cefotaxime and Mouth-Neoplasms

This study involved 88 cases of different types of osteomyelitis of the mandible. Sixty-nine patients had osteomyelitis after trauma, eight patients after radiotherapy, six after dental infection, and six had other causes. Thirty-three patients had septicemic infection. Multiple types of aerobic and nonaerobic microorganisms were isolated from the infection sites. Types of treatment and their results are discussed.

Topics: Adolescent; Adult; Aged; Amikacin; Cefotaxime; Child; Child, Preschool; Clindamycin; Female; Humans; Incidence; Infant; Infant, Newborn; Iran; Male; Mandibular Diseases; Mandibular Injuries; Middle Aged; Mouth Neoplasms; Osteomyelitis; Periapical Abscess; Radiotherapy

Twenty-one patients with carcinoma of the larynx, hypopharynx and the tongue underwent surgery under perioperative prophylaxis with cefmenoxime and metronidazole. Healing was uneventful and the clinical and the chemical parameters remained normally. The level of the antibiotics was effective against most of the bacteria cultured from tracheal aspirate and the posterior wall of the oral cavity. Effective perioperative antibiotic prophylaxis is necessary in head and neck surgery: the use of simple antibiotics in short courses should be assessed.

Topics: Cefmenoxime; Cefotaxime; Drug Therapy, Combination; Female; Glossectomy; Humans; Laryngeal Neoplasms; Laryngectomy; Male; Metronidazole; Middle Aged; Mouth Neoplasms; Neck Dissection; Premedication; Surgical Wound Infection