title: [Deep neck abscess. Factors related to reoperation and mortality].
abstract: BACKGROUND
  Deep neck abscesses are major complications that arise of odontogenic, pharyngeal, or cervicofacial foci, mainly in patients with morbidities that facilitate the spread to other spaces. Many of them require surgical treatment, and an appropriate evaluation and surgical drainage is required to obtain the best results.
  
  
  OBJECTIVE
  To identify factors which relate to reoperation and mortality in patient submitted to surgical treatment due to deep neck abscess.
  
  
  METHODS
  Review of all patients with deep neck abscess who underwent surgical treatment in a Head and Neck Surgery Department in a third-level hospital during a two year period.
  
  
  RESULTS
  There were 87 patients, 44 of which were female. The median age was 49 years old. Thirty-five patients (40%) had comorbidities, diabetes mellitus being the most common, found in 30 (34%) patients. Twenty-one patients (24%) required reoperation (primarily due to inadequate surgical drainage). The risk factors identified with it were presence of comorbidities (mainly diabetes mellitus) (p< 0.05), multiple deep neck spaces involvement (p< 0.001) and an ASA score of three or above (p< 0.01). Eight patients died, for a mortality of 9%. The factors related to mortality were multiple deep neck spaces involvement (p< 0.01), bilateral involvement (p< 0.05) and reoperation (p< 0.001).
  
  
  CONCLUSIONS
  Deep neck abscesses appropriate evaluation and a complete surgical drainage of all deep space neck abscesses are primordial to avoid reoperation and improve survival.
authors: Servicio de Cirugía de Cabeza y Cuello, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México DF., Mexico.
authors: Gabriela
authors: G
authors: Obregón-Guerrero
authors: Servicio de Gastrocirugía, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México DF., Mexico. jlmo1968@hotmail.com.
authors: José Luis
authors: JL
authors: Martínez-Ordaz
authors: Servicio de Gastrocirugía, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México DF., Mexico.
authors: Eduardo
authors: E
authors: Moreno-Aguilera
authors: Servicio de Cirugía de Cabeza y Cuello, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México DF., Mexico.
authors: Martha
authors: M
authors: Ramírez-Martinez
authors: Servicio de Cirugía de Cabeza y Cuello, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México DF., Mexico.
authors: Juan Francisco
authors: JF
authors: Peña-García
authors: Servicio de Cirugía de Cabeza y Cuello. Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México DF., Mexico.
authors: Claudia
authors: C
authors: Pérez-Álvarez
mesh_terms: D000038:Abscess / Q000188:drug therapy / Q000382:microbiology / Q000401:mortality / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D048909:Diabetes Complications / Q000401:mortality / Q000601:surgery; D004322:Drainage / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D005491:Focal Infection, Dental / Q000401:mortality / Q000601:surgery; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D009181:Mycoses / Q000188:drug therapy / Q000401:mortality / Q000601:surgery; D009333:Neck / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality; D012086:Reoperation / Q000706:statistics & numerical data; D012141:Respiratory Tract Infections / Q000401:mortality / Q000601:surgery; D012189:Retrospective Studies; D012307:Risk Factors; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000401:mortality / Q000601:surgery; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Deep neck abscess; absceso profundo de cuello; deep neck infection; infección profunda de cuello