Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 4 , Pages 635-639 , April 2007

Descending Necrotizing Anterior Mediastinitis: Analysis of Survival and Surgical Treatment Modalities

  • Panagiotis Misthos, MD

      Affiliations

    • Staff Surgeon, First Propaedeutic Surgical Department, University of Athens Medical School, Athens, Greece.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Misthos: 7 P. Dimitrakopoulou Street, 11141, Athens, Greece
    • ,
  • Stylianos Katsaragakis, MD, PhD

      Affiliations

    • Assistant Professor of Surgery, First Thoracic Surgical Department, SOTIRIA General Hospital for Chest Diseases, Athens, Greece.
    • ,
  • Stamatis Kakaris, MD, PhD

      Affiliations

    • Staff Surgeon, First Thoracic Surgical Department, SOTIRIA General Hospital for Chest Diseases, Athens, Greece.
    • ,
  • Dimitrios Theodorou, MD, PhD

      Affiliations

    • Associate Professor of Surgery, First Propaedeutic Surgical Department, University of Athens Medical School, Athens, Greece.
    • ,
  • Ioannis Skottis, MD

      Affiliations

    • Department Head, First Thoracic Surgical Department, SOTIRIA General Hospital for Chest Diseases, Athens, Greece.

References 

  1. Estera AS, Londay MJ, Grisham JM, et al. Descending necrotizing mediastinitis. Surg Gynecol Obstet. 1983;154:545
  2. Endo S, Murayana F, Hasegawa T, et al. Guidelines for surgical management based on diffusion of descending necrotizing mediastinitis. Jpn J Thorac Cardiovasc Surg. 1999;47:14
  3. Wheatley MJ, Stirling MC, Kirsh MM, et al. Descending necrotizing mediastinitis: Transcervical drainage is not enough. Ann Thorac Surg. 1990;49:780
  4. Corsten MJ, Shamji FM, Odell PF. Optimal treatment of descending necrotizing mediastinitis. Thorax. 1997;52:702
  5. Marty-Ane CH, Alauzen M, Alric P, et al. Descending necrotizing mediastinitis. J Thorac Cardiovasc Surg. 1994;107:55
  6. Marty-Ane CH, Berthet JP, Alric P, et al. Management of descending necrotizing mediastinitis: An aggressive treatment for an aggressive disease. Ann Thorac Surg. 1999;68:212
  7. Freeman RK, Vallieres E, Verrier ED, et al. Descending necrotizing mediastinitis: An analysis of the effects of serial surgical debridement on patient mortality. J Thorac Cardiovasc Surg. 2000;119:260
  8. Sancho LMM, Minamoto H, Fernandez A, et al. Descending necrotizing mediastinitis: A retrospective surgical experience. Eur J Cardiothorac Surg. 1999;16:200
  9. Biasotto M, Pellis T, Cadenaro M, et al. Odontogenic infections and descending necrotising mediastinitis: Case report and review of the literature. Int Dent J. 2004;54:97
  10. Makeieff M, Gresillon N, Berthet JP, et al. Management of descending necrotizing mediastinitis. Laryngoscope. 2004;114:772
  11. Chaudhary N, Agrawal S, Rai AK. Descending necrotizing mediastinitis: Trends in a developing country. Ear Nose Throat J. 2005;84:246
  12. Dallari S, Morandi U, Bergamini G, et al. Descending necrotizing mediastinitis following lingual tonsillectomy and elective tracheotomy: Review of the literature and report of a case. Otolaryngol Head Neck Surg. 2005;133:642
  13. Bell Z, Menezes AA, Primrose WJ, et al. Mediastinitis: A life-threatening complication of acute tonsillitis. J Laryngol Otol. 2005;119:743
  14. Scaglione M, Pinto A, Romano S, et al. Determining optimum management of descending necrotizing mediastinitis with CT: Experience with 32 cases. Emerg Radiol. 2005;11:275
  15. Novellas S, Kechabtia K, Chevallier P, et al. Descending necrotizing mediastinitis: A rare pathology to keep in mind. Clin Imaging. 2005;29:138
  16. Exarhos DN, Malagari K, Tsatalou EG, et al. Acute mediastinitis: Spectrum of computed tomography findings. Eur Radiol. 2005;15:1569
  17. Furstenberg AC, Yglesias L. Mediastinitis: A clinical study with practical anatomic considerations of the neck and mediastinum. Arch Otolaryngol. 1937;25:539
  18. Stone HH, Martin JD. Synergistic necrotizing cellulites. Ann Surg. 1972;175:702
  19. Ris HB, Banic A, Furrer M, et al. Descending necrotizing mediastinitis: Surgical treatment via a clamshell approach. Ann Thorac Surg. 1996;62:1650
  20. Roberts JR, Smythe WR, Weber RW, et al. Thoracoscopic management of descending necrotizing mediastinitis. Chest. 1997;112:850
  21. Takanami I, Naruke M, Kodaira S. The surgical approach for descending necrotizing mediastinitis: A report of two cases. Surg Today. 1998;28:1200
  22. Alsoub H, Chako KC. Descending necrotizing mediastinitis. Postgrad Med J. 1995;71:98
  23. Codero L, Torre W, Freire D. Descending necrotizing mediastinitis and respiratory distress syndrome treated by aggressive surgical treatment. J Cardiovasc Surg. 1996;37:87
  24. Hirai S, Hamanaka Y, Mitsui N, et al. Surgical treatment of virulent descending necrotizing mediastinitis. Ann Thorac Cardiovasc Surg. 2004;10:34
  25. Mihos P, Potaris K, Gakidis I, et al. Management of descending necrotizing mediastinitis. J Oral Maxillofac Surg. 2004;62:966
  26. Papalia E, Rena O, Oliaro A, et al. Descending necrotizing mediastinitis: Surgical management. Eur J Cardiothorac Surg. 2001;20:739
  27. Bulut M, Balci V, Akkose S, et al. Fatal descending necrotizing mediastinitis. Emerg Med J. 2004;21:122
  28. Mora R, Jankowska B, Catrambone U, et al. Descending necrotizing mediastinitis: Ten years’ experience. Ear Nose Throat J. 2004;83:774
  29. Iwata T, Sekine Y, Shibuya K, et al. Early open thoracotomy and mediastinopleural irrigation for severe descending necrotizing mediastinitis. Eur J Cardiothorac Surg. 2005;28:384

PII: S0278-2391(06)01440-6

doi: 10.1016/j.joms.2006.06.287

Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 4 , Pages 635-639 , April 2007

Article Tools