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http://hdl.handle.net/11452/25767
Title: | Descending necrotizing mediastinitis: Increased mortality due to delayed presentation |
Authors: | 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 |
Keywords: | General & internal medicine Mediastinitis Necrotizing Emergency Surgical-management Experience Infection |
Issue Date: | Dec-2012 |
Publisher: | TÜBİTAK |
Citation: | Erol, M. M. vd. (2012). "Descending necrotizing mediastinitis: Increased mortality due to delayed presentation". Turkish Journal of Medical Sciences, 42(Supplement 2), 1437-1442. |
Abstract: | 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 |
Appears in Collections: | Scopus Web of Science |
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