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Deep neck infections - classification in levels of severity
oleh: Coelho, Marina Serrato, Ramos, Gyl, Prestes, Luciano Campelo, Soccol, Andrea, Oliveira, Marcela Schmidt B. de, Lobo, Paulo
| Format: | Article |
|---|---|
| Diterbitkan: | Thieme Revinter Publicações Ltda. 2009-06-01 |
Deskripsi
Introduction: The cervical spaces infections compose severe pictures and result in a high degree of mortality when they evolve with complications. Objective: To set up a graduation protocol of the cervical abscesses and organize a sequence to treat these patients. Method: We carried out a retrospective study of 150 patients with cervical abscess in which we evaluated the clinical impression, general state, respiratory state, locoregional state, antibiotics used and comorbidity. Then we organized a classification with severity levels. Results: The mean age was of 31 years old and in 37% of the cases the origin was dental. In the locoregional evaluation in 67% the affection expanded up to level I and II. According to the severity, the patients were classified as follows: Level I (46%), II (36%), III (15%) and IV (3%). Only antibiotic therapy was used in 27% of the cases. The association with surgery occurred in 73% Conclusion: The therapeutic procedure standardization and its classification in severity is essential for the service systematization and reduction of morbimortality.