Cervical necrotising fasciitis with descending necrotising mediastinitis

Bhatt, Y M; Small, Michael F.

doi:10.1136/pgmj.2010.117010

Cited by 9 publications

(6 citation statements)

References 4 publications

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“…Previous reports advocated tracheotomy for DNI cases with severe airway obstruction and/or presumed difficult re-intubation specifically managed by otolaryngologists. 6,[34][35][36][37] These results are consistent with our previous study and imply that a disturbance in swallowing function may be encountered after tracheotomy, presumably resulting from desensitization of the larynx after diversion of the air passage or fixation of the larynx. 11,38 It is plausible that undergoing repeated surgery is related to a delay in oral dietary intake, with an adjusted OR of 1.71 (95%CI 1.17-2.49).…”

Section: Discussionsupporting

confidence: 91%

“…In the present study, tracheotomy contributed only to a delay in oral dietary intake, with an adjusted OR of 1.70 (95%CI 1.44-2.00), which was similar to the result for DNM. Previous reports advocated tracheotomy for DNI cases with severe airway obstruction and/or presumed di cult re-intubation speci cally managed by otolaryngologists (6,(34)(35)(36)(37). These results are consistent with our previous study and imply that a disturbance in swallowing function may be encountered after tracheotomy, presumably resulting from desensitization of the larynx after diversion of the air passage or xation of the larynx (11,38).…”

Section: Discussionsupporting

confidence: 90%

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Identification of risk factors for mortality and delayed oral dietary intake in patients with open drainage due to deep neck infections: Nationwide study using a Japanese inpatient database

et al. 2021

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Backgrounds: Data on risk factors for deep neck infection (DNI) including descending necrotizing mediastinitis (DNM) have been limited. Using a nationwide database, the aim was to identify the factors related to patient death and delay in recovering oral intake. Methods: We retrospective reviewed a Japanese inpatient database between 2012 and 2017, and data of 4,949 patients with DNM and DNI were extracted. The main outcome was survival at discharge. In a subgroup analysis of the 4,791 patients with survival at discharge, the second outcome was delay in the interval between admission and full recovery of oral intake. In both of the setting, logistic regression analyses were conducted to determine the risk factors. Results: Regarding survival at discharge, logistic regression analysis showed that age (≥75 years), comorbid diabetes mellitus, sepsis, receiving mechanical ventilation, and duration of empirical antibiotic therapy were signi cantly associated with mortality [adjusted-odds ratios (ORs) (95% con dence intervals (CIs)] as follows: 5.57 (2.80-11.1), 2.47 (1.69-3.62), 3.32 (2.29-4.82), 3.96 (2.51-6.23), and 1.00 (1.00-1.02), respectively. In a subgroup analysis of the 4,791 patients with survival at discharge, logistic regression analysis showed the following factors to be signi cantly associated with delayed oral dietary intake (>9 days), as follows [adjusted OR (95% CIs)]: age ≥75 years 1.89 (1.48-2.41); body mass index (

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 90%

Identification of risk factors for mortality and delayed oral dietary intake in patients with open drainage due to deep neck infections: Nationwide study using a Japanese inpatient database

et al. 2021

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“…En general, la literatura no comunica aportes significativos que favorezcan la aplicación sistemática de la RM como primera opción en el abordaje diagnóstico, por delante del TC. Sin embargo, puede ser una opción importante en el paciente que tiene contraindicada la realización de una TC (mujeres gestantes) (31,32).…”

Section: Papel De La Resonancia Magnética (Rm)unclassified

Mediastinitis descendente en el contexto de la angina de Ludwig. Artículo de revisión

M.²,

Arenas

et al. 2022

Acta otorrinolaringol cir cabeza cuello

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La mediastinitis se define como el proceso inflamatorio usualmente infeccioso del tejido conectivo mediastinal y los órganos que éste rodea. Específicamente, la mediastinitis descendente corresponde a una complicación rara, de una infección de espacios profundos del cuello, orofaringe o cavidad oral, que se extiende a través de los espacios fasciales del cuello, disecándolos. Menos frecuentemente, esta patología puede originarse a partir de parotiditis, infecciones de la piel del cuello o epiglotitis. También de manera aún menos frecuente, puede generarse en el contexto de un traumatismo del cuello o la cavidad oral. Esta patología de marcada severidad, conlleva un aumento significativo de la mortalidad y su tratamiento, aunque permanece controversial en ciertas circunstancias, debe ser agresivo y oportuno. A propósito de un caso manejado en nuestro servicio, hacemos una revisión del estado del arte en esta entidad. Los autores pretendemos llamar la atención en particular, sobre los aspectos que involucran al especialista Otorrinolaringólogo en el manejo de pacientes con infecciones profundas del cuello

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“…Current gold standard treatment involves aggressive early intravenous antibiotic management (penicillin and clindamycin are the favoured consensus) in combination with early (<48 hours) surgical debridement [12,[16][17][18]. Commonly patients require multiple (2-5) surgical debridements [19].…”

Section: Treatmentmentioning

confidence: 99%

Periorbital Cervicofascial Necrotising Fasciitis - A Case Series and A Literature Review

Baniulyte¹,

Shafi²,

MacIver³

et al. 2020

ojdom

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Cervical necrotising fasciitis with descending necrotising mediastinitis

Cited by 9 publications

References 4 publications

Identification of risk factors for mortality and delayed oral dietary intake in patients with open drainage due to deep neck infections: Nationwide study using a Japanese inpatient database

Identification of risk factors for mortality and delayed oral dietary intake in patients with open drainage due to deep neck infections: Nationwide study using a Japanese inpatient database

Mediastinitis descendente en el contexto de la angina de Ludwig. Artículo de revisión

Periorbital Cervicofascial Necrotising Fasciitis - A Case Series and A Literature Review

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