title: Retrospective study of descending cervical mediastinitis.
abstract: OBJECTIVE
  Descending cervical mediastinitis can occur as a complication of oropharyhgeal and cervical space that spread to the mediastinum vis cervical space. Descending mediastinitis represent a virulent form of mediastinal infection requiring prompt diagnosis and treatment to reduce high morality associated with the disease. Surgical management and a particularly optimal form of mediastinal drainage remain controversial.
  
  
  METHODS
  From 1998-2004, eighteen patients were treated in our institution. Surgical treatment consisted more than 2 times. Cervical drainage associated with drainage of the mediastinum through a thoracic approach in 11 patients with pleural drainage in 8 patients.
  
  
  RESULTS
  The outcome was favorable in eleven patients who had mediastinum drained through thoracotomy. One patient who was not drained died with tracheo-oesophageal fistula. Main culprit neck space is pre and para tracheal space which lead to anterior, superior and posterior mediastinal collection in our series. The tracheostomy is of immense help not only in opening cervical space collections and also to secure a partially compromised airway.
authors.affiliation: Department of ENT, Jawaharlal Nehru Hospital & Research Centre, Bhilai, Durg Chattishgarh India  ; Consultant ENT, Jawaharlal Nehru Hospital & Research Centre, Bhilai, Drug Chattishgarh India.
authors.forename: Neeta
authors.initials: N
authors.lastname: Verma
authors.forename: S M
authors.initials: SM
authors.lastname: Iqbal
authors.forename: J G
authors.initials: JG
authors.lastname: Murthy
authors.forename: A K
authors.initials: AK
authors.lastname: Garg
authors.forename: P K
authors.initials: PK
authors.lastname: Banerjee