Document Detail

The surgical approach for descending necrotizing mediastinitis: report of two cases.
MedLine Citation:
PMID:  9851634     Owner:  NLM     Status:  MEDLINE    
Descending necrotizing mediastinitis (DNM) is a potentially life-threatening complication that can develop after an oropharyngeal infection. Patients with DNM are usually treated with mediastinal drainage through a cervical or transthoracic approach, as well as by the systemic administration of antibiotics. We report herein the cases of two patients we recently treated for DNM. In the first patient, the DNM was limited to the upper mediastinum, and cervicomediastinal drainage was performed. In the second patient, the mediastinitis spread below the tracheal bifurcation down into the lower mediastinum, and an abscess was drained through a thoracotomy approach. The principles of the surgical approach for DNM are discussed, with a brief review of the literature following these case reports.
I Takanami; M Naruke; S Kodaira
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  28     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  1998  
Date Detail:
Created Date:  1999-02-11     Completed Date:  1999-02-11     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  1200-2     Citation Subset:  IM    
Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
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MeSH Terms
Abscess / radiography
Mediastinal Diseases / radiography
Mediastinitis / pathology,  radiography,  surgery*
Mediastinum / radiography
Middle Aged
Neck / radiography
Pharyngitis / complications
Soft Tissue Infections / surgery
Tomography, X-Ray Computed

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