Infection after Septorhinoplasty - not responding to antibiotic - what should I do?
Doctor Answers 2
Infection after Septorhinoplasty
Stephen Weber MD, FACS
Denver Facial Plastic Surgeon
Nasal splints, infection after rhinoplasty, the best antibiotics, culture
I make every effort to avoid interfering in the postoperative care of other people rhinoplasty patient's however from your description you need more aggressive acute management. The infection will not resolve with the splints in your nose. Most splints are left in place for a period of 7-10 days not 4 weeks. The purulent drainage from your nose needs to be culture and a more broad spectrum antibiotic should be considered. If an infection occurs after a rhinoplasty it can compromise the viability of the cartilage and you can be at risk of collapse of the nasal architecture. On occasion increased nasal drainage can simply be the result of the foreign body, splints, and the nose and may not represent infection. If you are experiencing increased pain, fever and chills then a more significant infection should be considered and immediate intervention undertaken. I wish you the best of luck and the best of an outcome.
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