Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Descending Necroting Mediastinitis -1 case report-

하행 괴사성 종격동염 -1례 보고-

  • Kang, Hyong-Seok (Department of Thoracic & cardiovascular Surgery, School of Medicine, Catholic University of Taegu) ;
  • Lee, Sub (Department of Thoracic & cardiovascular Surgery, School of Medicine, Catholic University of Taegu) ;
  • Kwon, Oh-Choon (Department of Thoracic & cardiovascular Surgery, School of Medicine, Catholic University of Taegu) ;
  • Ahn, Wook-Su (Department of Thoracic & cardiovascular Surgery, School of Medicine, Catholic University of Taegu) ;
  • Bae, Chi-Hoon (Department of Thoracic & cardiovascular Surgery, School of Medicine, Catholic University of Taegu)
  • 강형석 (대구가톨릭 대학병원 흉부외과) ;
  • 이섭 (대구가톨릭 대학병원 흉부외과) ;
  • 권오춘 (대구가톨릭 대학병원 흉부외과) ;
  • 안욱수 (대구가톨릭 대학병원 흉부외과) ;
  • 배지훈 (대구가톨릭 대학병원 흉부외과)
  • Published : 2000.08.01
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Abstract

Descending necrotizing mediastinitis(DNM) is one of the most lethal form of mediastinitis originating from an oropharyngeal infection. It requires an early and aggressive sugical treatment, but the operative approach and optimal form of mediastinal drainage remains controversial. We report a case of DNM in a 45-year-old male who underwent right cervicomediastinotomy to drain the deep neck space, upper mediastinum and anterior mediastinal drainage was accomplished through a subxiphoid approach. After this procedure, he steadily improved and was dischrged on hospital day 36. We report this case with a brief review of the literature.

Keywords

References

  1. Surg Gynecol Obstel v.157 Descending necrotizing mediaslinitis Estrera AS;Landay MJ;Grisham J(et al)
  2. 대흉외지 v.24 Descending necrotizing mediastinitis;치험 1례 류삼열;배병우;성시찬(등)
  3. 대흉외지 v.32 편도주위농양에 합병된 하행괴사성 종격등염;치험 1례 최필조;이용훈;우종수(등)
  4. Ann Thorac Surg v.49 Descending necrotizing mediastinitis: transcervical drainage is not enough Whcatley MJ;Stirling MC;Kirsh MM
  5. J Thorac Cardiovasc Surg v.107 Descending necrotizing mediastinitis: advantage of mediastinal drainage with thoracotomy Marty-Ane HC;Alauzen M;Alric P(et al)
  6. Ann Thorc Surg v.62 Descending necrotizing mediastinitis: Surgical treatment via clamshell approach Ris HB;Banic A;Furrer M(et al)
  7. J Thorac Cardiovasc Surg v.119 Descending necrotizing mediastinitis: An annalysis of the effect of serial surgical debridement on patient mortality Richard K;Eric Vallicres;Edward D(et al)
  8. J Thoracic Cardiovasc Surg v.107 Descending necrotizing mediatinitis: Advantage of mediastinal drainage with thoracotomy Charles-Henry MA;Michael A;Pierre A(et al)