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Online Hizmetlere Toplu BakışSouthern Clinics Of Istanbul Eurasia
South Clin Ist Euras. 2012; 23(1): 45-48 | DOI: 10.5505/jkartaltr.2012.30932 | |||
Desendan nekrotizan mediastinit: Nadir bir olguTülin Durgun Yetim1, Şemsettin Okuyucu2, Sabahat Genç Akoğlu3, Ali Balcı4, Güldem Ekşi21Mustafa Kemal Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Hatay2Mustafa Kemal Üniversitesi Tıp Fakültesi, KBB Hastalıkları Anabilim Dalı, Hatay 3Mustafa Kemal Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Hatay 4Mustafa Kemal Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Hatay Desendan nekrotizan mediastinit (DNM) nadir, fakat yüksek oranda ölümcül seyreden bir durumdur. Sıklıkla orofarenjeal veya odontojenik şiddetli enfeksiyonlara bağlı gelişen bir Descending necrotizing mediastinitis: A rare caseTülin Durgun Yetim1, Şemsettin Okuyucu2, Sabahat Genç Akoğlu3, Ali Balcı4, Güldem Ekşi21Mustafa Kemal University Faculty of Medicine, Department of Thoracic Surgery, Hatay, Turkey2Mustafa Kemal University Faculty of Medicine, Department of Otorhinolaringology, Hatay, Turkey 3Mustafa Kemal University Faculty of Medicine, Department of Chest Diseases, Hatay, Turkey 4Mustafa Kemal University Faculty of Medicine, Department of Radiology, Hatay, Turkey Descending necrotizing mediastinitis (DNM) is a rare fatal complication. It mostly develops due to severe oropharyngeal or odontogenic infections. A 50-year-old female patient who admitted to our department with the diagnosis of DNM underwent tracheotomy, and the abscess in her neck was drained with transcervical resection. Necrotic tissue in the area was debrided. Since thorax computerized tomography revealed formation of empyema pouches and emission of pus content from the retropharyngeal area into the mediastinum, decortication and empyemectomy were performed. The mediastinal pleura was resected and the mediastinum was cleaned. The patient was discharged with full recovery. Descending mediastinitis secondary to a deep neck infection is a rare occurrence. This study aims to share this successfully treated case in the light of the literature. Keywords: Descending necrotizing mediastinitis, deep neck infection, secondaryTülin Durgun Yetim, Şemsettin Okuyucu, Sabahat Genç Akoğlu, Ali Balcı, Güldem Ekşi. Descending necrotizing mediastinitis: A rare case. South Clin Ist Euras. 2012; 23(1): 45-48 Sorumlu Yazar: Tülin Durgun Yetim, Türkiye |
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