Document Detail


Mediastinitis following deep neck infections : A therapeutic challenge.
MedLine Citation:
PMID:  23119735     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To emphasize the salient features of surgical management of Mediastinitis occurring secondary to deep neck infections.
STUDY DESIGN: Case series. Retrospective analysis
SETTING: Institutional teaching department Patients Four consecutive cases of mediastinal abscess treated between 1990 to 1996. Selection criteria were presence of deep neck infection radiological evidence of widening of mediastinum and confirmation of mediastinal infection at surgery. Computerized tomography of neck and thorax was done in one case to document the extent of abscess. SARGICAL MANAGEMENT: All the patients underwent transcervical drainage of neck abscess and superior mediastintomy. The involved spaces in the neck and mediastinum were irrigated with betadine antimicrobial solution and negative suction drains put in the superior mediastinum ta facilitate contituous drainage of the mediastinum. One patient required intercostal chest drainage for associated empyema. Tracheotomy was done in all the patients.
RESULTS: All the patients survived and discharged after a hospital stay of around three weeks.
CONCLUSIONS: Mediastinal complication of deep neck infections can he alarmingly rapid and can be effectively managed by early recognition and aggressive surgical drainage combined with antibiotic therapy after appropriate aerobic and anaerobic cultures.
Authors:
N K Panda; S B Mann; S C Sharma
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India     Volume:  52     ISSN:  2231-3796     ISO Abbreviation:  Indian J Otolaryngol Head Neck Surg     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2012-11-02     Completed Date:  2012-11-05     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  9422551     Medline TA:  Indian J Otolaryngol Head Neck Surg     Country:  India    
Other Details:
Languages:  eng     Pagination:  391-5     Citation Subset:  -    
Affiliation:
Department of Otolaryngology, Postgraduate Institute of Medical Education and Research, Chandigarh, (India).
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