Guidelines
Pathogens
Antimicrobials
Search resources
Sign-in
Surgical Prophylaxis
Head and Neck
Head and Neck
Major Procedures
Clean procedures
No incision of the oral or pharyngeal mucosa
No implantation of prosthetic material
Lymph node excisions
Exceptions (
no antibiotics
): thyroidectomy, parotidectomy, submandibular gland excision (all of these with no neck dissections and/or skull base involvement)
Clean procedures
Cancer surgery
Placement of prosthesis (except tympanostomy tubes)
Clean-contamined procedures
Require penetration of the oral/nasal/pharyngeal mucosa
Complex resection with reconstruction procedures
Revision and salvage surgeries
Cancer surgery
Mandibular surgery (if tobacco/alcohol/drug use)
Tonsillectomy
Functional endoscopic sinus procedure
Nasal Septoplasty