Survival rate of odontogenic descending necrotizing mediastinitis. Our experience in last 5 years
Med. oral patol. oral cir. bucal (Internet)
; 28(1): e65-e71, ene. 2023. ilus, tab
Article
en En
| IBECS
| ID: ibc-214885
Biblioteca responsable:
ES1.1
Ubicación: ES15.1 - BNCS
ABSTRACT
Background:
Descending necrotising mediastinitis is one of the most lethal and least frequent forms of mediastinitis. It is a life-threatening infection most frequently originating from an oropharyngeal or odontogenic infection.Material andmethods:
A retrospective study of 6 patients diagnosed and treated for descending necrotising mediastinitis between 2015 and 2020 is reported.Results:
All patients were male, mean age of 34.83 years; 66% were smokers. 83% had an orocervical infection and 34% had initial mediastinal spread. All patients were treated initially with empirical broad-spectrum antibiotics and surgical drainage, with subsequent admission to the Intensive Care Unit; only one of them required tracheostomy. The mean hospital stay was 27.37 days. After a mean follow-up of 6 months, 100% of the cases had a complete recovery.Conclusions:
Early diagnosis and surgical treatment combined with improved life-support treatment in intensive care units and broad-spectrum antibiotic therapy leads to a decrease in associated mortality. (AU)Palabras clave
Texto completo:
1
Colección:
06-national
/
ES
Base de datos:
IBECS
Asunto principal:
Mediastinitis
Límite:
Adult
/
Female
/
Humans
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Male
Idioma:
En
Revista:
Med. oral patol. oral cir. bucal (Internet)
Año:
2023
Tipo del documento:
Article