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Korean J Thorac Cardiovasc Surg 2000; 33(8): 693-696

Published online August 5, 2000

Copyright © Journal of Chest Surgery.

Descending Necroting Mediastinitis - 1 case report -

Hyong Seok Kang, M.D.*, Sub Lee, M.D.*, Oh Choon Kwon, M.D.*, Wook Su Ahn, M.D.*, Chi Hoon Bae, M.D.*

*Department of Thoracic & Cardiovascular Surgery, School of Medicine, Catholic University of Taegu

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 surgical 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
(Korean Thorac Cardiovasc Surg 2000;33:693-6)

Keywords: Infection, Mediastinitis

Article

Case

Korean J Thorac Cardiovasc Surg 2000; 33(8): 693-696

Published online August 5, 2000

Copyright © Journal of Chest Surgery.

Descending Necroting Mediastinitis - 1 case report -

Hyong Seok Kang, M.D.*, Sub Lee, M.D.*, Oh Choon Kwon, M.D.*, Wook Su Ahn, M.D.*, Chi Hoon Bae, M.D.*

*Department of Thoracic & Cardiovascular Surgery, School of Medicine, Catholic University of Taegu

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 surgical 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
(Korean Thorac Cardiovasc Surg 2000;33:693-6)

Keywords: Infection, Mediastinitis

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