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Stomatologija 2022; 24 (2): 35-42 723 KB

Antibiotic use in mandibular fracture surgery – An international survey and a review of the literature

Marko Oksa^{1, 2}, Aleksi Haapanen^{1, 2}, Frida Stråhlman¹, Johanna Snäll^{1, 2}

Summary

Objective. To clarify antibiotic use by oral and maxillofacial surgeons in mandibular fracture patients and evaluate practices based on scientific evidence.

Material and methods. We assessed antibiotic use in simple symphysis and angle mandibular fractures among oral and maxillofacial surgeons in the Nordic countries through an e-survey. In addition, we performed a literature review of antibiotic administration in mandibular fracture surgery.

Results. A total of 41 oral and maxillofacial surgeons who treat mandibular fractures responded to the questionnaire. Timing and duration of antibiotic use varied. The duration of postoperative antibiotic treatment ranged from 1 to 7 days (mean 5.6 days). Respondents’ practices were not in concordance with scientific evidence. According to previous studies, restricting antibiotic exposure to a maximum of 24 hours postoperatively was not related to a higher risk of surgical site infections. No articles described a benefit of prolonged postoperative antibiotic therapy.

Conclusions. Antibiotic use in connection with mandibular fracture treatment varied in the Nordic countries and antibiotic practices are not in concordance with the current literature. Restricting antibiotic exposure to a maximum of 24 hours postoperatively should be considered. Clear guidelines for antibiotic prophylaxis as part of the surgical management of mandibular fractures are required.

Key words: mandible, fracture, antibiotics, prophylaxis.

Received: 20 11 2020

Accepted for publishing: 27 06 2022

¹Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland

²Helsinki University Hospital, Helsinki, Finland

Address correspondence to Marko Oksa, Department of Oral and Maxillofacial Diseases, University of Helsinki, Haartmaninkatu 1, FI-00290 Helsinki, Finland.

E-mail address: marko.oksa@helsinki.fi



	Baltic Dental and Maxillofacial Journal

2022, Vol. 24, No. 2 CONTENTS REVIEW Antibiotic use in mandibular fracture surgery – An international survey and a review of the literature Marko Oksa, Aleksi Haapanen, Frida Stråhlman, Johanna Snäll 35-42 SCIENTIFIC ARTICLES Management of excessive gingival display with mucosal coronally positioned flap Rajesh Kumar Raju Namburi, Pratibha Gopalkrishna, Kalyana Pentapati Chakravarthy, Poornima Rajendran, Dipti Singh 43-48 REVIEW Forensic facial reconstruction using CBCT: A systematic review Jijin Mekkadath Jayakrishnan, Jagat Reddy, Vinod Kumar R. B. 49-55 CASE REPORT Necrotizing sialometaplasia: A report of two cases and review of the literature Maurília Raquel de Souto Medeiros, Caio César da Silva Barros, Márcia Cristina da Costa Miguel, Éricka Janine Dantas da Silveira, Patricia Teixeira de Oliveira 56-60 © 2022 Stomatologija		Stomatologija 2022; 24 (2): 35-42 723 KB Antibiotic use in mandibular fracture surgery – An international survey and a review of the literature Marko Oksa^{1, 2}, Aleksi Haapanen^{1, 2}, Frida Stråhlman¹, Johanna Snäll^{1, 2} Summary Objective. To clarify antibiotic use by oral and maxillofacial surgeons in mandibular fracture patients and evaluate practices based on scientific evidence. Material and methods. We assessed antibiotic use in simple symphysis and angle mandibular fractures among oral and maxillofacial surgeons in the Nordic countries through an e-survey. In addition, we performed a literature review of antibiotic administration in mandibular fracture surgery. Results. A total of 41 oral and maxillofacial surgeons who treat mandibular fractures responded to the questionnaire. Timing and duration of antibiotic use varied. The duration of postoperative antibiotic treatment ranged from 1 to 7 days (mean 5.6 days). Respondents’ practices were not in concordance with scientific evidence. According to previous studies, restricting antibiotic exposure to a maximum of 24 hours postoperatively was not related to a higher risk of surgical site infections. No articles described a benefit of prolonged postoperative antibiotic therapy. Conclusions. Antibiotic use in connection with mandibular fracture treatment varied in the Nordic countries and antibiotic practices are not in concordance with the current literature. Restricting antibiotic exposure to a maximum of 24 hours postoperatively should be considered. Clear guidelines for antibiotic prophylaxis as part of the surgical management of mandibular fractures are required. Key words: mandible, fracture, antibiotics, prophylaxis. Received: 20 11 2020 Accepted for publishing: 27 06 2022 ¹Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland ²Helsinki University Hospital, Helsinki, Finland Address correspondence to Marko Oksa, Department of Oral and Maxillofacial Diseases, University of Helsinki, Haartmaninkatu 1, FI-00290 Helsinki, Finland. E-mail address: marko.oksa@helsinki.fi