Acute Mediastinitis Caused by Parapharyngeal Abscess and Carotid Sheath Infection: Case Report

Yıl 2023, , 16 - 18, 29.03.2023

İbrahim Erdim , Beyza Akcan , İlhan Ocakcıoğlu , Servan Yaşar

https://doi.org/10.26650/Tr-ENT.2023.1231111

Öz

Deep neck infections are less common today than in the past. Still, odontogenic infections due to tooth decay and periodontal disease are common in the community. Although odontogenic infections in general are locally limited, they can progress to deep neck infections and lead to life-threatening complications in exceptional cases. Mediastinal extensions of deep neck infections are a condition that requires rapid diagnosis and should be considered first in patients who have a worsening general condition and swelling in the face - neck extending to the bottom of the clavicle and who have a toxic appearance. These infections need immediate treatment. A rapid and accurate clinical, radiological and multidisciplinary approach toward our case was demonstrated to be lifesaving.

Anahtar Kelimeler

abscess, deep neck infection, mediastinitis, odontogenic

Kaynakça

• 1. Vieira F, Allen SM, Stocks RM, Thompson JW. Deep neck infection. Otolaryngol Clin North Am 2008;41(3):459-83. google scholar
• 2. Yetim Durgun T, Okuyucu Ş, Akoğlu Genç S, Balcı A, Ekşi G. Desendan nekrotizan mediastinit: Nadir bir olgu. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi 2012;23(1):45-8. google scholar
• 3. Erdim I, Aksakal C, Sapmaz E, Gokce E. Bilateral parapharyngeal abscess complicated with trismus, airway obstruction and bleeding. Tr-ENT 2022;32(1):18-21. google scholar
• 4. Heim N, Warwas FB, Wiedemeyer V, Wilms CT, Reich RH, Martini M. The role of immediate versus secondary removal of the odontogenic focus in treatment of deep head and neck space infections. A retrospective analysis of 248 patients. Clin Oral Investig 2019;23(7):2921-7. google scholar
• 5. Biron VL, Kurien G, Dziegielewski P, Barber B, Seikaly H. Surgical vs ultrasound-guided drainage of deep neck space abscesses: a randomized controlled trial: surgical vs ultrasound drainage. J Otolaryngol Head Neck Surg 2013;42(1):18. google scholar
• 6. Dabirmoghaddam P, Mohseni A, Navvabi Z, Sharifi A, Bastaninezhad S, Safaei A. Is ultrasonography-guided drainage a safe and effective alternative to incision and drainage for deep neck space abscesses? J Laryngol Otol 2017;131(3):259-63. google scholar