Less invasive management of deep neck infection and descending necrotizing mediastinitis: A single-center retrospective study
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TLDR
Transcervical drainage alone is optimal management for all DNI cases and some DNM cases and additional closed thoracic drainage is enough for type I and IIA DNM with pleural effusion or empyema.About:
This article is published in Medicine.The article was published on 2017-04-01 and is currently open access. It has received 17 citations till now. The article focuses on the topics: Mediastinitis & Empyema.read more
Citations
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Journal ArticleDOI
Negative Pressure Wound Therapy in the Head and Neck: An Evidence-Based Approach.
Ahsan Mir,Nicholas Guys,Khashayar Arianpour,Peter F. Svider,Hani Rayess,Giancarlo Zuliani,Giancarlo Zuliani,S. Naweed Raza,S. Naweed Raza,Ho-Sheng Lin,Ho-Sheng Lin +10 more
TL;DR: To perform an evidence‐based review with recommendations that evaluates the indications and utility of negative pressure wound therapy in the head and neck.
Journal ArticleDOI
Multidisciplinary treatment of deep neck infection associated with descending necrotizing mediastinitis: a single-centre experience.
TL;DR: Early diagnosis, proper airway management, and adequate surgical drainage are crucial for reducing mortality in patients with DNM, and minimally invasive procedures also play an important role.
Journal ArticleDOI
Microorganisms involved in deep neck infection (DNIs) in Greece: detection, identification and susceptibility to antimicrobials
Despoina Beka,Vasileios A. Lachanas,Stergios Doumas,Stelios Xytsas,Anastasios Kanatas,Efi Petinaki,Charalampos Skoulakis +6 more
TL;DR: DNIs represent a medical and surgical emergency and evidence-guided empirical treatment with intravenous infusion of antibiotics at the time of diagnosis is mandatory, highlighting the importance of epidemiological studies regarding the causative microorganisms.
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Management of a difficult infectional disease: Descending necrotizing mediastinitis.
TL;DR: The critical point in the management of DNM is the correct diagnosis, rapid surgical intervention with antibiotherapy and close follow-up for possible complications as the combination of minimally invasive management as VATS-tube thoracostomy with CMD is the most appropriate surgical interventions.
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Management of Descending Necrotizing Mediastinitis, a Severe Complication of Deep Neck Infection, Based on Multidisciplinary Approaches and Departmental Co-Ordination.
TL;DR: Multidisciplinary approaches, early comprehensive medical treatment, and co-ordination among departments significantly reduce mortality in patients with severe inflammation and high CRP levels.
References
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Journal Article
Descending necrotizing mediastinitis.
TL;DR: It is believed that only through aggressive combined medical and surgical management can the highly morbid, if not lethal, course of DNM be reversed.
Journal ArticleDOI
Guideline of surgical management based on diffusion of descending necrotizing mediastinitis
Shunsuke Endo,Fumio Murayama,Tsuyoshi Hasegawa,Shinichi Yamamoto,Tsutomu Yamaguchi,Yasunori Sohara,Katsuo Fuse,Mamoru Miyata,Hiroshi Nishino +8 more
TL;DR: Situations where infection has spread to posterior medisatinum, particularly when it reaches in the level of the carina (descending necrotizing mediastinitis-type I), may not always require aggressive mediastinal drainage.
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Descending necrotizing mediastinitis: An analysis of the effects of serial surgical debridement on patient mortality☆☆☆★
TL;DR: An algorithm incorporating computed tomographic imaging for diagnosis and surveillance and serial transcervical and transthoracic operative drainage is outlined in the hope of reducing the excessive mortality of descending necrotizing mediastinitis.
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Descending necrotizing mediastinitis: contemporary trends in etiology, diagnosis, management, and outcome.
Gerd Jürgen Ridder,Wolfgang Maier,Susanne Kinzer,Christian B. Teszler,Carsten Christof Boedeker,Jens Pfeiffer +5 more
TL;DR: Although DNM remains an aggressive infection with high morbidity, a favorable outcome can now be obtained in 85% of patients, even with this selective approach, according to a retrospective study based on the management of 45 patients with DNM.
Journal ArticleDOI
Descending necrotizing mediastinitis: a retrospective surgical experience.
Luis Miguel Melero Sancho,Helio Minamoto,Angelo Fernandez,Luiz Ubirajara Sennes,Fábio Biscegli Jatene +4 more
TL;DR: Early diagnosis by CAT scan of the neck and thorax aids in rapid indication of a surgical approach of Descending necrotizing mediastinitis can significantly reduce the mortality rate for this condition to 14%.