• Maxillofacial Plastic and Reconstructive Surgery
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• 제17권3호
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• pp.296-301
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• 1995

Acute mediastinitis is almost always secondary to some other condition, and most cases are due to esophageal perforation. Although acute mediastinitis from odontogenic infection is extremely rare in the era of antibiotic drugs, some more fulminant odontogenic infections can produce complications including airway obstruction, necrotizing fascitis and extension of the infection to thorax. Irrespective of the changing incidence of etiologic factors, unless the pathophysiology of acute mediastinitis and its causes are understood and the conditions promptly recognized and properly treated, the result may be prolonged illness and even death. We experienced a case of odontogenic infection followed by acute mediastinitis and present review of literature.

• Journal of Chest Surgery
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• 제31권7호
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• pp.722-724
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• 1998

대동맥수술 후 발생하는 종격동염은 혈관이식편의 감염이 필연적으로 동반되므로 그 치료가 용이하지 않은 것으로 알려져 있다. 저자들은 최근 급성 대동맥 박리증으로 상행대동맥 및 대동맥궁 일부를 인공혈관으로 대체 후 발생한 급성 종격동염 환자 1례에서, 감염된 인공혈관을 제거하지 않고 대망편의 이동을 통하여 치료하여 만족스러운 결과를 얻었기에 문헌고찰과 함께 보고하고자 한다.

• 대한기관식도과학회지
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• 제2권2호
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• pp.253-257
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• 1996

Deep neck infections were flirty common and a source of considerable morbidity and mortality. Although the advent of antibiotics has reduced the overall number of deep neck infections, they still occur in the general population. There are several new groups of patients at risk for deep neck infections, such as immunocompromised individuals, those with underlying diseases. Prevention of the severe sequale that may be associated with deep neck infections- mediastinitis, airway obstruction, carotid artery hemorrhage, aspiration pneumonia, septicemia - requires a knowledge of various portals of entry for infection, the presenting sign and symptoms, the possible microbiologic features, appropriate laboratory and radiologic workups, therapeutic techniques, and the ongoing medical management. A prompt diagnosis and institution of therapy will shorten the course of required treatment and reduce morbility and mortility. The authors have experienced one case of acute mediastinitis in deep neck infection patient with diabetes mellitus.

• Tuberculosis and Respiratory Diseases
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• 제53권3호
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• pp.344-348
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• 2002

저자 등은 자리돔 가시를 먹고 흉부통증과 호흡곤란을 호소하여 내원한 환자에서 흉부전산화단층촬영에서 종격동염을 진단하고 보존적 치료에 의해 호전된 급성종격동염 1예를 경험 하였기에 문헌 고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제49권5호
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• pp.401-404
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• 2016

The formation of aortic thrombi is an extremely rare complication of acute pancreatitis. Here we report a case of acute pancreatitis complicated by a paraesophageal pseudocyst, necrotizing mediastinitis, and the formation of multiple thrombi in the ascending aorta. The patient was successfully treated by surgical therapy, which included extensive debridement of the mediastinum and removal of the aortic thrombi under cardiopulmonary bypass. Although esophageal resection was not carried out concomitantly, the lesions were resolved and the patient remained free of complications over 2 years of follow-up care.

• Journal of Chest Surgery
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• 제24권12호
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• pp.1228-1231
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• 1991

One of the most lethal forms of mediastinitis is descending necrotizing mediastinitis, in which infection arising from the oropharynx spreads to the mediastinum. Despite the development of computed tomographic scanning to aid in the early diagnosis of mediastinitis, the past 30 years, in large part because of continued dependence on transcervical mediastinal drainage, Although transcervical drainage is usually effective in the treatment of acute mediastinitis due to a cervical esophageal perforation, these approach in the patient with descending necrotizing mediastinitis fails to provide adequate drainage and pre-disposes to sepsis and a poor outcome. In addition to cervical drainage, aggressive, early mediastinal exploration - debridement and drainage through a subxiphoid incision or thoracotomy - is advocated to salvage the patient with descending necrotizing mediastinitis.

• Journal of Chest Surgery
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• 제6권1호
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• pp.95-100
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• 1973

This is a report on a total of four cases of esophageal perforation due to fish bone in the Department of Thoracic Surgery, Hanyang University Hospital. The perforated portions of esophagus were upper third of esophagus, that is, cervical esophalgus principally. The complications after esophageal perforation were acute mediastinitis with mediastinal emphysema in 2 cases, acute mediastinitis with both pyothorax in one case and cervical subcutaneous abscess alone in one case. Collar mediastinostomy was required to control disturbance of cardiopulmonary function as emergency procedure. Gastrostomy was of worthy for the various purposes, that` is, for feeding, absolute rest of the esophagus, and for prevention against continuous infection from esophageal leakage. After the gastrostomy. 3 cases were healed by spontaneous closure of esophageal perforation between one to four weeks. One case expired from severe septic shock due to acute diffuse mediastinitis and both pyothorax.

• Journal of Chest Surgery
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• 제35권11호
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• pp.842-846
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• 2002

하행 괴사성 종격동염은 치원성 및 구강인두 감염증의 합병증으로 발병되며 높은 사망률을 보이는 질환이다. 자연성 인두천공이 원인이 되어 발생한 급성 하행 괴사성 종격동염은 국내에서 보고된 바 없으며 영어로 발표된 문헌들을 조사해서도 한 증례만 검색할 수 있었다. 본 증례의 치료과정 중 종격동내의 배농관이 정확하게 위치되어서 효과적인 배농술이 이루어져야 환자의 생존률을 높이는데 도움이 되리라고 생각되었다. 가톨릭 대학교 의과대학 흉부외과학 교실에서는 자연성 하인두 천공에 의해 발생한 급성 하행 괴사성 종격동염의 증례를 치험하였기에 보고하는 바이다.

• Pediatric Infection and Vaccine
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• 제13권1호
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• pp.78-84
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• 2006

의학적 처치에 의한 기구 삽입과 관계없이 우연히 구인두부의 천공이나 외상을 겪은 후 발생한 후측인두부농양 및 종격동염의 소아에서 보고는 드물다. 이 질환들은 조기에 의심하고 진단과 처치를 하는 것이 중요한데 나이 어린 소아에서는 증상 및 징후가 비특이적일 수 있으므로 진단을 위해 각별한 주의가 요구된다. 또한, 구강내 외상의 병력이 있는 소아에서는 당시에 별다른 증상이 없다하더라도 잠재적으로 심각한 합병증이 발생할 수 있음을 항상 숙지해야 한다. 저자들은 감염의 시발점이 된 경부 심부감염의 증상과 징후는 뚜렷하지 않고 이로 인한 이차적인 흉강 합병증을 주소로 내원한 소아에서 농기흉이 먼저 발견된 후 외상에 의한 후측인두부농양과 급성하행성 괴사성종격동염이 진단되어 항생제 및 광범위한 수술적 치료로 치유된 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제32권6호
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• pp.577-581
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• 2010

Descending necrotizing mediastinitis (DNM) is a complication of odontogenic or oropharyngeal infections that can spread to the mediastinum. Such infections is serious, leading to sepsis and frequently to death. Even in this era of antibiotics, the mortality rate associated with DNM is approximately 40%. It is difficult to diagnose early because clinical and radiologic findings appear in the late stage of the infection. Delayed diagnosis is the principal reason for the high mortality in DNM. Therefore, descending necrotizing mediastinitis requires an early and aggressive surgical approach to reduce the high morbidity and mortality associated with this disease. We experienced a case of odontogenic infection followed by acute mediastinitis, so present now with the review of literatures.