Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Antibiotic use in nasal bone fracture: a single-center retrospective study

  • Jung, Ji Hyuk (Department of Plastic and Reconstructive Surgery, National Health Insurance Service Ilsan Hospital) ;
  • Jeon, Yeo Reum (Department of Plastic and Reconstructive Surgery, National Health Insurance Service Ilsan Hospital) ;
  • Song, Joon Ho (Department of Plastic and Reconstructive Surgery, National Health Insurance Service Ilsan Hospital) ;
  • Chung, Seum (Department of Plastic and Reconstructive Surgery, National Health Insurance Service Ilsan Hospital)
  • Received : 2021.10.22
  • Accepted : 2021.12.14
  • Published : 2021.12.20
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Abstract

Background: Prophylactic antibiotics are used to prevent surgical wound infection; however, proper indications must be followed with careful consideration of the risks and benefits, especially in clean or clean-contaminated wounds. Nasal bone fractures are the most common type of facial bone fracture. The most common method for treating nasal bone fracture is closed reduction, which is performed inside the nasal cavity without an incision. The purpose of this study was to determine the need for antibiotic use in the closed reduction of nasal bone fractures. Methods: A retrospective study was conducted using data from the National Insurance Service Ilsan Hospital of the Republic of Korea between 2016 and 2018. The records of patients who underwent closed reduction of nasal bone fracture were reviewed and classified according to sex, age, comorbidities, perioperative antibiotic usage, postoperative complications, nasal packing, anesthesia type, surgeon's specialty, and operation time. Results: Among the 373 patients studied, the antibiotic prescription rate was 67.3%. Just 0.8% of patients were prescribed preoperative antibiotics only, 44.0% were prescribed postoperative antibiotics only, and 22.5% were prescribed both preoperative and postoperative antibiotics. There were no cases that satisfied the definition of "surgical site infection." Furthermore, 2.1% of infection-related complications (e.g., mucosal swelling, synechia, and anosmia) occurred only in the antibiotic usage group. The use of nasal packing, anesthesia type, and surgeon's specialty did not show any difference in infection-related complication rates. Conclusion: According to the study findings, the routine use of perioperative antibiotics is not recommended in uncomplicated nasal bone fracture surgery.

Keywords

Acknowledgement

This work was supported by National Health Insurance Service Ilsan Hospital (grant No. NHIMC2021-CR-009).

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