Clinical characteristic and management of descending necrotizing mediastinitis: a retrospective study, Dr. Soetomo Hospital, Surabaya

Abstract

Background: Descending necrotizing mediastinitis (DNM) is a mediastinal infection that is usually an extension or process of spreading an infection originating from the neck. The spread of infection occurs due to the influence of gravity and negative intrathoracic pressure.

Characteristics Of Patients Of Descending Necrotizing Mediastinitis Thoracic, Cardiac And Vascular Surgery Subsection Thoracic In Dr. Mohammad Hoesin From 1 November 2019 To 30 November 2020

“…The results of this study are in accordance with research by Arza Putra et al 45 ¸ Dhihintia Jiwangga 46 , Clara Isabel 47 which stated that DNM is more prevalent in men. The results of Arza Putra et al 45 the average age of the patient with DNM is 37.9 years while according to Dhihintia Jiwangga 46 the average age of the patient is 43.73 years. The results of the present study is in accordance Dhihintia Jiwangga 46 which showed that the most common source of infection came from dental abscesses.…”

“…The results of this study are in accordance with research by Dhihintia Jiwangga 46 which stated that neck exploration + sternotomy was the most common treatment for DNM patients.…”

“…The difference of this study and Arza Putra et al 45 , Dhihintia Jiwangga 46 , Clara Isabel 47 are the likelihood of DNM recovery were higher and could be manage from outpatients.…”

“…The results of Arza Putra et al 45 the average age of the patient with DNM is 37.9 years while according to Dhihintia Jiwangga 46 the average age of the patient is 43.73 years. The results of the present study is in accordance Dhihintia Jiwangga 46 which showed that the most common source of infection came from dental abscesses. This contradicts the results of the study of Clara Isabel 47 which stated that the most common source of infection came from the retropharynx.…”