Orthognathic Surgery: Q&A

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Medpor Mandibular Angle Implants - Infection. Should I Get Them Removed?

Summary: Medpor Mandibular Angle Implants intra-orally - both sides. Trouble only on one side. ==== Antibiotics 2 days before through 5 days post op (day 5). Slight oral discharge noticed day 16. Sudden significant swelling day 22. Clindamycin 300mg, 3/day, warm comps, day 23 to day 43. Continue warm comps day 44 thru 51, slight return of asym. Cold applied day 51. Overnight - noticeable asym, warm/cold applied today. Now close to sym again. Any guesses at the chance of needing removal?

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infection implant recommendation removal
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2 Doctor Answers | Asked by BobsRealSelf
+2

Lower jaw facial implants can get Infected

If the implants were placed intraorlly, the 2 nd to 3rd week is the time infection can occur. Since there is some discharge, it should be sampled and sent for a culture to determine which bugs are growing on it. Tis is the best chance to salvage it as well as constant irrigation in the area of the incision with an antibiotic solution of Peridex 3 times a day. If it doesn't resolve by the 6th week it should be removed, allowed to heal and replaced after 4 to 6 months.
+2

Infected Medpor Implants

I have not seen you or have examined you, but from your description it seems as if you have an infected Medpor implant. If there was no relief with the initial antibiotic course, the best course of action in my experience is implant removal, allow the areas to heal and then have the implants replaced. This is one of the complication risks with facial implants, especially ones that are placed intraorally. It is easily rectified with the removal and delayed replacement. ... more

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Comments (2)

Well, I am now on day... (what is Oct 31 minus March 8)? The incision never healed, had many flaps of granulation removed, multiple courses of antibiotics, one in-office reopening and cleaning, and possibly a lot of wishful thinking. But I am now going back in to a hospital for exploratory surgery under general anesthesia. Very sad but I am pretty sure I am rare case. All in all, I really do like what was done aesthetically. TBD on the outcome in the long run.
  • Reply

Sending well wishes your way for your upcoming surgery and hoping everything goes smoothly.

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