Abstract

TAKAHASHI AGUILAR, Carlos Taitó; ENRIQUEZ DOMINGUEZ, Lenin Leopoldo; DIAZ ROSALES, Juan de Dios  and  FRANCO GARROCHO, Laura Elena. Descending necrotizing mediastinitis of odontogenic origin. Medicas UIS [online]. 2012, vol.25, n.1, pp.71-74. ISSN 0121-0319.

Objective: to report a clinical case with diagnosis of a descending necrotizing mediastinitis of dental origin given its low incidence and high mortality, which was managed with an aggressive cervical drainage through thoracoscopy. Clinical Case: a case of a patient which develops mediastinitis of dental origin whom it is diagnosed in an early manner, and treated with open cervicofacial drainage and a bilateral thoracoscopy Discussion: descending necrotizing mediastinitis is a disease with a low incidence percentage but with a high mortality rate. Its medical treatment should be successful only if an early diagnosis is made and a correct drainage is performed. The gold standard in its management resides in cervicofacial drainage plus mediastinal drainage though thoracotomy. Conclusion: to improve the survival rate of patients suffering descending necrotizing mediastinitis, an early suspicion is required to perform an early diagnosis. In selected cases, mediastinal drainage can be made through thoracoscopy technique to improve the initial response in the immediate postsurgical time. (MÉD.UIS. 2012;25(1):71-4)

Keywords : Thorascocopy; Mediastinitis; Cervical drainage.

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