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Postoperative Infection

  • Scott Kim
  • Peter Hashim
  • Elie M. FerneiniEmail author
Chapter

Abstract

Although postoperative infection in facial cosmetic surgery is rare, its consequence is devastating to the patient as well as the surgeon. Prevention is the primary goal. This chapter will discuss postoperative infections associated with different cosmetic maxillofacial surgical procedures. Management as well as prevention of these complications will also be addressed.

References

  1. 1.
    Hupp JR, Ferneini EM. Head, neck and orofacial infections—a multidisciplinary approach. St. Louis: Elsevier, Inc.; 2016. p. 366–72.Google Scholar
  2. 2.
    Mioton LM, Jordan SW, Hanwright PJ, Bilimoria KY, Kim JY. The relationship between preoperative wound classification and postoperative infection: a multi-institutional analysis of 15,289 patients. Arch Plast Surg. 2013;40(5):522–9.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Ariyan S, Martin J, Lal A, Cheng D, Borah GL, Chung KC, Conly J, Havlik R, Lee WP, McGrath MH, Pribaz J, Young VL. Antibiotic prophylaxis for preventing surgical-site infection in plastic surgery: an evidence-based consensus conference statement from the American Association of Plastic Surgeons. Plast Reconstr Surg. 2015;135(6):1723–39.CrossRefPubMedGoogle Scholar
  4. 4.
    Gravante G, Caruso R, Araco A, Cervelli V. Infections after plastic procedures: incidences, etiologies, risk factors, and antibiotic prophylaxis. Aesthet Plast Surg. 2008;32(2):243–51.CrossRefGoogle Scholar
  5. 5.
    González-Castro J, Lighthall JG. Antibiotic use in facial plastic surgery. Facial Plast Surg Clin North Am. 2016;24(3):347–56.CrossRefPubMedGoogle Scholar
  6. 6.
    Hsu P, Bullocks J, Matthews M. Infection prophylaxis update. Semin Plast Surg. 2006;20(4):241–8.CrossRefPubMedCentralGoogle Scholar
  7. 7.
    Zoumalan RA, Rosenberg DB. Methicillin-resistant Staphylococcus aureus-positive surgical site infections in face-lift surgery. Arch Facial Plast Surg. 2008;10(2):116–23.PubMedGoogle Scholar
  8. 8.
    Piersimoni C, Scarparo C. Extrapulmonary infections associated with nontuberculous mycobacteria in immunocompetent persons. Emerg Infect Dis. 2009;15(9):1351–8.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Kim HR, Yoon ES, Kim DW, Hwang NH, Shon YS, Lee BI, Park SH. Empirical treatment of highly suspected nontuberculous mycobacteria infections following aesthetic procedures. Arch Plast Surg. 2014;41(6):759–67.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Kim EK, Hovsepian RV, Mathew P, Paul MD. Dermabrasion. Clin Plast Surg. 2011;38(3):391–5.CrossRefPubMedGoogle Scholar
  11. 11.
    Demas PN, Bridenstine JB. Diagnosis and treatment of postoperative complications after skin resurfacing. J Oral Maxillofac Surg. 1999;57:837–41.CrossRefPubMedGoogle Scholar
  12. 12.
    Messingham MJ, Arpey CJ. Update on the use of antibiotics in cutaneous surgery. Dermatology. 2005;31:1068–78.Google Scholar
  13. 13.
    Manuskiatti W, Fitzpatrick RE, Goldman MP, Krejci-Papa N. Prophylactic antibiotics in patients undergoing laser resurfacing of the skin. J Am Acad Dermatol. 1999;40:77–84.CrossRefPubMedGoogle Scholar
  14. 14.
    Bellman B, Brandt FS, Holtmann M, Bebell WR. Infection with methicillin-resistant Staphylococcus aureus after carbon dioxide resurfacing of the face. Successful treatment with minocycline, rifampin, and mupiricin ointment. Dermatol Surg. 1998;24:279–82.PubMedGoogle Scholar
  15. 15.
    Culton DA, Lachiewicz AM, Miller BA, Miller MB, Mackuen C, Groben P, White B, Cox GM, Stout JE. Nontuberculous mycobacterial infection after fractionated CO2 laser resurfacing. Emerg Infect Dis. 2013;19:365–70.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Berliner JG, Aldabagh B, Mully T, Yu SS, Schwartz BS, Berger TG. Non-tuberculous mycobacterial infections following cosmetic laser procedures: a case report and review of the literature. J Drugs Dermatol. 2015;14:80–3.PubMedGoogle Scholar
  17. 17.
    Alam M, Pantanowitz L, Harton AM, Arndt KA, Dover JS. A prospective trial of fungal colonization after laser resurfacing of the face: correlation between culture positivity and symptoms of pruritus. Dermatol Surg. 2003;29:255–60.PubMedGoogle Scholar
  18. 18.
    Graber EM, Tanzi EL, Alster TS. Side effects and complications of fractional laser photothermolysis: experience with 961 treatments. Dermatol Surg. 2004;34:301–5.Google Scholar
  19. 19.
    Beeson WH, Rachel JD. Valacyclovir prophylaxis for herpes simplex virus infection or infection recurrence following laser skin resurfacing. Dermatol Surg. 2002;28:331–6.PubMedGoogle Scholar
  20. 20.
    Winn AE, Kentosh J, Bingham JL. Verruca plana as a complication of CO2 laser treatment: a case report. J Cosmet Laser Ther. 2015;17:96–8.CrossRefPubMedGoogle Scholar
  21. 21.
    van der Lei B, van Schijndel AW, Blanken R. Exacerbation of multiple plane warts following laser skin resurfacing. Aesthet Surg J. 2006;26:297–9.CrossRefPubMedGoogle Scholar
  22. 22.
    Sclafani AP, Fagien S. Treatment of injectable soft tissue filler complications. Dermatol Surg. 2009;35(Suppl 2):1672–80.CrossRefPubMedGoogle Scholar
  23. 23.
    Ledon JA, Savas JA, Yang S, Franca K, Camacho I, Nouri K. Inflammatory nodules following soft tissue filler use: a review of causative agents, pathology and treatment options. Am J Clin Dermatol. 2013;14:401–11.CrossRefPubMedGoogle Scholar
  24. 24.
    Ferneini EM, Banki M, Ferneini CM, Castiglione C. Hypersensitivity reaction to facial augmentation with a hyaluronic acid filler: case report and review of literature. Am J Cosmet Surg. 2013;30:231–4.CrossRefGoogle Scholar
  25. 25.
    Ferneini EM, Boynton T, Almunajed H, Dimitrov K, Banki M. Review of facial fillers and injectable neurotoxins. Am J Cosmet Surg. 2013;30:53–60.CrossRefGoogle Scholar
  26. 26.
    Cox SE, Adigun CG. Complications of injectable fillers and neurotoxins. Dermatol Ther. 2011;24:524–36.CrossRefPubMedGoogle Scholar
  27. 27.
    Lemperle G, Rullan PP, Gauthier-Hazan N. Avoiding and treating dermal filler complications. Plast Reconstr Surg. 2006;118(3 Suppl):92S–107S.CrossRefPubMedGoogle Scholar
  28. 28.
    Christensen L, Breiting V, Bjarnsholt T, Eickhardt S, Høgdall E, Janssen M, Pallua N, Zaat SA. Bacterial infection as a likely cause of adverse reactions to polyacrylamide hydrogel fillers in cosmetic surgery. Clin Infect Dis. 2013;56:1438–44.CrossRefPubMedGoogle Scholar
  29. 29.
    Ricci G, D'Ascanio L. Antibiotics in septoplasty: evidence or habit? Am J Rhinol Allergy. 2012;26(3):194–6.CrossRefPubMedGoogle Scholar
  30. 30.
    Gryskiewicz JM, Hatef DA, Bullocks JM, Stal S. Problems in rhinoplasty. Clin Plast Surg. 2010;37(2):389–99.CrossRefPubMedGoogle Scholar
  31. 31.
    Koc S, Uysal IO, Uysal EB, Yenişehirli G, Duygu F. The comparison of bacteremia and amount of bleeding during septoplasty. Eur Arch Otorhinolaryngol. 2012;269(4):1139–42.CrossRefPubMedGoogle Scholar
  32. 32.
    Andrews PJ, East CA, Jayaraj SM, Badia L, Panagamuwa C, Harding L. Prophylactic vs postoperative antibiotic use in complex septorhinoplasty surgery: a prospective, randomized, single-blind trial comparing efficacy. Arch Facial Plast Surg. 2006;8(2):84–7.CrossRefPubMedGoogle Scholar
  33. 33.
    Reh DD, Chan JY, Byrne PJ. Concurrent rhinoplasty and endoscopic sinus surgery: a review of the pros and cons and a template for success. Facial Plast Surg Clin North Am. 2012;20(1):43–54.CrossRefPubMedGoogle Scholar
  34. 34.
    Millman B, Smith R. The potential pitfalls of concurrent rhinoplasty and endoscopic sinus surgery. Laryngoscope. 2002;112(7 Pt 1):1193–6.CrossRefPubMedGoogle Scholar
  35. 35.
    Holm C, Mühlbauer W. Toxic shock syndrome in plastic surgery patients: case report and review of the literature. Aesthet Plast Surg. 1998;22(3):180–4.CrossRefGoogle Scholar
  36. 36.
    Güvenç G, Eren E, Arslanoğlu S, Yüceer N. A rare complication of septoplasty: tension pneumocephalus without rhinorrhea. J Craniofac Surg. 2014;25(4):e360–1.CrossRefPubMedGoogle Scholar
  37. 37.
    Gürlek A, Firat C, Ozturk-Ersoz A, Tenekeci G, Bilen BT. Pneumocephalus as a fatal but very rare complication of septorhinoplasty. Plast Reconstr Surg. 2008;122(6):e218–20.CrossRefGoogle Scholar
  38. 38.
    Naraghi M, Ghazizadeh M. Tension pneumocephalus: a life-threatening complication of septoplasty and septorhinoplasty. B-ENT. 2012;8(3):203–5.PubMedGoogle Scholar
  39. 39.
    Loyo M, Ishii LE. Safety of alloplastic materials in rhinoplasty. JAMA Facial Plast Surg. 2013;15(3):162–3.CrossRefPubMedGoogle Scholar
  40. 40.
    Peled ZM, Warren AG, Johnston P, Yaremchuk MJ. The use of alloplastic materials in rhinoplasty surgery: a meta-analysis. Plast Reconstr Surg. 2008;121(3):85e–92e.CrossRefPubMedGoogle Scholar
  41. 41.
    Winkler AA, Soler ZM, Leong PL, Murphy A, Wang TD, Cook TA. Complications associated with alloplastic implants in rhinoplasty. Arch Facial Plast Surg. 2012;14(6):437–41.CrossRefPubMedGoogle Scholar
  42. 42.
    Gupta V, Winocour J, Shi H, Shack RB, Grotting JC, Higdon KK. Preoperative risk factors and complication rates in facelift: analysis of 11,300 patients. Aesthet Surg J. 2016;36(1):1–13.CrossRefPubMedGoogle Scholar
  43. 43.
    Bloom JD, Immerman SB, Rosenberg DB. Face-lift complications. Facial Plast Surg. 2012;28(3):260–72. PICTURES.CrossRefPubMedGoogle Scholar
  44. 44.
    Dauwe PB, Pulikkottil BJ, Scheuer JF, Stuzin JM, Rohrich RJ. Infection in face-lift surgery: an evidence-based approach to infection prevention. Plast Reconstr Surg. 2015;135(1):58e–66e.CrossRefPubMedGoogle Scholar
  45. 45.
    Karimnejad K, Walen S. Complications in eyelid surgery. Facial Plast Surg Clin North Am. 2016;24(2):193–203.CrossRefPubMedGoogle Scholar
  46. 46.
    Whipple KM, Lim LH, Korn BS, Kikkawa DO. Blepharoplasty complications: prevention and management. Clin Plast Surg. 2013;40(1):213–24.CrossRefPubMedGoogle Scholar
  47. 47.
    Crosswell EG, Leyngold IM. Atypical mycobacterial infection following upper eyelid blepharoplasty. Ophthal Plast Reconstr Surg. 2016;32(5):e116–8.CrossRefPubMedGoogle Scholar
  48. 48.
    Juthani V, Zoumalan CI, Lisman RD, Rizk SS. Successful management of methicillin-resistant Staphylococcus aureus orbital cellulitis after blepharoplasty. Plast Reconstr Surg. 2010;126(6):305e–7e.CrossRefPubMedGoogle Scholar
  49. 49.
    Lazzeri D, Agostini T. Eyelid and periorbital necrotizing fasciitis as an early devastating complication of blepharoplasty. Plast Reconstr Surg. 2010;126(3):1112–3.CrossRefPubMedGoogle Scholar
  50. 50.
    Handler EB, Song T, Shih C. Complications of otoplasty. Facial Plast Surg Clin North Am. 2013;21(4):653–62.CrossRefPubMedGoogle Scholar
  51. 51.
    Limandjaja GC, Breugem CC, Mink van der Molen AB, Kon M. Complications of otoplasty: a literature review. J Plast Reconstr Aesthet Surg. 2009;62(1):19–27.CrossRefPubMedGoogle Scholar
  52. 52.
    Owsley TG, Biggerstaff TG. Otoplasty complications. Oral Maxillofac Surg Clin North Am. 2009;21(1):105–18.CrossRefPubMedGoogle Scholar
  53. 53.
    Chao JW, Lee JC, Chang MM, Kwan E. Alloplastic augmentation of the Asian face: a review of 215 patients. Aesthet Surg J. 2016;36(8):861–8.CrossRefPubMedGoogle Scholar
  54. 54.
    Walker TJ, Toriumi DM. Analysis of facial implants for bacterial biofilm formation using scanning electron microscopy. JAMA Facial Plast Surg. 2016;18(4):299–304.CrossRefPubMedGoogle Scholar
  55. 55.
    Patel K, Brandstetter K. Solid implants in facial plastic surgery: potential complications and how to prevent them. Facial Plast Surg. 2016;32(5):520–31.CrossRefPubMedGoogle Scholar
  56. 56.
    Soares DJ, Silver WE. Midface skeletal enhancement. Facial Plast Surg Clin North Am. 2015;23(2):185–93.CrossRefPubMedGoogle Scholar
  57. 57.
    Konior RJ. Complications in hair-restoration surgery. Facial Plast Surg Clin North Am. 2013;21(3):505–20.CrossRefPubMedGoogle Scholar
  58. 58.
    Loganathan E, Sarvajnamurthy S, Gorur D, Suresh DH, Siddaraju MN, Narasimhan RT. Complications of hair restoration surgery: a retrospective analysis. Int J Trichol. 2014;6(4):168–72.CrossRefGoogle Scholar
  59. 59.
    Perez-Meza D, Niedbalski R. Complications in hair restoration surgery. Oral Maxillofac Surg Clin North Am. 2009;21(1):119–48.CrossRefPubMedGoogle Scholar
  60. 60.
    Eustace K, Jolliffe V, Sahota A, Gholam K. Cutaneous Mycobacterium abscessus infection following hair transplant. Clin Exp Dermatol. 2016;41(7):768–70.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Division of Oral and Maxillofacial SurgerySchool of Dental Medicine, University of ConnecticutFarmingtonUSA
  2. 2.Department of DermatologyIcahn School of Medicine at Mount SinaiNew YorkUSA
  3. 3.Beau Visage Med Spa, Greater Waterbury OMSCheshireUSA
  4. 4.Division of Oral and Maxillofacial SurgeryUniversity of ConnecticutFarmingtonUSA

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