<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0028-3746</journal-id>
<journal-title><![CDATA[Neumología y cirugía de tórax]]></journal-title>
<abbrev-journal-title><![CDATA[Neumol. cir. torax]]></abbrev-journal-title>
<issn>0028-3746</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Neumología y Cirugía de Tórax; Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas; Sociedad Cubana de Neumología; Sociedad Paraguaya de Neumología; Sociedad Boliviana de Neumología.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0028-37462023000100046</article-id>
<article-id pub-id-type="doi">10.35366/114230</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo de la vía aérea en paciente con fascitis necrosante cervical]]></article-title>
<article-title xml:lang="en"><![CDATA[Airway management in a patient with necrotizing cervical fascitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Sánchez]]></surname>
<given-names><![CDATA[David Josué]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Waldo-Hernández]]></surname>
<given-names><![CDATA[Luis Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palomares-Capetillo]]></surname>
<given-names><![CDATA[Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Minero]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<volume>82</volume>
<numero>1</numero>
<fpage>46</fpage>
<lpage>48</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0028-37462023000100046&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0028-37462023000100046&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0028-37462023000100046&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La fascitis necrosante es una infección de piel y tejidos blandos agresiva que rápidamente puede extenderse por los planos perifasciales. Tiene alta morbimortalidad y requiere tratamiento quirúrgico agresivo de forma inicial para disminuir la morbimortalidad asociada. Se expone el caso de un masculino de 53 años con antecedente de diabetes mellitus II, que presentó un absceso cervical posterior a una amigdalectomía, evolucionó hasta presentar fascitis cervical y torácica. En otro hospital se le realizó drenaje del absceso y traqueostomía abierta. Acude al instituto con herida dehiscente, salida de material purulento y fuga aérea por sitio de traqueostomía. Durante el procedimiento se identificó orificio en cara anterior de la tráquea de 4 cm, se le realizó desbridamiento y colocación de terapia de presión negativa. Después se movilizó un colgajo sobre orificio traqueal y se colocó cánula de Montgomery para cierre de herida cervical. La broncoscopia de control mostró buena luz traqueal, sin estenosis o fuga aérea. En el paciente con fascitis necrosante es importante un tratamiento quirúrgico agresivo de forma inicial, preservando los siguientes principios: drenaje adecuado de todas las colecciones y desbridamiento de todo el tejido necrótico cuidando no contaminar estructuras adyacentes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Necrotizing fasciitis is an aggressive skin and soft tissue infection that can rapidly spread through the perifascial planes. It has a high morbidity and mortality and requires aggressive surgical treatment initially to reduce associated morbidity and mortality. The case of a 53-year-old male with a history of diabetes mellitus II who presents a cervical abscess after a tonsillectomy, it evolves to cervical and thoracic fasciitis, drainage of the abscess and open tracheostomy are performed in another hospital. He came to our institute with a dehiscent wound, discharge of purulent material, and air leakage from the tracheostomy site. During the procedure, a 4 cm orifice is identified on the anterior wall of the trachea, debridement and placement of negative pressure therapy is performed. Subsequently, a flap is mobilized over the tracheal orifice, and a Montgomery cannula is placed to close the cervical wound. Control bronchoscopy shows a good tracheal lumen, without stenosis or air leak. It is important in a patient with necrotizing fasciitis to have aggressive surgical treatment initially, taking care of the following principles: adequate drainage of all collections, and debridement of all necrotic tissue and taking care not to contaminate adjacent structures.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tráquea]]></kwd>
<kwd lng="es"><![CDATA[fascitis]]></kwd>
<kwd lng="es"><![CDATA[Montgomery]]></kwd>
<kwd lng="en"><![CDATA[trachea]]></kwd>
<kwd lng="en"><![CDATA[fasciitis]]></kwd>
<kwd lng="en"><![CDATA[Montgomery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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