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Antibiotic irrigation: A promising unconventional method for facial carbuncle

Carbuncle is conventionally treated with combinations of intravenous antibiotics and surgical intervention; be it saucerization or incision and drainage. Cosmesis outcome might be unfavorable following surgical intervention, especially when the facial region is involved. Skin grafting surgery may ev...

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Main Authors: Ng, Jia Ji, Gendeh, Hardip, Ong, Hui Yan, Gopalan, Shashi, Karaf, Juani Hayyan Abdul
Format: Article
Published: Cureus Inc 2021
Subjects:
RC Internal medicine
Online Access:http://eprints.um.edu.my/34842/
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spelling my.um.eprints.348422022-05-11T08:32:22Z http://eprints.um.edu.my/34842/ Antibiotic irrigation: A promising unconventional method for facial carbuncle Ng, Jia Ji Gendeh, Hardip Ong, Hui Yan Gopalan, Shashi Karaf, Juani Hayyan Abdul RC Internal medicine Carbuncle is conventionally treated with combinations of intravenous antibiotics and surgical intervention; be it saucerization or incision and drainage. Cosmesis outcome might be unfavorable following surgical intervention, especially when the facial region is involved. Skin grafting surgery may even be needed as a second-stage procedure for a larger wound. We reported a series of three facial carbuncles treated successfully with a new improvised method. Our method includes performing a stab incision prior to draining of pus, coupled with minimal wound debridement, followed by regular irrigation of the wound with antibiotics containing solution. Based on the three cases reported in this article, we conclude that this method is more superior as there is more skin preservation, better patient tolerance, shorter hospital stays, and favorable cosmesis outcome. Cureus Inc 2021-04-27 Article PeerReviewed Ng, Jia Ji and Gendeh, Hardip and Ong, Hui Yan and Gopalan, Shashi and Karaf, Juani Hayyan Abdul (2021) Antibiotic irrigation: A promising unconventional method for facial carbuncle. Cureus, 13 (4). ISSN 2168-8184, DOI https://doi.org/10.7759/cureus.14710 <https://doi.org/10.7759/cureus.14710>. 10.7759/cureus.14710
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic RC Internal medicine
spellingShingle RC Internal medicine
Ng, Jia Ji
Gendeh, Hardip
Ong, Hui Yan
Gopalan, Shashi
Karaf, Juani Hayyan Abdul
Antibiotic irrigation: A promising unconventional method for facial carbuncle
description Carbuncle is conventionally treated with combinations of intravenous antibiotics and surgical intervention; be it saucerization or incision and drainage. Cosmesis outcome might be unfavorable following surgical intervention, especially when the facial region is involved. Skin grafting surgery may even be needed as a second-stage procedure for a larger wound. We reported a series of three facial carbuncles treated successfully with a new improvised method. Our method includes performing a stab incision prior to draining of pus, coupled with minimal wound debridement, followed by regular irrigation of the wound with antibiotics containing solution. Based on the three cases reported in this article, we conclude that this method is more superior as there is more skin preservation, better patient tolerance, shorter hospital stays, and favorable cosmesis outcome.
format Article
author Ng, Jia Ji
Gendeh, Hardip
Ong, Hui Yan
Gopalan, Shashi
Karaf, Juani Hayyan Abdul
author_facet Ng, Jia Ji
Gendeh, Hardip
Ong, Hui Yan
Gopalan, Shashi
Karaf, Juani Hayyan Abdul
author_sort Ng, Jia Ji
title Antibiotic irrigation: A promising unconventional method for facial carbuncle
title_short Antibiotic irrigation: A promising unconventional method for facial carbuncle
title_full Antibiotic irrigation: A promising unconventional method for facial carbuncle
title_fullStr Antibiotic irrigation: A promising unconventional method for facial carbuncle
title_full_unstemmed Antibiotic irrigation: A promising unconventional method for facial carbuncle
title_sort antibiotic irrigation: a promising unconventional method for facial carbuncle
publisher Cureus Inc
publishDate 2021
url http://eprints.um.edu.my/34842/
_version_ 1735409625723830272
score 13.211869

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