These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Descending necrotising mediastinitis: a safe treatment algorithm.
    Author: De Freitas RP, Fahy CP, Brooker DS, Primrose WJ, McManus KG, McGuigan JA, Hughes SJ.
    Journal: Eur Arch Otorhinolaryngol; 2007 Feb; 264(2):181-7. PubMed ID: 17009018.
    Abstract:
    Descending necrotising mediastinitis can complicate oropharyngeal infection and has a high associated mortality. We present three cases treated in our department and propose a treatment algorithm based on our experience and literature review. The primary oropharyngeal infection was peritonsillar abscess in two cases and odontogenic abscess in one. Two patients underwent cervicotomy and later thoracotomy. The third underwent cervicotomy with transcervical mediastinal drainage and later required pericardial drainage via a subxiphoid incision. All recovered fully and were discharged within 6 weeks. To enable successful treatment, diagnosis needs to be prompt and surgical drainage adequate. Thoracic management of the chest is essential.
    [Abstract] [Full Text] [Related] [New Search]