O papel do tratamento conservador nas infeções cervicais profundas pediátricas
DOI:
https://doi.org/10.34631/sporl.766Palavras-chave:
abcesso retrofaríngeo, pescoço, abcesso, fásciaResumo
Objetivo: Avaliar o papel do tratamento conservador nas infeções cervicais profundas pediátricas.
Desenho do estudo: Estudo retrospetivo.
Material e Métodos: Incluímos doentes pediátricos com evidência imagiológica de infeção parafaríngea e retrofaríngea, admitidos na nossa instituição entre janeiro de 2007 e dezembro de 2017. A análise estatística foi realizada no IBM SPSS versão 24.
Resultados e Conclusões: Incluímos 33 doentes com idade mediana de 4 anos (1-15), 16 (48%) do sexo masculino. Dezassete (52%) foram submetidos a cirurgia e dezasseis (48%) receberam tratamento conservador. Não verificámos diferenças relativamente à idade, antibioterapia e utilização de corticoides sistémicos.
O grupo submetido a tratamento conservador apresentava abcessos menores (16.4 vs 24.1 mm, p=0.04), e internamentos mais curtos (9 vs 11 dias, p=0.06).
Não houve recorrências em ambos os grupos.
O tratamento conservador foi eficaz em doente com abcessos de menores dimensões, no entanto, são necessários estudos com amostras maiores para validar os nossos resultados.
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