Hi I am currently 4 weeks post op rhinoplasty and am noticing an edge of the autologous rib spreader graft extruding out inside my left nostril. There is some slight discomfort in the tip area as well. I believe I have an infection. Does the entire spreader need to be removed, or just the extruded section? There are other autologous grafts in my nose as well; do these need to be removed? Lastly what antibiotic is strong enough to temporarily treat this type of problem? Thank you for your help.
Rib Graft Extruded/Infection?
Doctor Answers 4
Rib Graft Extruded?#nosejob
Rib grafts can become infected
The graft may be infected. Unfortunately this can occur. The graft may need to be removed, or trimmed. The area must be examined carefully, if the graft can be salvaged and the infection controlled this is a good option. The other grafts in the nose are most likely fine and can be spared. Removal of too many grafts will change the shape and support of your nose.
Infection after cartilage grafts in rhinoplasty
Its unusual for a post operative infection to start a month after surgery. It is most common around 5 days to a week. The diagnosis needs to be confirmed, so your surgeon must examine the area. Small cartilage grafts (like spreader and tip grafts) can often be successfully treated with antibiotics and they don't need to be removed. Unfortunately rib grafts are usually larger and all too frequently 'melt away' from the infection. Both clindamycin and keflex are good choices.
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Rib Graft Infection
Sounds like your rib spreader graft got infected and is extruding or vice versa. Either way the graft should be removed. Your surgeon will know the best choice of antibiotics for you, but the real treatment is removal of the implant.