Severe deep neck space infections and mediastinitis of odontogenic origin: clinical relevance and implications for diagnosis and treatment

Abstract

The submandibular space was the most frequently encountered location of deep neck space infections. Mediastinitis was found in five patients. The most frequent causative bacteria were Streptococcus and Bacteroides species. All patients underwent intravenous antibiotic treatment and surgical therapy. Mediastinotomy was inevitable in five cases and thoracotomy in one case. All patients survived.

"Risk Factors" for Life Threatening Complications Associated with Maxillofacial Space Infections: A Clinical Study

“…In this study submandibular space involvement as single or multiple spaces were the most common space (40%, 26% respectively). These findings are similar to the findings of Rao and Kinzer, et al [13,14]. Moreover multiple spaces involvement were more common than single space like our study.…”

Therapeutic Strategies in Dental Origin Mediastinitis: Cases Report

“…In the literature, the molar teeth of mandible are typically originating with the DNM [7]. However, in presented case the upper right first molar was the source of the inflammation which spread thought the fascia to the mediastinum.…”

Multiple odontogenic abscesses. Thoracic and abdomino-perineal extention in an immuno competent patient

“…Other authors have already described the passage of pus to the abdomen by descending continuity (4,8), which argues in favour of this rare but possible, and in this case exceptional, event. Thus, treatment of severe abscessed OI should be based on CT-controlled diagnosis and follow-up (4), and should combine intravenous broad-spectrum antibiotics together with surgical drainage of the purulent collections (4,9). Samples of the drainage material should be taken for culture and an antibiogram, in order to give specific antibiotics if the initial empirical regimen shows resistance.…”