Saynes MFJ, Aguilar SJA, Del Ángel LMC

Language: Spanish
References: 12
Page: 26-34
PDF size: 95.08 Kb.

ABSTRACT

A deep abscess of neck is a collection of purulent effusion in a potential space conformed by the deep fascias of the neck, the infection can involve structures of the neck of vital importance that can compromise the patient's life. Except for the peritonsillar abscess, the deep abscesses of neck are relatively uncommon in the children, however when they are presented they are of quick course and they require early of handling. The experience is presented in the handling of neck abscesses in pediatric patient in the Hospital Juárez of Mexico. It was carried out a revision of 45 pediatric patients with this pathology assisted in the service of E.N.T in the period from 1995 to the 2002, taking into account: age, sex, factors of risk, etiology, affected spaces, imaging, time of evolution, and the administered treatment. The main complications and the time of intrahospitalary stay are mentioned. The time of beginning of the sintomatology until their presentation and entrance in the service the average was of 11.5 days while the average of intrahospitalary stay was 7.5 days. The location place but it frequents it was the parapharyngeal space continued by the submandibular space. According to the number of affected spaces, we find that 42% had an affected space, and 22% two spaces. The germ but frequently found it was Staphyloccocus aureus; 34% didn't develop any pathogen germ. The handling used most frequently was the drainage of the abscess with systemic antibioticotherapy, being the combination penicillin sodium G + metronidazol the most employed.

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