Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Four Cases of Descending Necrotizing Mediastinitis

하행 괴사성 종격동염 4례

  • Park, Gyu-Wook (Department of Otorhinolaryngology-Head and Neck Surgery, Catholic University of Daegu School of medicine) ;
  • Kim, Jeong-Kyu (Department of Otorhinolaryngology-Head and Neck Surgery, Catholic University of Daegu School of medicine)
  • 박규욱 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 김정규 (대구가톨릭대학교 의과대학 이비인후과학교실)
  • Published : 2006.12.26
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Abstract

Descending necrotizing mediastinitis (DNM) is defined as mediastinal infection that begins at the cervical region and spread through deep fascial planes into the mediastinum. This is a rare and life-threatening complication of deep neck space infection. As infection reaches the mediastinum, widespread cellulitis, necrosis, abscess formation and sepsis may occur. So, early diagnosis and immediate antibiotics and surgical treatment are required to improve the poor prognosis of DNM. We present four cases of deep neck infection causing a virulent mediastinitis with a literature review.

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