%0 Journal Article
%A Sada Urmeneta, Ángela
%A Agea Martínez, Marc
%A Monteserín Martínez, Eduardo
%A Antúnez Conde, Raúl
%A Gascón Alonso, Dafne
%A Arenas de Frutos, Gema
%A Navarro Cuéllar, Carlos
%A Navarro Cuéllar, Ignacio
%T Survival rate of odontogenic descending necrotizing mediastinitis. Our experience in last 5 years
%D 2022
%@ 1698-4447
%U https://hdl.handle.net/20.500.14352/107933
%X BackgroundDescending 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 MethodsA retrospective study of 6 patients diagnosed and treated for descending necrotising mediastinitis between 2015 and 2020 is reported.ResultsAll 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.ConclusionsEarly 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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