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Role of Prophylactic Antibiotics in the Surgical Treatment of Maxillofacial Fractures


Affiliations
1 Post Graduate, Department of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, Velachery Main Road, Narayanapuram, Pallikaranai, India
2 Professor, Head of the Department of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, BIHER, India
3 Professor, Department of Oral Maxillofacial Surgery, Sree Balaji Dental College and Hospital, BIHER, Chennai, Tamilnadu, India
     

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Objective: A systematic review of the literature was undertaken examining data to find the evidence of prophylactic administration of antibiotics inrelation to treating patients of maxillofacial fractures.

Study Design: Studies that fulfilled most of the requirements pertaining to it were retrieved. A computerized search was carried out using PubMed, and MEDLINE databases with the logical operators: "antibiotic" and "prophylaxis" and "maxillofacial trauma."

Results: A survey of these studies showed a drastic decrease in the infection rate of mandibular fractures in the antibiotic treated groups when being compared with the control groups. A variety of antibiotics had been used with an apparently constant effect. An "once a day" regimen ora 1-day treatment course had a similar or perhaps even better result than 7 days of treatment. No infections were corresponding to condylar, maxillary, or zygomafractures.

Conclusion: An "once a day" regimenor 1-day administration of prophylactic antibiotics seem to be the best documented to reduce infections.


Keywords

Antibiotics, Fracture, Prophylaxis.
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  • Role of Prophylactic Antibiotics in the Surgical Treatment of Maxillofacial Fractures

Abstract Views: 128  |  PDF Views: 0

Authors

Chandhini Asokan
Post Graduate, Department of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, Velachery Main Road, Narayanapuram, Pallikaranai, India
Vijay Ebenezer
Professor, Head of the Department of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, BIHER, India
Balakrishnan Ramalingam
Professor, Department of Oral Maxillofacial Surgery, Sree Balaji Dental College and Hospital, BIHER, Chennai, Tamilnadu, India

Abstract


Objective: A systematic review of the literature was undertaken examining data to find the evidence of prophylactic administration of antibiotics inrelation to treating patients of maxillofacial fractures.

Study Design: Studies that fulfilled most of the requirements pertaining to it were retrieved. A computerized search was carried out using PubMed, and MEDLINE databases with the logical operators: "antibiotic" and "prophylaxis" and "maxillofacial trauma."

Results: A survey of these studies showed a drastic decrease in the infection rate of mandibular fractures in the antibiotic treated groups when being compared with the control groups. A variety of antibiotics had been used with an apparently constant effect. An "once a day" regimen ora 1-day treatment course had a similar or perhaps even better result than 7 days of treatment. No infections were corresponding to condylar, maxillary, or zygomafractures.

Conclusion: An "once a day" regimenor 1-day administration of prophylactic antibiotics seem to be the best documented to reduce infections.


Keywords


Antibiotics, Fracture, Prophylaxis.