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Anales de Otorrinolaringología Mexicana

2023, Number 3

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Otorrinolaringología 2023; 68 (3)

Negative pressure therapy of wounds in descending necrotizing fascitis of retropharyngeal space as substitute of conventional surgery treatment

Monroy HD, López UAC

Language: Spanish
References: 23
Page: 100-106
PDF size: 236.34 Kb.


ABSTRACT

Objective: To describe the usefulness of negative pressure therapy in patients with retropharyngeal space infection complicated by descending necrotizing fasciitis in terms of the number of surgical events and days of hospital stay, compared to conventional cervical treatment.
Materials and Methods: An observational, analytical, retrospective and comparative study of cases and controls was carried out in files of adult patients of both genders treated at the General Hospital of Mexico, Mexico City, by the Otorhinolaryngology and head and neck surgery service, with the diagnosis of infection of the retropharyngeal space complicated with descending necrotizing fasciitis, divided into case (patients treated with negative pressure therapy) and control (patients treated with conventional therapy) groups.
Results: There were included 36 files. It was found a mean age of 48.5 ± 13.5 years, 25 were male. The mean number of surgical events was 2.8 ± 0.9. The patients had a mean of 33.0 ± 27.7 days of hospital stay. The mean use of negative pressure therapy was 25.1 ± 15.0 days against 40.8 ± 35.1 days of conventional therapy with a statistically significant difference with a value of 0.029, an OR of 0.228, a 95% confidence interval of 0.053-0.973 and a value of p ‹ 0.001.
Conclusions: Negative pressure therapy significantly reduces the days of hospital stay compared to conventional therapy, so it is suggested that more studies be carried out in the future.


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