Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
권호 표지

Descending Necrotizing Mediastinitis

하행 괴사성 종격동염

  • Shin, Hwa-Kyun (Department of Thoracic & cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Won, Yong-Soon (Department of Thoracic & cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Youm, Wook (Department of Thoracic & cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine)
  • 신화균 (순천향대학교부속 부천병원 흉부외과학교실) ;
  • 원용순 (순천향대학교부속 부천병원 흉부외과학교실) ;
  • 염욱 (순천향대학교부속 부천병원 흉부외과학교실)
  • Published : 2002.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

A 44-year-old man was admitted to our hospital because of high fever, neck swelling, and dyspnea. He was diagnosed as descending necrotizing mediastinitis (DNM) extended from oropharyngeal infection. Descending necrotizing mediastinitis(DNM) is a lethal process originating from odontogenic. oropharyngeal, or cervical infections that descends along the fascial planes into the mediastinum. DNM is relatively rare, but it is lethal disease with high mortality. Immediate and sufficient mediastinal drainage is indispensable for the disease. The principles of the surgical approach for DNM are discussed, with a brief review of the literature following these case reports.

Keywords