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Management of Deep Neck Infection with Descending Mediastinitis using Video-Assisted Thoracoscopic Surgery.
- Source :
-
IIUM Medical Journal Malaysia . Jul2023, Vol. 22 Issue 3, p154-157. 4p. - Publication Year :
- 2023
-
Abstract
- Descending mediastinitis is defined as the spread of oropharyngeal or odontogenic infection into the mediastinum. It occurs uncommonly and has a high mortality rate. Prompt commencement of broad-spectrum antibiotics combined with surgical drainage is crucial to limit further spread of infection. We report a case of extensive deep neck infection in a 66-year-old female which rapidly progressed to the contralateral neck complicated by descending anterior mediastinitis. She underwent a combined transcervical and video-assisted thoracoscopic surgery (VATS) for drainage of abscess and was put on 3 weeks of intravenous antibiotics coupled with another 3 weeks of oral antibiotics. Deep neck infection with descending mediastinitis can be successfully treated with antibiotics and early surgical drainage via a combined transcervical and VATS approach. [ABSTRACT FROM AUTHOR]
- Subjects :
- *VIDEO-assisted thoracic surgery
*MEDIASTINITIS
*NECK
*INFECTION
*SURGICAL drainage
Subjects
Details
- Language :
- English
- ISSN :
- 18234631
- Volume :
- 22
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- IIUM Medical Journal Malaysia
- Publication Type :
- Academic Journal
- Accession number :
- 169939020
- Full Text :
- https://doi.org/10.31436/imjm.v22i3