Descending necrotizing mediastinitis and mediastinal abscesses following odontogenic infection: A case report

Yıl 2012, , 287 - 289, 01.06.2012

Sema Koç İbrahim Aladağ Levent Gürbüzler Adnan Ekinci

https://doi.org/10.5799/ahinjs.01.2012.02.0163

Öz

Descending necrotising mediastinitis (DNM) is a type of mediastinitis caused by head and neck infections, which spreads to the mediastinum via the cervical fascial planes. This infection is a rarely reported but highly lethal infection. Computed tomography was used to diagnosis the disease and assess the efficacy of treatment. Delay in diagnosis and insufficient drainage of the mediastinum and deep neck infection are the main causes of mortality in DNM. We report on a case that was treated successfully, even if with a long, protracted course. J Clin Exp Invest 2012; 3(2): 287-289

Anahtar Kelimeler

Odontogenic infection, descending necrotising mediastinitis, mediastinal abscesses

Diş enfeksiyonunu izleyen desendan nekrotizan mediastinit ve mediastinal abse

Öz

Desendan nekrotizan mediastinit (DNM), baş ve boyun enfeksiyonlarının servikal fasiyal planlar aracılığıyla mediastene yayılması sonucu oluşan mediastinit tipidir. Bu enfeksiyon nadir görülür ve yüksek oranda fatal seyreder. Bilgisayarlı tomografi tanı ve tedavinin izleminde sıklıkla kullanılır. Tanıda gecikme ve yeteriz tedavi mortalitenin temel nedenleridir. Bu yazıda başarılı bir şekilde tedavi edilen odontojenik kaynaklı DNM olgusu sunuldu.

Anahtar Kelimeler

Odontojenik enfeksiyon, desendan nekrotizan mediastinit, mediastinal apse

Kaynakça

• Pappa H, Jones DC. Mediastinitis from odontogenic infection. A case report. Br Dent J 2005;198(9):547-8.
• Ridder GJ, Maier W, Kinzer S, Teszler CB, Boedeker CC, Pfeiffer J. Descending necrotizing mediastinitis: contemporary trends in etiology, diagnosis, management, and outcome. Ann Surg 2010;251(3):528-34.
• Cai XY, Zhang WJ, Zhang ZY, Yang C, Zhou LN, Chen ZM. Cervical infection with descending mediastinitis: a review of six cases. Int J Oral Maxillofac Surg 2006;35(11):1021-5.
• Singhal P, Kejriwal N, Lin Z, Tsutsui R, Ullal R. Optimal surgical management of descending necrotising mediastinitis: our experience and review of literature. Heart Lung Circ 2008;17(2):124-8.
• Eren S. Descending necrotising mediastinitis. J Clin Exp Invest 2010:1(3):228-31.
• Furst IM, Ersil P, Caminiti M. A rare complication of tooth abscess--Ludwig’s angina and mediastinitis. J Can Dent Assoc 2001;67(6):324-7.
• Estrera AS, Landay MJ, Grisham JM, Sinn DP, Platt MR. Descending necrotizing mediastinitis. Surg Gynecol Obstet 1983;157(6):545-52.
• Levine TM, Wurster CF, Kresp YP. Mediastinitis occurring as a complication of odontogenic infections. Laryngoscope 1986;96(7):747-50.
• De Freitas RP, Fahy CP, Brooker DS, et al. Descending necrotising mediastinitis: a safe treatment algorithm. Eur Arch Otorhinolaryngol 2007;264(2):181-7.
• Tateya I, Fujiki N, Kurata K, Hasegawa S, Kojima H. Descending necrotizing mediastinitis following acute epiglottitis: a case report. Eur Arch Otorhinolaryngol 2003;260(3):128-30.