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Anales de Otorrinolaringología Mexicana

2022, Number 3

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Otorrinolaringología 2022; 67 (3)

Validation of an algorithm for integral management of deep neck space abscess

Maldonado-Tinajero AL, Félix-López PC, Domínguez-Wakida AJ, Jurado-Hernández S, Montaño-Velázquez BB

Language: Spanish
References: 16
Page: 181-192
PDF size: 406.21 Kb.


ABSTRACT

Objective: To validate an algorithm for integral management of deep neck space abscess.
Materials and Methods: A transversal, clinical, comparative study, done from January 1st 2018 to November 1st 2020. Validation was based on literature; a consensus of experts was achieved to integrate points in the algorithm. Validation was achieved as follows: by a panel Delphi integrated by three experts in the area, evaluated in a scale of 1 to 9 each step (diagnosis, medical and surgical treatment, and follow up), where 1 represents disagreement and 9, total agreement. Next, we made a descriptive comparation between control and cases, diagnosed with deep neck abscess, care at National Medical Center La Raza, Mexico City, from January 1st 2018 to November 1st, 2020. Internal consistency was evaluated with alpha Cronbach coefficient, and factorial analysis.
Results: The algorithm was built with three layers: diagnosis, medical and surgical treatment, and follow up. Reliability was achieved with an alpha Cronbach of 0.806 and high consistency, with a value for the instrument › 0.8. The algorithm was applied to 30 patients with deep neck space abscess, achieving high reliability.
Conclusions: Our algorithm for management of deep neck space abscess is reliable and valid.


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