Descending Necroting Mediastinitis: 1 case report.
- Author:
Hyong Seok KANG
;
Sub LEE
;
Oh Choon KWON
;
Wook Su AHN
;
Chi Hoon BAE
- Publication Type:Case Report
- MeSH:
Drainage;
Humans;
Male;
Mediastinitis*;
Mediastinum;
Middle Aged;
Neck
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2000;33(8):693-696
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Descending necrotizing mediastinitis (DNM) is one of the most lethal form of mediastinitis originating from an oropharyngeal infection. It requires an early and aggressive sugical treatment, but the operative approach and optimal form of mediastinal drainage remains controversial. We report a case of DNM in a 45-year-old male who underwent right cervicomediastinotomy to drain the deep neck space, upper mediastinum and anterior mediastinal drainage was accomplished through a subxiphoid approach. After this procedure, he steadily improved and was dischrged on hospital day 36. We report this case with a brief review of the literature.
