Survival rate of odontogenic descending necrotizing mediastinitis. Our experience in last 5 years.

IF 2.2 3区医学

Medicina oral, patologia oral y cirugia bucal Pub Date : 2023-01-01 DOI:10.4317/medoral.25585

Á Sada-Urmeneta, M Agea-Martínez, E Monteserín-Martínez, R Antúnez-Conde, D Gascón-Alonso, G Arenas-De-Frutos, C Navarro-Cuellar, I Navarro-Cuellar

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引用次数: 3

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 and methods: 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.

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牙源性降性坏死性纵隔炎的生存率。我们过去5年的经验。

背景:下行坏死性纵隔炎是最致命和最不常见的纵隔炎之一。这是一种危及生命的感染，最常起源于口咽或牙源性感染。材料与方法:对2015 - 2020年诊断并治疗的6例下行坏死性纵隔炎患者进行回顾性研究。结果:所有患者均为男性，平均年龄34.83岁;66%的人吸烟。83%有宫颈感染，34%有最初的纵隔扩散。所有患者最初使用经验性广谱抗生素和手术引流治疗，随后进入重症监护病房;其中只有一人需要气管切开术。平均住院时间27.37天。平均随访6个月后，100%的病例完全康复。结论:早期诊断和手术治疗结合重症监护病房改善生命支持治疗和广谱抗生素治疗可降低相关死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medicina oral, patologia oral y cirugia bucal Medicine-Surgery

CiteScore

4.50

自引率

0.00%

发文量

期刊介绍： 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology