Korean J Thorac Cardiovasc Surg.  2000 Aug;33(8):693-696.

Descending Necroting Mediastinitis: 1 case report

• Kang HS
• Lee S
• Kwon OC
• Ahn WS
• Bae CH

Abstract

Descending necrotizing mediastinitis (DNM) is one of the most lethal form of mediastinitis originating from an oropharyngeal infection. It requires an early and aggressive sugical treatment, but the operative approach and optimal form of mediastinal drainage remains controversial. We report a case of DNM in a 45-year-old male who underwent right cervicomediastinotomy to drain the deep neck space, upper mediastinum and anterior mediastinal drainage was accomplished through a subxiphoid approach. After this procedure, he steadily improved and was dischrged on hospital day 36. We report this case with a brief review of the literature.

MeSH Terms

Drainage
Humans
Male
Mediastinitis*
Mediastinum
Middle Aged
Neck