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The efficacy of postoperative prophylactic antibiotics in orthognathic surgery: a prospective study in Le Fort I osteotomy and bilateral intraoral vertical ramus osteotomy

Authors
 Sang-Hoon Kang  ;  Jae-Ha Yoo  ;  Choong-Kook Yi 
Citation
 YONSEI MEDICAL JOURNAL, Vol.50(1) : 55-59, 2009 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2009
MeSH
Adult ; Anti-Bacterial Agents/administration & dosage* ; Cephalosporins/administration & dosage* ; Female ; Humans ; Injections, Intravenous ; Male ; Mandible/surgery ; Maxilla/surgery ; Oral Surgical Procedures* ; Osteotomy, Le Fort* ; Prevalence ; Prospective Studies ; Surgical Wound Infection/drug therapy* ; Surgical Wound Infection/epidemiology ; Surgical Wound Infection/prevention & control* ; Young Adult
Keywords
Orthognathic surgery ; prophylactic antibiotics ; surgical site infection
Abstract
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 1.0 g Cefpiramide twice daily until the third day after surgery. the postoperative wounds were examined regularly for the presence of infectious signs. RESULTS: There was no significant difference in the incidence of postoperative wound infections between patients who had received postoperative prophylactic antibiotic administration and those who had not (p = 0.639). CONCLUSION: Prolonged prophylactic antibiotic use after orthognathic surgery may not be necessary, provided that there are no other significant factors for wound infections.
DOI
10.3349/ymj.2009.50.1.55
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Yi, Choong Kook(이충국)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/105790
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