Descending Necrotising Mediastinitis : A Case Report Illustrating a Trend in Conservative Management
Joint Authors
Jayasekera, B. A. P.
Dale, O. T.
Corbridge, R. C.
Source
Case Reports in Otolaryngology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
The mortality rate from descending necrotising mediastinitis (DNM) has declined since its first description in 1938.
The decline in mortality has been attributed to earlier diagnosis by way of contrast-enhanced computed tomographic (CT) scanning and aggressive surgical intervention in the form of transthoracic drainage.
We describe a case of DNM with involvement of anterior and posterior mediastinum down to the diaphragm, managed by cervicotomy and transverse cervical drainage with placement of corrugated drains and a pleural chest drain, with a delayed mediastinoscopy and mediastinal drain placement.
We advocate a conservative approach with limited debridement and emphasis on drainage of infection in line with published case series.
American Psychological Association (APA)
Jayasekera, B. A. P.& Dale, O. T.& Corbridge, R. C.. 2012. Descending Necrotising Mediastinitis : A Case Report Illustrating a Trend in Conservative Management. Case Reports in Otolaryngology،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-476859
Modern Language Association (MLA)
Jayasekera, B. A. P.…[et al.]. Descending Necrotising Mediastinitis : A Case Report Illustrating a Trend in Conservative Management. Case Reports in Otolaryngology No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-476859
American Medical Association (AMA)
Jayasekera, B. A. P.& Dale, O. T.& Corbridge, R. C.. Descending Necrotising Mediastinitis : A Case Report Illustrating a Trend in Conservative Management. Case Reports in Otolaryngology. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-476859
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-476859