Journal Reviews

Antibiotics in orthognathic surgery

3 March 2021 | | Maxillofacial Surgery | orthognathic surgery, osteosynthesis removal, prophylactic antibiotics, surgical site infection

This paper from the Netherlands looked at 137 patients over a one-year period, 18 of whom had Le Fort I procedures, 68 bilateral sagittal split surgery, and 51 bi-maxillary surgery. A further 54 surgical procedures were undertaken, including 15 having...

Infection in prosthetic temporomandibular joints

1 September 2019 | | Maxillofacial Surgery | prosthetic joint infection (PJI), surgical site infection (SSI), temporomandibular joint replacement (TMJR)

This is an overview from an internationally recognised TMJ surgeon. It is a comprehensive article highlighting the incidence is likely to be underestimated and prevention the main objective. Eradication is very difficult. Not surprisingly, a lot of the conclusions are...

What is the evidence for duration of antibiotic prophylaxis in head and neck free-flap cases?

1 May 2018 | | clean-contaminated, free flaps, microvascular surgery, prophylactic antibiotics, surgical site infection

The topic of this systematic review is one which is commonly heard in discussions between microbiologists and head and neck surgeons – what is the evidence for antibiotic prophylaxis in clean-contaminated free-flap cases, and crucially, how long should antibiotics be...