Mediastinitis necrotizante descendente de origen odontogénico

Descending necrotizing mediastinitis of odontogenic originObjective: to report a clinical case with diagnosis of a descending necrotizing mediastinitis of dental origin given its low incidence andhigh mortality, which was managed with an aggressive cervical drainage through thoracoscopy. Clinical Case: a case of a patient whichdevelops mediastinitis of dental origin whom it is diagnosed in an early manner, and treated with open cervicofacial drainage and abilateral thoracoscopy Discussion: descending necrotizing mediastinitis is a disease with a low incidence percentage but with a highmortality rate. Its medical treatment should be successful only if an early diagnosis is made and a correct drainage is performed. The goldstandard in its management resides in cervicofacial drainage plus mediastinal drainage though thoracotomy. Conclusion: to improve thesurvival rate of patients suffering descending necrotizing mediastinitis, an early suspicion is required to perform an early diagnosis. Inselected cases, mediastinal drainage can be made through thoracoscopy technique to improve the initial response in the immediate postsurgicaltime. (MÉD.UIS. 2012;25(1):71-4)Key words: Thorascocopy. Mediastinitis. Cervical drainage.

• Fecha de publicación: 2012
• Institución: Universidad Industrial de Santander
• Repositorio: Repositorio UIS
• Idioma: spa
• OAI Identifier: oai:noesis.uis.edu.co:20.500.14071/5682
• Acceso en línea: https://revistas.uis.edu.co/index.php/revistamedicasuis/article/view/2864; https://noesis.uis.edu.co/handle/20.500.14071/5682
• Rights: openAccess
• License: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)