of surgical site infection (SSI) after orthognathic surgery at the Department of Oral and Maxillofacial Surgery of Capital Health and Dalhousie University (Halifax, NS, Canada). PATIENTS AND METHODS: A retrospective chart review of all patients undergoing orthognathic surgery from October 2005 through April 2013 was performed. The outcome variable was SSI. The primary predictor variable was the antibiotic used for prophylaxis...
June 2016: Journal of Oral and Maxillofacial Surgery
Stephan Ariyan, Janet Martin, Avtar Lal, Davy Cheng, Gregory L Borah, Kevin C Chung, John Conly, Robert Havlik, W P Andrew Lee, Mary H McGrath, Julian Pribaz, V Leroy Young
BACKGROUND: There is a growing concern for microbial resistance as a result of overuse of antibiotics. Although guidelines have focused on the use of antibiotics for surgery in general, few have addressed plastic surgery specifically. The objective of this expert consensus conference was to evaluate the evidence for efficacy and safety of antibiotic prophylaxis in plastic surgical procedures. METHODS: THE AUTHORS: searched for existing high-quality systematic reviews for antibiotic prophylaxis in the literature from the MEDLINE, Cochrane Library, and Embase databases...
June 2015: Plastic and Reconstructive Surgery
Romina Brignardello-Petersen, Alonso Carrasco-Labra, Ignacio Araya, Nicolás Yanine, Luis Cordova Jara, Julio Villanueva
BACKGROUND: Orthognathic surgery (OS) is a term that refers to many elective surgical techniques to correct facial deformity; the associated malocclusion and functional disorders related to the stomatognathic system. Whilst such surgery is classed as "clean-contaminated", the usefulness of and the most appropriate regimen for antibiotic prophylaxis in these patients are still debated. OBJECTIVES: To assess the effects of antibiotic prophylaxis for preventing surgical site infection (SSI) in people undergoing orthognathic surgery...
January 5, 2015: Cochrane Database of Systematic Reviews
Majid Eshghpour, Amin Khajavi, Mahmoud Bagheri, Elham Banihashemi
INTRODUCTION: Antibiotic therapy before or after orthognathic surgery is commonly recommended by surgeons to minimize the risk of wound infection. This article evaluates the value of Prophylactic antibiotic therapy in order to diminish the incidence of postoperative wound infection after orthognathic surgery. MATERIALS AND METHODS: Fifty candidates for bimaxillary orthognathic surgery were divided into cases and controls. Cefazolin (1g) was administered intravenously to all participants 30 mins prior to surgery followed by a similar dose 4 hours later...
October 2014: Iranian Journal of Otorhinolaryngology
Kilian Kreutzer, Katharina Storck, Jochen Weitz
Antibiotic prophylaxis is commonly used to decrease the rate of infections in head and neck surgery. The aim of this paper is to present the available evidence regarding the application of antibiotic prophylaxis in surgical procedures of the head and neck region in healthy patients. A systemic literature review based on Medline and Embase databases was performed. All reviews and meta-analyses based on RCTs in English from 2000 to 2013 were included. Eight out of 532 studies fulfilled all requirements. Within those, only seven different operative procedures were analyzed...
2014: BioMed Research International
P Maurer, C Otto, A Eckert, J Schubert
Background. During the past few decades, orthognathic surgery has become routine in oral and maxillofacial surgery. As these surgical interventions are elective, the goal is a low complication rate. The aim of this study was to analyze the intraoperative and postoperative complications after orthognathic surgery without considering orthodontic relapse. Patients and methods. The medical files of 507 patients were reviewed who had been treated in the department of oral maxillofacial surgery at the Martin-Luther-Universität in Halle-Wittenberg during a period of 51 years...
November 2001: Mund-, Kiefer- und Gesichtschirurgie: MKG
M A E M Oomens, C R A Verlinden, Y Goey, T Forouzanfar
There is no consensus on the use of antibiotic prophylaxis in orthognathic surgery to prevent infections. A systematic review of randomized controlled trials investigating the efficacy of antibiotic prophylaxis was performed to make evidence-based recommendations. A search of Embase, Ovid Medline, and Cochrane databases (1966-November 2012) was conducted and the reference lists of articles identified were checked for relevant studies. Eleven studies were eligible and were reviewed independently by the authors using two validated quality assessment scales...
June 2014: International Journal of Oral and Maxillofacial Surgery
Donovan Hansen, Lee D Pollan, Hiran Fernando
Antibiotic prophylaxis for maxillofacial surgical wounds remains common practice. Surgeons must weigh the risks (e.g., Clostridium difficile colitis) against the benefits before administering antibiotics for any reason and the relative risk and morbidity of C difficile colitis against those of a potential postoperative wound infection. In addition, the possibility of C difficile infection as a complication of perioperative antibiotic prophylaxis should be discussed with patients before surgery, especially those with concomitant baseline risk factors...
November 2013: Journal of Oral and Maxillofacial Surgery
Sormani Bento Fernandes de Queiroz, Pedro Augusto Bulhões Curioso, Francisco Samuel Rodrigues Carvalho, Valthierre Nunes de Lima
The use of bonded orthodontic molar tubes is becoming more prevalent in orthodontics because they have some advantages over conventional bonding. However, a bonded apparatus can become detached, leading to complications. This article presents the case of a submandibular-space abscess associated with a molar tube that detached during orthognathic surgery and became embedded in the soft tissues. The site became infected, and antibiotics were prescribed. Eventually, the molar tube migrated and could be removed under local anesthesia...
May 2013: American Journal of Orthodontics and Dentofacial Orthopedics
Lauren Harrell, Vivek Shetty
No abstract text is available yet for this article.
September 2012: Journal of Evidence-based Dental Practice
S K Tan, J Lo, R A Zwahlen
Postoperative antibiotic prophylaxis is often administered intravenously, despite an increased morbidity rate compared with oral application. This study investigates whether a postoperative oral antibiotic regimen is as effective as incorporation of intravenous antibiotics after bimaxillary orthognathic surgery. 42 patients who underwent bimaxillary orthognathic surgery between December 2008 and May 2010 were randomly allocated to 2 placebo-controlled postoperative antibiotic prophylaxis groups. Group 1 received oral amoxicillin 500mg three times daily; group 2 received intravenous ampicillin 1g four times daily, during the first two postoperative days...
December 2011: International Journal of Oral and Maxillofacial Surgery
Anil Kumar Danda, Poornima Ravi
PURPOSE: To conduct a systematic review of published clinical trials on the effectiveness of extended postoperative antibiotics in orthognathic surgery. MATERIALS AND METHODS: Electronic databases were searched for randomized clinical trials. Data from relevant articles were extracted and assessed. The primary outcome variable was surgical site infection. Extracted data were analyzed using a meta-analytical program with a random effects model. RESULTS: In total 532 patients were assessed in 8 clinical trials...
October 2011: Journal of Oral and Maxillofacial Surgery
Su Keng Tan, John Lo, Roger A Zwahlen
OBJECTIVE: The aim of this study was to investigate whether the use of antibiotic prophylaxis in orthognathic surgery can effectively reduce the postoperative infection rate. STUDY DESIGN: Electronic databases were searched and reference lists checked. Full articles meeting the inclusion criteria were retrieved. Study details and outcome data of these reports were statistically analyzed. There was no language limitation. RESULTS: Five randomized clinical trials were included in the final review process: 4 articles compared the period of prophylactic antibiotic usage, and 1 compared the infection prevention effect of different types of antibiotics with placebo...
July 2011: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
Anil Kumar Danda, Abdul Wahab, Vinod Narayanan, Avinash Siddareddi
PURPOSE: The purpose of this study was to evaluate the prophylactic value of single-dose antibiotic prophylaxis on postoperative infection in patients undergoing orthognathic surgery, compared to single-day antibiotics. MATERIALS AND METHODS: One hundred fifty patients were included in the study; 57 males and 93 females were divided into 2 groups with 75 in each group. Group 1 received a single dose of antibiotic prophylaxis and group 2 received a single day of antibiotic prophylaxis...
February 2010: Journal of Oral and Maxillofacial Surgery
Walid Abou-Hamad, Nayla Matar, Michelle Elias, Marwan Nasr, Dolla Sarkis-Karam, Nabil Hokayem, Amine Haddad
BACKGROUND: Conflicting data exist about the presence of bacteria in healthy maxillary sinus cavities. This study was designed to determine the bacterial flora and to quantify the level of bacterial presence in healthy maxillary sinus cavities. METHOD: Subjects included 34 patients undergoing Lefort I osteotomy for orthognathic surgery. All patients were preoperatively evaluated by a questionnaire and a complete physical examination including sinus endoscopy. Our exclusion criteria were presence of sinonasal symptoms, asthma, antibiotic treatment in the past 3 months, treatment with local steroids, previous sinonasal surgery, traumatic surgery, and an abnormal CT scan or sinus endoscopy...
May 2009: American Journal of Rhinology & Allergy
A Barrier, P Breton, R Girard, J Dubost, P Bouletreau
INTRODUCTION: Surgical site infections (SSI) in orthognathic surgery are considered infrequent and without any important consequence for the final operative result. A procedure of epidemiological surveillance was implemented to determine the frequency of SSI in orthognathic surgery and to better document their risk factors. MATERIAL AND METHOD: This prospective study included all interventions in our orthognathic surgery department between September 1(st) 2006 and August 31(st) 2007...
June 2009: Revue de Stomatologie et de Chirurgie Maxillo-faciale
Sang-Hoon Kang, Jae-Ha Yoo, Choong-Kook Yi
PURPOSE: This study examined the efficacy of the postoperative prophylactic antibiotics used in orthognathic surgery. The prevalence of surgical site infections (SSIs) was determined according to the use of postoperative prophylactic antibiotics. PATIENTS AND METHODS: Fifty-six patients were divided into 2 groups. Each patient intravenously received 1.0 g of a third-generation cephalosporin (Cefpiramide) 30 minutes before surgery. Among them, 28 patients in the control group received 1...
February 28, 2009: Yonsei Medical Journal
Pornchai Jansisyanont, Somchai Sessirisombat, Panunn Sastravaha, Pimol Bamroong
OBJECTIVE: The present study was designed to evaluate the prophylactic efficacy after the correction of dentofacial deformities between short- and long-term penicillin and amoxicillin-clavulanic acid. MATERIAL AND METHOD: The present study was prospective, randomized, and double blinded. Patients were separated into four groups randomly: short-term and long-term (5 days) penicillin and short-term and long-term (5 days) amoxicillin-clavulanic acid. RESULTS: One hundred twenty two patients were assigned randomly into the four groups...
November 2008: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
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