ArticleMedicine2017
Less invasive management of deep neck infection and descending necrotizing mediastinitis: A single-center retrospective study.
Article in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Narrative review of descending necrotizing mediastinitis, focusing on the etiology, classification-guided surgical management, treatments, and prognosis.Mediastinum (Hong Kong, China) · 2026Review
- Descending Necrotizing Mediastinitis, When Mediastinal Drainage By Thoracoscopy Is Not Sufficient: Case Report and Review of the Literature.Clinical medicine insights. Case reports · 2026Article
- Unexpected Life-Threatening Reactions During Surgical Management of Deep Neck Infections.Case reports in dentistry · 2026Article
- Vacuum sealing drainage combined with continuous irrigation for the treatment of oral and maxillofacial abscesses-a retrospective study.BMC oral health · 2025Article
- Deep Neck Infections: The Effectiveness of Therapeutic Management and Bacteriological Profile.Medicina (Kaunas, Lithuania) · 2025Observational
- Descending Necrotizing Mediastinitis in Healthy Young Adults: The Fatal Consequence of the Delayed Help.Reports (MDPI) · 2024Article
- Demographic, clinical, and paraclinical features of patients operated with the diagnosis of acute descending necrotizing mediastinitis: a retrospective study in Southern Iran.Journal of cardiothoracic surgery · 2023Article
- Efficacy of Continuous Saline Irrigation Therapy for Descending Necrotizing Mediastinitis.Surgery journal (New York, N.Y.) · 2023Article
- Management of descending necrotizing mediastinitis with severe thoracic empyema using minimally invasive video-assisted thoracoscopic surgery: a case report.Translational pediatrics · 2022Article
- [Diagnosis and treatment of 12 patients with deep neck infection and inferior mediastinal infection].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2021Article
- Article
- Multidisciplinary treatment of deep neck infection associated with descending necrotizing mediastinitis: a single-centre experience.The Journal of international medical research · 2019Article
- Microorganisms involved in deep neck infection (DNIs) in Greece: detection, identification and susceptibility to antimicrobials.BMC infectious diseases · 2019Article
- Computed tomography-guided navigation assisted drainage for inaccessible deep neck abscess: A case report.Medicine · 2019Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
By a 7-year retrospective review, we reported our experience in management of descending necrotizing mediastinitis (DNM) and deep neck infection (DNI). A retrospective design was used to reveal the clinical characteristics of DNI and DNM. The clinical outcome was analyzed to validate less invasive management. We reviewed 82 patients between 2009 and 2016, 12 of which were diagnosed as DNM by clinical and computed tomography findings. A total of 35 patients had relevant systemic conditions, mainly diabetes mellitus (19 patients). Most cases were secondary to oropharyngeal or dental infections. All patients underwent transcervical drainage, and 10 DNM patients were treated with additional closed thoracic drainage simultaneously. Twenty patients accepted more than 1 operation. Seven patients died as a result of sepsis and/or multiple organ failure. The mortality rate in our study was similar to that in other studies. In our opinion, less invasive therapies are useful to most patients. Transcervical drainage alone is optimal management for all DNI cases and some DNM cases. Additional closed thoracic drainage is enough for type I and IIA DNM with pleural effusion or empyema.
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