Descending necrotizing mediastinitis: a complication of dental implant surgery.
BACKGROUND
The placement of osseointegrated dental implants is considered a minimally invasive procedure with a low complication rate. Reported complications include local trauma to neurovascular structures, mandible fractures, sinusitis, and localized gingivitis. Major life-threatening complications are extremely rare. Severe infection has not been reported in a review of the English literature.


METHODS
Case study.


RESULTS
We present a case of life-threatening deep neck space infection resulting in descending necrotizing mediastinitis following osseointegrated dental implant placement. Treatment included intravenous antibiotics, aggressive neck debridement, and removal of the infected dental implants.


CONCLUSIONS
Severe infection can result from the placement of dental implants. Principles of treatment include antibiotics, surgical drainage and debridement, and careful assessment and removal of the involved implants.
Li
K K
KK
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston 02114, USA.
Varvares
M A
MA
Meara
J G
JG
D015921:Dental Implants; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000209:etiology* / Q000628:therapy; D008875:Middle Aged; D009333:Neck; D009336:Necrosis; D011183:Postoperative Complications
D015921:Dental Implants