Managing Sinus infection: What your protocol?

Wed, 09/23/2009 - 03:50 — Perioplasticsurgeon

I am looking for regimens on management of Sinus infections: What your antibiotic of choice? When do you decide to clean out the graft? When do you regraft, how long do you wait?

Sinus Lifts

Thu, 11/12/2009 - 15:11 — Dr. X

Sinus infection management

I also have used a Zpack and Flagyl. Works wonders. I only clean out the graft if I cant treat it with antibiotics. I re-graft after 6 months

Thu, 11/12/2009 - 07:56 — Dr. Wentkel

Sinus Infection Protocol: Why Zitromax and Flagyl?

Thats the first time I have seen Zitromax and flagyl. Most people say augmentin. Can you elaborate why these drugs?

Thu, 11/12/2009 - 13:09 — zivmazor

sinus infection control

The reason is simple- we have to choose the right antibiotics for respiratory tract infections. Metronidazole will cover anaerobic bacteria.

Wed, 11/11/2009 - 14:29 — zivmazor

If there is an infection post sinus augmentation my first preference is giving Zitromax+Metronidazole.Don't forget we are dealing with respiratory infection.
In case it does'nt resolve clean up the graft,rinse and wait for at least 4 months before coming back.

Wed, 11/11/2009 - 06:20 — Dr90210

Sinus Infections protocol

I usually always go back and clean out the sinus. Saline flushing is a must and patient must get clear discharge before stoping.

Augmentin is the drug of choice. Sometime a fluoroquinolones is good.

I usually will wait 6 months before going back.

Mon, 11/09/2009 - 17:45 — Tim Grant

Sinus Infections: How to manage

I think your question is difficult to answer. Generically, I would say augmentin is the antiobiotic of choice, I usually clean out the graft material and I wait at least 4-6months before I go back and regraft.