Antibiotics for Facial Fractures

Antibiotics for Facial Fractures

In the Emergency Department, we frequently encounter patient's with facial fractures and associated lacerations.  The orthopedic surgery literature strongly supports the use of antibiotics for open fractures.  The facial surgery literature, however, does not have extensive publications addressing the use of antibiotics in open facial fractures.  So what are we to do? Does every fracture get antibiotics? If not, which fractures?

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