Article Sidebar

pdf
Date Published: 10/06/2024
Abstract Views: 67
Views pdf: 36
DOI: https://doi.org/10.51298/vmj.v539i2.9867
Issue
Vol. 539 No. 2 (2024)
Section
Các bài báo
How to Cite
Lâm, X. N., Nguyễn, N. T., & Vũ, H. V. (2024). RESULTS OF SURGICAL TREATMENT OF DESCENDING NECROTIZING MEDIASTINITIS AT CHO RAY HOSPITAL. Vietnam Medical Journal, 539(2). https://doi.org/10.51298/vmj.v539i2.9867

RESULTS OF SURGICAL TREATMENT OF DESCENDING NECROTIZING MEDIASTINITIS AT CHO RAY HOSPITAL

Xuân Nhật Lâm, Ngọc Trung Nguyễn, Hữu Vĩnh Vũ

Main Article Content

Abstract

Objective: evaluate the results of surgery to treat descending necrotizing mediastinitis at Cho Ray hospital. Subjects and methods: The study describes case series of descending necrotizing mediastinitis treated with surgery from January 2018 to December 2023. Results: 92 patients, mean of age was 51.6 ± 13.8 years; men account for 66.3%; There were 76.1% of patients have unknown cause. All patients (100%) had fluid collections and air in the neck and mediastinum. There were 69 patients (75.0%) who only needed open neck surgery; mean of incision care time was 10 days; mean of hospital stay was 11 days. There were 15 patients (16.3%) who died early. The most common complications were pneumonia and sepsis with rates of 6.5% and 5.4%, respectively. Conclusion: descending necrotizing mediastinitis is a serious disease, treatment is still challenging with high short-term complication and mortality rates.

Article Details

Keywords

neck abscess, mediastinal abscess.

References

1. Sarna, T., et al., Cervical necrotizing fasciitis with descending mediastinitis: literature review and case report. J Oral Maxillofac Surg, 2012. 70(6): p. 1342-50.
2. Prado-Calleros, H.M., E. Jiménez-Fuentes, and I. Jiménez-Escobar, Descending necrotizing mediastinitis: Systematic review on its treatment in the last 6 years, 75 years after its description. Head Neck, 2016. 38 Suppl 1: p. E2275-83.
3. Taylor, M., et al., Descending cervical mediastinitis: the multidisciplinary surgical approach. Eur Arch Otorhinolaryngol, 2019. 276(7): p. 2075-2079.
4. Oh, T.K., E.S. Jang, and I.A. Song, Long-term mortality due to infection associated with elevated liver enzymes: a population-based cohort study. Sci Rep, 2021. 11(1): p. 12490.
5. Ridder, G.J., et al., Descending necrotizing mediastinitis: contemporary trends in etiology, diagnosis, management, and outcome. Ann Surg, 2010. 251(3): p. 528-34.
6. Palma, D.M., et al., Clinical features and outcome of patients with descending necrotizing mediastinitis: prospective analysis of 34 cases. Infection, 2016. 44(1): p. 77-84.
7. Sumi, Y., Descending necrotizing mediastinitis: 5 years of published data in Japan. Acute Med Surg, 2015. 2(1): p. 1-12.
8. Yun, J.S., et al., Surgical Experience with Descending Necrotizing Mediastinitis: A Retrospective Analysis at a Single Center. J Chest Surg, 2023. 56(1): p. 35-41.
9. Reuter, T.C., et al., Descending necrotizing mediastinitis: etiopathogenesis, diagnosis, treatment and long-term consequences-a retrospective follow-up study. Eur Arch Otorhinolaryngol, 2023. 280(4): p. 1983-1990.