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2014•Journal of Oral and Maxillofacial SurgeryRequires access

Odontogenic Descending Necrotizing Mediastinitis: Report of 5 Cases

Tong Yong-qin

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Abstract

Objective: To review and summarize the clinical characteristics and treatment outcomes of odontogenic descending necrotizing mediastinitis(ODNM). Methods: Five ODNM patients were retrospectively analyzed. 2 males and 3 females with a median age of 54.6 years. 3 patients had mandibular wisdom teeth pericoronitis and 2 patients had periapical abcess of molars. The diagnosis measures included clinical examination, CT scan, and bacteriological culture. Treatments consisted of antibiotic administration and aggressive transcervial(3 cases) and/or transthoracic surgical mediastinal drainage(2 cases). Patients hospitalized from 23 to 51 days, and the average stay was 29.2 days. Results: All patients achieved satisfactory recovery. Conclusion: Diagnosis without delay and aggressive surgical mediastinal drainage are significant in control of ODNM.

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Objective: To review and summarize the clinical characteristics and treatment outcomes of odontogenic descending necrotizing mediastinitis(ODNM). Methods: Five ODNM patients were retrospectively analyzed. 2 males and 3 females with a median age of 54.6 years. 3 patients had mandibular wisdom teeth pericoronitis and 2 patients had periapical abcess of molars. The diagnosis measures included clinical examination, CT scan, and bacteriological culture. Treatments consisted of antibiotic administration and aggressive transcervial(3 cases) and/or transthoracic surgical mediastinal drainage(2 cases). Patients hospitalized from 23 to 51 days, and the average stay was 29.2 days. Results: All patients achieved satisfactory recovery. Conclusion: Diagnosis without delay and aggressive surgical mediastinal drainage are significant in control of ODNM.

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Available abstract

Objective: To review and summarize the clinical characteristics and treatment outcomes of odontogenic descending necrotizing mediastinitis(ODNM). Methods: Five ODNM patients were retrospectively analyzed. 2 males and 3 females with a median age of 54.6 years. 3 patients had mandibular wisdom teeth pericoronitis and 2 patients had periapical abcess of molars. The diagnosis measures included clinical examination, CT scan, and bacteriological culture. Treatments consisted of antibiotic administration and aggressive transcervial(3 cases) and/or transthoracic surgical mediastinal drainage(2 cases). Patients hospitalized from 23 to 51 days, and the average stay was 29.2 days. Results: All patients achieved satisfactory recovery. Conclusion: Diagnosis without delay and aggressive surgical mediastinal drainage are significant in control of ODNM.

Key concepts: Medicine, Mediastinitis, Odontogenic, Odontogenic infection, Pericoronitis, Surgery, Incision and drainage, Molar

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