Mediastinitis necrotizante descendente de origen odontogénico
to report a clinical case with diagnosis of a descending necrotizing mediastinitis of dental origin given its low incidence and high mortality, which was managed with an aggressive cervical drainage through thoracoscopy. Clinical Case: a case of a patient which develops mediastinitis of dental origi...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Universidad Industrial de Santander
2012
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| Subjects: | |
| Online Access: | https://dialnet.unirioja.es/servlet/oaiart?codigo=4054451 |
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| Summary: | to report a clinical case with diagnosis of a descending necrotizing mediastinitis of dental origin given its low incidence and
high mortality, which was managed with an aggressive cervical drainage through thoracoscopy. Clinical Case: a case of a patient which
develops mediastinitis of dental origin whom it is diagnosed in an early manner, and treated with open cervicofacial drainage and a
bilateral thoracoscopy Discussion: descending necrotizing mediastinitis is a disease with a low incidence percentage but with a high
mortality rate. Its medical treatment should be successful only if an early diagnosis is made and a correct drainage is performed. The gold
standard in its management resides in cervicofacial drainage plus mediastinal drainage though thoracotomy. Conclusion: to improve the
survival rate of patients suffering descending necrotizing mediastinitis, an early suspicion is required to perform an early diagnosis. In
selected cases, mediastinal drainage can be made through thoracoscopy technique to improve the initial response in the immediate postsurgical
time. (MÉD.UIS. 2012;25(1):71-4) |
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