Evidence map›Paper›PMID 42592242›Full record

ReviewCureus2026

Recognizing Descending Necrotizing Mediastinitis in Adults: A Narrative Review of Diagnostic Dilemmas and Barriers.

Christina Avgoustou, Constantinos Avgoustou

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Christina AvgoustouFourth Department of Internal Medicine, National and Kapodistrian University of Athens, Athens, GRC.
Constantinos AvgoustouDepartment of Surgery, General Hospital of Nea Ionia "Konstantopouleio", Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unrecognized, untreated, or treatment-resistant deep neck infections (DNIs), commonly originating from oropharyngeal or odontogenic sources, can rapidly lead to life-threatening complications such as airway obstruction, systemic sepsis, and descending necrotizing mediastinitis (DNM). Severe infections may spread downward from the head and neck through and along fascial planes into the mediastinum. This process continues to be associated with high mortality rates and severe associated morbidity. Early diagnosis remains particularly difficult and challenging, and delayed recognition is linked to poor clinical outcomes. However, modern, tailored multidisciplinary management approaches, including prompt diagnosis and timely, coordinated medico-surgical treatments, have improved survival rates. Optimizing clinical outcomes is fundamentally time-dependent, necessitating earlier recognition of the disease and faster initiation of effective therapeutic interventions. This review highlights key considerations for ensuring an efficient and timely diagnostic evaluation throughout the progression of this potentially fatal infection.

Indexed as

deep neck infectiondescending necrotizing mediastinitisdiagnostic challengesmultidisciplinary approachprompt evaluation

Identifiers

PMID42592242
PMCPMC13464360

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.