Infections of the head and neck leading to descending necrotizing mediastinitis: management of 9 cases / 中华口腔医学杂志
Chinese Journal of Stomatology
;
(12): 619-620, 2009.
Article
in Chinese
| WPRIM
| ID: wpr-274499
ABSTRACT
<p><b>OBJECTIVE</b>To report nine cases of descending necrotizing mediastinitis (DNM) and to summarize the management experience.</p><p><b>METHODS</b>Between December 2005 and December 2008, nine patients (mean age, 55.7 years; age range, 38 to 78 years) with DNM were treated. Eight patients underwent surgical drainage of the involved cervical region and mediastinum (4 with cervical drainage alone; 4 with cervical drainage and right thoracotomy).</p><p><b>RESULTS</b>Two patients died, one of them refused surgical therapy and the other one died of multiorgan failure related to postoperative septic shock. Seven patients recovered. The mortality rate was 22%.</p><p><b>CONCLUSIONS</b>Delayed diagnosis and inadequate drainage are the main causes of high mortality rate of DNM. Aggressive surgical drainage and debridement of the neck and mediastinum by a multidisciplinary team of surgeons are very important in the treatment of DNM.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Focal Infection
/
Mediastinitis
Limits:
Adult
/
Aged
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Stomatology
Year:
2009
Type:
Article
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