Surgical Site Infections Following the Transoral Approach

Abstract

SSI rate following transoral exposure has increased from the authors' earlier reports (0%), likely because of the increasing complexity and instrumentation of transoral approach cases. Cerebrospinal fluid leakage caused by dural injury highly predisposes to intracranial infection. Lumbar puncture, cranial computed tomography, continuous drainage diversion, and intrathecal injection of antibiotics are adequate methods of treatment. Strict consideration of surgical indications, adequate preoperative preparation, careful surgical technique to avoid dural injury, and postoperative oropharyngeal care are important steps for preventing SSI through the transoral approach.