volume 39, issue 5, P335-339 2011
DOI: 10.1016/j.jcms.2010.10.001
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Raúl González-García, Roberto Risco-Rojas, Leticia Román-Romero, Carlos Moreno-García, Cipriano López García

Abstract: Descending necrotizing mediastinitis (DNM) following dental extraction is an extremely serious infection with a high mortality rate. Oral infection may rapidly descend into the mediastinum across the retropharyngeal and retrovisceral spaces. Once established, mediastinitis is rapidly followed by sepsis and death. If DNM is suspected cervical and thoracic CT must be carried out urgently. After this, prompt control of the upper airway with tracheostomy, aggressive surgical debridement of the deep cervical spaces…

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