Antibiotics after face grafts: help or hype?
NCT ID NCT01912651
First seen Jul 02, 2026 · Last updated Jul 02, 2026
Summary
This study tests whether taking antibiotics after facial reconstructive surgery with skin grafts improves healing and reduces infection. Adults with facial defects needing a full-thickness skin graft are randomly assigned to receive either a single antibiotic dose before surgery plus a week of oral antibiotics, or the single dose only. The main goal is to see if antibiotics lower the rate of graft failure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- cephalexin (or clindamycin for allergic patients)
- What this could lead to
- If antibiotics are shown to improve graft survival, this could establish a standard practice to reduce graft failure and revision surgeries.
- What could go wrong
- This is a single-center Phase 4 trial; results may not apply to all patients. Antibiotics carry side effects like allergic reactions or diarrhea, and may not improve outcomes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
236 people
The number who actually took part.
- Started
-
Sep 2011
- Finished
-
Nov 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * all adult patients with a nasal or facial skin/soft tissue defect requiring reconstruction limited to or including a full-thickness skin graft Exclusion Criteria: * current or recent (within one week of surgery) systemic antibiotic use, intolerance to both clindamycin and cephalexin, discovery of a persistent cutaneous malignancy at the site of the defect following the reconstructive procedure and previous reconstruction at the site of the skin/soft-tissue defect.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Facial defect are added.
By submitting, you agree to our Terms of use
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
University of Michigan
Ann Arbor, Michigan, 48109, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.