Autologous Rib Graft Infection 6 Weeks Post-Op Rhinoplasty, Does It Require Removal?

this is my 6 weeks after rhinoplasty with autologous rib graft, i am currently having a infection . I read on this web site that most foreign implant like silicon or gore-tex will normally always lead to removal as the infection is likely to be a recurring one.so i am wondering does autologous rib graft have the same problem as foreign implant .infection is under the nose the septum separating the two nostril.currently under antibiotics.Do autologous graft such as rib response well to antibiotic

Doctor Answers (7)

Autologous rib graft infection

+2

Autologous rib grafts are not foreign bodies and may well be saved with antibiotics alone or simple drainage, irrigation and antibiotics. Follow up closely with your surgeon to minimze any problems.


West Palm Beach Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Rhinoplasty, rib grafts and implants

+2

one of the benefits of using rib or cartilage grafts is that they develope blood supply and act as normal body tissues.   they will therefore frequently respond to local care , antibiotics.

debridement and or removal may be required but not nearly as often synthetic materials

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 21 reviews

Infected rib cartilage graft

+2

As a first step an infected cartilage graft is usually treated with antibiotics and close follow-up. If it fails to respond to that treatment graft removal may be necessary though.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

Rib graft infection

+2
Where you diagnosed by your Dr? If so, a course of antibiotics and close follow up would be Warranted. If this fails removal would be the next step.

Michel Siegel, MD
Houston Facial Plastic Surgeon
4.5 out of 5 stars 83 reviews

Autologous Rib Graft Infection 6 Weeks Post-Op Rhinoplasty, Does It Require Removal?

+2

Autologous cartilage grafts do not necessarily have to be removed if they become infected.  It is certainly possible to "save" the graft with antibiotics.  Make sure you have frequent attentive followups with your surgeon to monitor your progress.  Certainly, persistent infections might require removal. 

Matthew Bridges, MD
Richmond Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Autologous Rib Graft Infection 6 Weeks Post-Op Rhinoplasty, Does It Require Removal?

+1

No, not neccessarily.  A course of antibiotics and needle aspiration can be tried to see if the infection can be stopped.  However, infection tends to dissolve cartilage and if it persists, this may cause even more uneven dissolution of the rib graft than normally occurs with this grafting material, IMHO.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Rib graft Infection

+1

Hi,

This is a difficult question to answer without having direct clinical contact with you. Typically IV and/or oral antibiotics can be tried for a period of about a week but after that I would remove the implant. If the implant is exposed or there is danger of tissue necrosis then I would definitely remove the implant.

Best.

Dr.S.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
5.0 out of 5 stars 217 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.