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Combination treatment by the cervical approach with mediastinal drainage and continuous saline irrigation for descending necrotizing mediastinitis type IIb: a three-case series
Descending necrotizing mediastinitis (DNM) is a severe, life-threatening disease and requires prompt treatment. The primary treatment for DNM is cervical and mediastinal drainage in addition to antibiotic treatment. However, the most appropriate drainage approach and the effectiveness of additional...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9116880/ https://www.ncbi.nlm.nih.gov/pubmed/35599999 http://dx.doi.org/10.1093/jscr/rjac237 |
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author | Ohashi, Takuya Kawago, Mitsumasa Ota, Fuminori Hirai, Yoshimitsu Kiyoi, Megumi Miyasaka, Miwako Yata, Yumi Kawaji, Mari Fusamoto, Aya Iguchi, Hideto Nakanishi, Hitomi Nakaya, Takahito Fujiwara, Yuki Nishimura, Yoshiharu |
author_facet | Ohashi, Takuya Kawago, Mitsumasa Ota, Fuminori Hirai, Yoshimitsu Kiyoi, Megumi Miyasaka, Miwako Yata, Yumi Kawaji, Mari Fusamoto, Aya Iguchi, Hideto Nakanishi, Hitomi Nakaya, Takahito Fujiwara, Yuki Nishimura, Yoshiharu |
author_sort | Ohashi, Takuya |
collection | PubMed |
description | Descending necrotizing mediastinitis (DNM) is a severe, life-threatening disease and requires prompt treatment. The primary treatment for DNM is cervical and mediastinal drainage in addition to antibiotic treatment. However, the most appropriate drainage approach and the effectiveness of additional treatment remain unclear. In this study, we performed cervical and mediastinal drainage for three patients with type IIB DNM using the cervical approach alone. Continuous saline irrigation was administered as additional treatment. There is little evidence for the use of saline irrigation for DNM. We propose that this combination treatment may be more effective and has the potential to improve patient prognosis. In our report, the average drainage duration was 13 days, and the average hospital stay was 30 days. Furthermore, both drainage duration and hospital stay were shorter than those in previously reported cases. Our case series provides valuable insight into the use of combination treatment to treat DNM. |
format | Online Article Text |
id | pubmed-9116880 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-91168802022-05-19 Combination treatment by the cervical approach with mediastinal drainage and continuous saline irrigation for descending necrotizing mediastinitis type IIb: a three-case series Ohashi, Takuya Kawago, Mitsumasa Ota, Fuminori Hirai, Yoshimitsu Kiyoi, Megumi Miyasaka, Miwako Yata, Yumi Kawaji, Mari Fusamoto, Aya Iguchi, Hideto Nakanishi, Hitomi Nakaya, Takahito Fujiwara, Yuki Nishimura, Yoshiharu J Surg Case Rep Case Series Descending necrotizing mediastinitis (DNM) is a severe, life-threatening disease and requires prompt treatment. The primary treatment for DNM is cervical and mediastinal drainage in addition to antibiotic treatment. However, the most appropriate drainage approach and the effectiveness of additional treatment remain unclear. In this study, we performed cervical and mediastinal drainage for three patients with type IIB DNM using the cervical approach alone. Continuous saline irrigation was administered as additional treatment. There is little evidence for the use of saline irrigation for DNM. We propose that this combination treatment may be more effective and has the potential to improve patient prognosis. In our report, the average drainage duration was 13 days, and the average hospital stay was 30 days. Furthermore, both drainage duration and hospital stay were shorter than those in previously reported cases. Our case series provides valuable insight into the use of combination treatment to treat DNM. Oxford University Press 2022-05-18 /pmc/articles/PMC9116880/ /pubmed/35599999 http://dx.doi.org/10.1093/jscr/rjac237 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2022. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Series Ohashi, Takuya Kawago, Mitsumasa Ota, Fuminori Hirai, Yoshimitsu Kiyoi, Megumi Miyasaka, Miwako Yata, Yumi Kawaji, Mari Fusamoto, Aya Iguchi, Hideto Nakanishi, Hitomi Nakaya, Takahito Fujiwara, Yuki Nishimura, Yoshiharu Combination treatment by the cervical approach with mediastinal drainage and continuous saline irrigation for descending necrotizing mediastinitis type IIb: a three-case series |
title | Combination treatment by the cervical approach with mediastinal drainage and continuous saline irrigation for descending necrotizing mediastinitis type IIb: a three-case series |
title_full | Combination treatment by the cervical approach with mediastinal drainage and continuous saline irrigation for descending necrotizing mediastinitis type IIb: a three-case series |
title_fullStr | Combination treatment by the cervical approach with mediastinal drainage and continuous saline irrigation for descending necrotizing mediastinitis type IIb: a three-case series |
title_full_unstemmed | Combination treatment by the cervical approach with mediastinal drainage and continuous saline irrigation for descending necrotizing mediastinitis type IIb: a three-case series |
title_short | Combination treatment by the cervical approach with mediastinal drainage and continuous saline irrigation for descending necrotizing mediastinitis type IIb: a three-case series |
title_sort | combination treatment by the cervical approach with mediastinal drainage and continuous saline irrigation for descending necrotizing mediastinitis type iib: a three-case series |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9116880/ https://www.ncbi.nlm.nih.gov/pubmed/35599999 http://dx.doi.org/10.1093/jscr/rjac237 |
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