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Başlık: Descending necrotizing mediastinitis: Increased mortality due to delayed presentation
Yazarlar: Ural, Ahmet
Tekinbaş, Celal
Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Cerrahisi Anabilim Dalı.
0000-0003-1822-8153
Erol, Mehmet Muharrem
Melek, Hüseyin
Bayram, Ahmet Sami
Gebitekin, Cengiz
AAI-5039-2021
ABB-7580-2020
35605916500
9639938400
8347194000
6602156436
Anahtar kelimeler: General & internal medicine
Mediastinitis
Necrotizing
Emergency
Surgical-management
Experience
Infection
Yayın Tarihi: Ara-2012
Yayıncı: TÜBİTAK
Atıf: Erol, M. M. vd. (2012). "Descending necrotizing mediastinitis: Increased mortality due to delayed presentation". Turkish Journal of Medical Sciences, 42(Supplement 2), 1437-1442.
Özet: Aim: To describe the clinical features of descending necrotizing mediastinitis (DNM) and to outline the diagnostic and therapeutic measures to be taken in its management. Materials and methods: We retrospectively analyzed the data from 13 patients with DNM treated between 2001 and 2012 in 2 tertiary care centers, together with their demographics, diagnostic methods, therapeutic interventions, and clinical outcomes. Results: The patients consisted of 10 males and 3 females, aged from 16 to 72 years (mean age: 44). Odontogenic and tonsillar infections were the probable sources of infection in the majority of cases. Computerized tomography is a crucial imaging modality in the diagnosis and follow-up of patients with DNM. All patients underwent surgical treatment in addition to intravenous broad-spectrum antibiotics. Tube thoracostomy, mediastinal drainage, cervical drainage, and thoracotomy were the therapeutic measures utilized in these patients. Five patients were lost (38%) and 8 survived. Conclusion: DNM is a life-threatening condition that may originate from oropharyngeal infections. Emergency surgical intervention is mandatory in the management of DNM. The 2 most important survival factors are early surgical intervention and adequate drainage.
URI: https://doi.org/10.3906/sag-1203-103
https://journals.tubitak.gov.tr/medical/abstract.htm?id=12237
http://hdl.handle.net/11452/25767
ISSN: 1300-0144
Koleksiyonlarda Görünür:Scopus
Web of Science

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