Campos NLA, Hernández LDN, Barrón SMA

Language: Spanish
References: 14
Page: 129-134
PDF size: 827.10 Kb.

ABSTRACT

Background: Deep infection of neck is defined as one that spreads across the deep planes of the neck formed by fascias. The literature reports predominance in males, in the fifth decade. It is reported the parapharyngeal space as the most affected both in adults and in children, followed by the mandibular one. The treatment is directed to assure the airways, to administer intravenous antibiotics and surgical drainage if it is needed. There is reported that 83% of patients with deep abscesses of neck will need surgical drainage and 10%, tracheotomy.
Objective: To determine the epidemiology and topography of the deep abscesses of neck in La Raza Hospital, IMSS.
Patients and method: Retrospective, observational, transverse and descriptive study. 57 patients’ processes were analyzed by abscess deeply of neck, attended from January 2007 to June 2008. There were studied frequency, demographic aspects, associate diseases, origin of the infection, neck spaces involved and used treatment. Frequency, demographic aspects, associated diseases, origin of the infection, involved neck spaces, treatment prescribed and days in the hospital were analyzed.
Results: 57 processes were included, 37 men (65%) and 20 women (35%). 54 patients were adults (95%) and three children (5%); range of age from 3 to 75 years, an average of age of 42.2 years ± 17.3. The predominant topography was the parapharyngeal space in 38 patients; followed by submaxillary and submental. In 51% of cases were two or three spaces involved. The mean hospital stay was of 9.6 days and combined treatment of fasciotomy and antibiotics predominates.
Conclusions: Deep abscesses of neck are frequent but rare in the pediatric population of La Raza Hospital. They appear in the fifth decade of life, affect two or more spaces, mainly the parapharyngeal and submaxillary. Most of patients need medical treatment and surgery.

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