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  • Title: [Mediastinitis and cervical fasciitis necroticans post extraction of 2 molars].
    Author: Zijderveld SA, van Swieten HA, Frenken JW, Yilmaz A.
    Journal: Ned Tijdschr Tandheelkd; 2007 Jun; 114(6):267-70. PubMed ID: 17695215.
    Abstract:
    A 38-year-old man developed dysphagia, fever and marked trismus, resulting in an abcess of the parafaryngeal region, soon after the surgical extraction of 2 mandibular molars. Despite systemic antibiotics and surgical drainage, the abcess spread to the mediastinum. Within a short space of time, cervical fasciitis necroticans and descending necrotizing mediastinitis developed. Because of the life-threatening health condition, the patient was admitted to a hospital for further treatment. He underwent surgical exploration of the cervical and sternal region, thoracotomy for mediastinal drainage, debridement, and daily mediastinal rinsing with hydrogen peroxide and betadine iodine. After 5 weeks intensive treatment, the patient could be discharged from the hospital in a fairly good condition of health.
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