Descending Necrotizing Mediastinitis. Report of Two Cases.

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  • AIKAWA Masayasu
    Department of Surgery II, University of Occupational and Environmental Health
  • OSAKI Toshihiro
    Department of Surgery II, University of Occupational and Environmental Health
  • SO Tetsuya
    Department of Surgery II, University of Occupational and Environmental Health
  • YOSHIMATSU Takashi
    Department of Surgery II, University of Occupational and Environmental Health
  • YANO Koichi
    Department of Surgery II, University of Occupational and Environmental Health
  • YASUMOTO Kosei
    Department of Surgery II, University of Occupational and Environmental Health

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  • 降下性壊死性縦隔炎ｄｅｓｃｅｎｄｉｎｇ　ｎｅｃｒｏｔｉｚｉｎｇ　ｍｅｄｉａｓｔｉｎｉｔｉｓの２例

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Abstract

Descending Necrotizing Mediastinitis (DNM) resulting from oropharyngeal infection, spreading to mediastinum, is a serious life threatening infection. We have experienced two patients with DNM. One patietn with DNM (Case 1) whose lesion spreaded of the anterior mediastinum, was cured by cervical drainage alone. The other patient with DNM (Case 2) whose lesion spreaded to the posterior mediastinum was cured by open drainage of the mediastinal abscess through thoracic cavity. Since both patients were confirmed to have massive pleural effusion with atelectasis, thoracic drainage was performed to treat and prevent atelectasis and pulmonary infection. An appropriate drainage for the extent of the abscess is important for the treatment of DNM.

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