Descending necrotizing mediastinitis is a rare life- threatening complication of odontogenic or oropharyngeal infection spreading into the mediastinum through the cervical fasciae. Despite improvements in diagnostic imaging and treatment, its mortality rate remains relatively high. We describe a unique case of descending necrotizing mediastinitis leading to the formation of a fistula in the lateral wall of the hypopharynx. The fistula, providing spontaneous drainage of the purulent mediastinitis, contributed to the successful outcome of the patient requiring only transcervical surgical drainage.

Successful conservative treatment of descending necrotizing mediastinitis with fistola formation in the hypopharinx

FALCONE M;
2005-01-01

Abstract

Descending necrotizing mediastinitis is a rare life- threatening complication of odontogenic or oropharyngeal infection spreading into the mediastinum through the cervical fasciae. Despite improvements in diagnostic imaging and treatment, its mortality rate remains relatively high. We describe a unique case of descending necrotizing mediastinitis leading to the formation of a fistula in the lateral wall of the hypopharynx. The fistula, providing spontaneous drainage of the purulent mediastinitis, contributed to the successful outcome of the patient requiring only transcervical surgical drainage.
2005
Falcone, M; Pompeo, Me; Pavoni, G; Fusconi, M; Soldo, P; P., Palange; Venditti, M
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11568/928297
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