RT Journal Article
T1 Survival rate of odontogenic descending necrotizing mediastinitis. Our experience in last 5 years
A1 Sada Urmeneta, Ángela
A1 Agea Martínez, Marc
A1 Monteserín Martínez, Eduardo
A1 Antúnez Conde, Raúl
A1 Gascón Alonso, Dafne
A1 Arenas de Frutos, Gema
A1 Navarro Cuéllar, Carlos
A1 Navarro Cuéllar, Ignacio
AB 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.
PB Valencia Medicina Oral
SN 1698-4447
YR 2022
FD 2022-09-29
LK https://hdl.handle.net/20.500.14352/107933
UL https://hdl.handle.net/20.500.14352/107933
LA eng
NO Sada-Urmeneta Á, Agea-Martínez M, Monteserín-Martínez E, Antúnez-Conde R, Gascón-Alonso D, Arenas-De-Frutos G, et al. Survival rate of odontogenic descending necrotizing mediastinitis. Our experience in last 5 years. Med Oral Patol Oral Cir Bucal. 2023 Jan 1;28 (1):e65-71.
DS Docta Complutense
RD 7 abr 2025