Abscesos profundos del cuello. Estudio retrospectivo de cinco años

Salom-Coveñas, Carmen; Sanmartin-Caballero, Antonio; Porras-Alonso, Eulalia

doi:10.14201/orl.18227

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…They represent approximately 3,400 hospitalizations annually in the United States. The incidence is around 10 cases per 100,000 inhabitants 5 , whilst the incidence of retropharyngeal abscess is 0.22 / 10,000 and that of parapharyngeal abscess was 0.14 cases / 10,000 6. There are some epidemiological studies on the prevalence of deep neck abscesses. In Taiwan in 2003, in a tertiary care hospital, Wang et al 1 observed 32 patients annually.…”

Section: Introductionmentioning

confidence: 96%

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Prevalence, morbidity and mortality of deep neck abscess in a tertiary hospital from Northwestern Mexico

Pineda-Alvarado

Lugo-Machado

Canché-Martín

et al. 2021

Romanian Journal of Rhinology

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BACKGROUND. Neck abscesses are defined as processes of infectious origin, which form a collection of purulent material through the deep planes of the neck, formed by fasciae. It may involve one or more spaces of the cervical region. In addition, they can be localized or disseminated and generate extremely serious and life-threatening complications.OBJECTIVE. To identify the prevalence of deep neck abscess in our tertiary hospital center.MATERIAL AND METHODS. A retrospective, analytical, observational, and cross-sectional study was carried out from January 2015 to May 2019. The data observed during the care of the patients with a diagnosis of deep neck abscess were collected from the clinical records. Descriptive statistics were performed, and the odd ratio was used for the risk probability analysis.RESULTS. A prevalence of 42 cases was found in 5 years, with 8.4 annual cases, average age of 45.2 years, male gender predominance in 53% of the cases. Descending mediastinitis was the most common complication and a mortality of 8.33% was presented. Type 2 diabetes mellitus and the involvement of 3 or more spaces represented a higher risk for complications compared to healthy patients who presented involvement of ≤2 spaces.CONCLUSION. In the Northwestern region of Mexico of IMSS beneficiaries, we have a prevalence of 42 cases in 5 years, 8.4 per year. The average age of our series is 45.2 years and there is no difference regarding the affection by gender. The involvement of two or more than three spaces represents the majority of cases. More than half of our cases underwent surgical drainage. Type 2 diabetes mellitus alone or accompanied with other comorbidities was the most common associated pathology; this same entity and the involvement of 3 or more spaces presented a higher risk of complications

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Section: Introductionmentioning

confidence: 96%

“…In relation to age, deep neck abscesses have been shown to be more serious in adults than in children, having greater multispace participation and leading to more complications 4 . Mortality rates vary from 1.6% to 7.6% with an associated cost burden for the health system 5,9 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence, morbidity and mortality of deep neck abscess in a tertiary hospital from Northwestern Mexico

Pineda-Alvarado

Lugo-Machado

Canché-Martín

et al. 2021

Romanian Journal of Rhinology

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Factors associated with complications and mortality of deep neck abscesses in adults

García-López,

Lugo-Machado,

Sainz-Fuentes

et al. 2024

Romanian Journal of Rhinology

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OBJECTIVE. Our objective was to evaluate the factors associated with complications and death in patients with abscesses of the deep spaces of the neck. MATERIAL AND METHODS. An observational, cross-sectional, analytical, retrospective study was conducted from 2017 to 2022. Demographic variables, comorbidities, affected spaces, management, need for tracheostomy, ICU care, presence and type of complications and death were collected. Descriptive statistics were applied as measures of central tenure and measures of dispersion, for inferential analysis; Pearson'’s Chi-square or Fisher'’s exact tests, odds ratio for risk analysis, binary logistic regression test to evaluate the predictor variables were used. RESULTS. We included 46 cases; mean age 44.41 ±13.84 years; 60.87% male patients. As comorbidities, we found diabetes alone and diabetes with hypertension as the most frequent. Three affected neck spaces were in 44% of patients. 46% needed a tracheostomy, this parameter being significantly associated with complications (p=0.037) and mortality (p=0.037). The need for intensive care and complications revealed a p=0.000 and with a p=0.005 for mortality; days of hospitalization ≥ 11 days was significantly associated with complications (p=0.005) and death (p=0.013). Hospital stay ≥11 days were risk factors for complications (OR=1.357, 95%CI 1.037-1.776) and death (OR=1.267, 95%CI 1.004-1.598); the need for ICU and complications had an OR=78.00 (95%CI 5.726 -1062.546), ICU and death had an OR=39.000 (95%CI 3.046-499.323). The variables ICU admission, tracheotomies and hospital stay ≥11 days were predictors of complications and death. CONCLUSION. The need for tracheostomy, ICU admission, hospitalizations ≥11 days are associated with complications and death in patients with deep neck abscesses. The same variables were risk factors and predictors of mortality and complications.

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Abscesos profundos del cuello. Estudio retrospectivo de cinco años

Cited by 2 publications

References 12 publications

Prevalence, morbidity and mortality of deep neck abscess in a tertiary hospital from Northwestern Mexico

Prevalence, morbidity and mortality of deep neck abscess in a tertiary hospital from Northwestern Mexico

Factors associated with complications and mortality of deep neck abscesses in adults

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