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Question 316 · LDEK · Children with systemic diseases and disabilities

In patients in remission after head and neck area radiotherapy in case of surgery involving disruption of the tissue continuity, e.g. tooth extraction, there are indications for:

  1. A. administering one dose of antibiotics (antibiotic prophylaxis) before the surgery, regardless of the time elapsed since the termination of treatment.
  2. B. antibiotic prophylaxis before the surgery and continuation of therapy until the complete healing of the wound, regardless of the time elapsed since the termination of treatment.
  3. C. administering one dose of antibiotics (antibiotic prophylaxis) before the surgery, if the time elapsed since the termination of treatment is at least 5 years.
  4. D. antibiotic prophylaxis before the surgery and continuation of therapy until the complete healing of the wound, in the first 5 years since the termination of treatment.
  5. E. such patients should be managed the same as healthy ones.
Hint

Irradiated bone never fully regains its blood supply, so protection should cover the whole healing period and should not expire after a few years.

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