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DESCENDENDING NECROTIZING MEDIASTINITIS SINGLE CENTER EXPERIENCE

Ivan Kovačić
Marijan Kovačić

Puni tekst: hrvatski, pdf (454 KB) str. 0-0 preuzimanja: 62* citiraj
APA 6th Edition
Kovačić, I. i Kovačić, M. (2014). DESCENDENTNI NEKROTIČNI MEDIJASTINITIS ISKUSTVO JEDNOG CENTRA. Liječnički vjesnik, 136 (7-8), 0-0. Preuzeto s https://hrcak.srce.hr/172614
MLA 8th Edition
Kovačić, Ivan i Marijan Kovačić. "DESCENDENTNI NEKROTIČNI MEDIJASTINITIS ISKUSTVO JEDNOG CENTRA." Liječnički vjesnik, vol. 136, br. 7-8, 2014, str. 0-0. https://hrcak.srce.hr/172614. Citirano 19.10.2019.
Chicago 17th Edition
Kovačić, Ivan i Marijan Kovačić. "DESCENDENTNI NEKROTIČNI MEDIJASTINITIS ISKUSTVO JEDNOG CENTRA." Liječnički vjesnik 136, br. 7-8 (2014): 0-0. https://hrcak.srce.hr/172614
Harvard
Kovačić, I., i Kovačić, M. (2014). 'DESCENDENTNI NEKROTIČNI MEDIJASTINITIS ISKUSTVO JEDNOG CENTRA', Liječnički vjesnik, 136(7-8), str. 0-0. Preuzeto s: https://hrcak.srce.hr/172614 (Datum pristupa: 19.10.2019.)
Vancouver
Kovačić I, Kovačić M. DESCENDENTNI NEKROTIČNI MEDIJASTINITIS ISKUSTVO JEDNOG CENTRA. Liječnički vjesnik [Internet]. 2014 [pristupljeno 19.10.2019.];136(7-8):0-0. Dostupno na: https://hrcak.srce.hr/172614
IEEE
I. Kovačić i M. Kovačić, "DESCENDENTNI NEKROTIČNI MEDIJASTINITIS ISKUSTVO JEDNOG CENTRA", Liječnički vjesnik, vol.136, br. 7-8, str. 0-0, 2014. [Online]. Dostupno na: https://hrcak.srce.hr/172614. [Citirano: 19.10.2019.]

Sažetak
The descending necrotizing mediastinitis is a rare but life-threatening inflammation, and occurs as a complication of deep inflammation of the neck. The mortality rate is still high by 40% despite the use of a variety of potent antimicrobial drugs. We describe 7 patients with the descending necrotizing mediastinitis treated in our hospital during the last 12 years. The primary site of infection in 5 patients were tonsils and pharynx, and in the other two patients odontogenic inflammation of the lower molars. Most of the patients belonged to the risk groups (diabetes mellitus, alcoholism), the average age of 60.4 years. After the diagnosis with computed tomography (CT), we surgically intervened in all patients. Deep neck infections are treated with aggressive surgical cervicotomy and high quality mediastinal drainage was performed with transcervical approach in all patients. Perioperative tracheotomy (n=3) was performed for the upper airway edema and postoperative tracheostomy for extended intubation (n=1).Only in one case, we subsequently conducted a secondary surgical procedure, lateral thoracotomy because of pleural decortication. All patients were successfully cured with an average length of hospitalization was 24.6 days. For successful treatment of the descending necrotizing mediastinitis diagnosis must be set as early as possible and with the use of computed tomography scanning. Treatment requires the simultaneous application of potent antimicrobial drugs, aggressive surgical debridement of the neck and high-quality drainage of the mediastinum, which can be achieved through the transcervical approach.

Ključne riječi
Mediastinitis – etiology, radiography, surgery; Bacterial infections – etiology, radiography, surgery; Abscess – complications, microbiology, surgery; Fasciitis, necrotizing – complications, microbiology, surgery; Drainage – methods; Neck; Tracheotomy; Tomography, x-ray computed

Hrčak ID: 172614

URI
https://hrcak.srce.hr/172614

[hrvatski]

Posjeta: 137 *