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
Las lesiones de la región nasofrontal en los niños son un reto diagnóstico debido a surareza, y su potencial comunicación con el sistema nervioso central también aumentasu complicacioneDentro de las principales entidades de esta región se encuentranlos quistes dermoides, los gliomas nasales y losencefaloceles. Un abordaje diagnósticoy terapéutico inapropiado podría generar desde simples recurrencias hastafistulas e infecciones en el sistema nervioso central, que podríancontribuir a mayorescomplicaciones o, incluso, poner en riesgo la vida de los pacientes.
BACKGROUND. Laryngotracheal stenosis is a process of fibrosis, determined by various etiologies, congenital or acquired, such as traumatic, infectious, autoimmune diseases, that results in airway obstruction. Clinical manifestations may vary from speech alteration to severe breathing impairment, possibly leading to death. OBJECTIVE. To describe the evolution after surgical treatment of patients diagnosed with laryngotracheal stenosis. MATERIAL AND METHODS. We performed an observational, descriptive, retrospective cross-sectional study of a series of cases with a diagnosis of laryngotracheal stenosis surgically managed from January 2015 to January 2020. The results of the statistical analysis are represented by graphs and tables. RESULTS. We included 33 patients with mean age 42.6 years, predominantly male gender 19 (57.58%). The patients presented one or more comorbidities, such as overweight and obesity, which occurred in 54.5% of the cases. The etiology of stenosis was secondary to orotracheal intubation in most of the patients (69.69%) and the most common site was the trachea (42.42%). According to the Cotton-Myer classification, 51.5% of the patients were classified in grade III and, according to McCaffrey classification, 60.6% were included in grade II and III. 28 patients (84.8%) received surgery for stenosis, of which in 64.2% of the cases was endo-laryngeal dilatation. Re-stenosis occurred in 67.5%, successful decannulation was performed in 17.8% and mortality accounted for 7.1%. CONCLUSION. Although our surgical results pose multiple elements of improvement, the proportion of residual stenosis is still high and mortality is not different from that described by other authors around the world referring to airway surgery.
Resumen Actualmente no es inusitado tener pacientes con síntomas por implicación de amígdalas linguales y pasemos desapercibido su sospecha. Los signos y síntomas que pueden presentar los pacientes son variados, desde dar síndrome de apnea obstructiva del sueño (síntoma más común) disfagia, hasta tos crónica mal abordada y por los mimos inadecuadamente tratada. Presentamos los casos clínicos de dos pacientes con hipertrofia de amígdalas linguales y una revisión narrativa del tema.
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