Use of interventional radiology in the management of mediastinitis of odontogenic origin.
Descending necrotising mediastinitis is a rare complication of odontogenic infection. The key to diagnosis is to maintain a high index of suspicion when antibiotics and adequate surgical drainage do not lead to resolution of symptoms. Open thoracic operation to drain mediastinal collections is potentially lethal and interventional radiological techniques are thought to reduce mortality. We report the use of interventional radiology in the diagnosis, monitoring and treatment of this condition and illustrate our experience with three case reports.
Ho
M W
MW
Undergraduate Medicine Department, University of Manchester (Keele), Manchester, UK. mhwsdr@yahoo.com
Dhariwal
D K
DK
Chandrasekhar
J
J
Patton
D W
DW
Silvester
K C
KC
Sadiq
S
S
Evans
R M
RM
D000038:Abscess / Q000382:microbiology / Q000628:therapy; D000328:Adult; D004322:Drainage; D005491:Focal Infection, Dental / Q000150:complications*; D005500:Follow-Up Studies; D006801:Humans; D008158:Ludwig's Angina / Q000382:microbiology / Q000628:therapy; D008297:Male; D008480:Mediastinitis / Q000382:microbiology / Q000628:therapy*; D008875:Middle Aged; D009333:Neck / Q000382:microbiology; D010996:Pleural Effusion / Q000382:microbiology / Q000628:therapy; D015641:Radiography, Interventional; D015642:Radiology, Interventional; D013290:Streptococcal Infections / Q000628:therapy; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional; D034363:Viridans Streptococci / Q000302:isolation & purification