SURGICAL TREATMENT OF ANAEROBIC DEEP NECK INFECTION COMPLICATED BY MEDIASTINITIS

The article analyzes the surgical treatment of 78 patients with deep neck total necrotic phlegmon. It was revealed that in 95 % of cases in the early period are complicated by descending mediastinitis. The pre-examination stage included: X-ray of the neck by Zemtsov and chest X-ray, ultrasound exami...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	E. V. Lishov, A. A. Kharitonov, A. M. Putintsev
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	neck phlegmon mediastinitis anaerobic infection Science Q
Acceso en línea:	https://doaj.org/article/6cb250d21b7e4bfdb90aae439c9bffaa
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:6cb250d21b7e4bfdb90aae439c9bffaa
record_format	dspace
spelling	oai:doaj.org-article:6cb250d21b7e4bfdb90aae439c9bffaa2021-11-23T06:14:39ZSURGICAL TREATMENT OF ANAEROBIC DEEP NECK INFECTION COMPLICATED BY MEDIASTINITIS2541-94202587-959610.12737/article_5a0a8b9552aa85.61732968https://doaj.org/article/6cb250d21b7e4bfdb90aae439c9bffaa2017-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/483https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article analyzes the surgical treatment of 78 patients with deep neck total necrotic phlegmon. It was revealed that in 95 % of cases in the early period are complicated by descending mediastinitis. The pre-examination stage included: X-ray of the neck by Zemtsov and chest X-ray, ultrasound examination of pleural cavities, thoracic and mediastinal MSCT The surgical stage included opening and draining of the abscess, revision of the deep cellular spaces of the neck and upper mediastinum. In 65 (83.3 %) case thoracomediastinoscopy and decompressive mediastinotomy were performed. In 58 patients, "programmed" bilateral thoracoscopic sanations were performed, with drainage of the mediastinum. Anaerobic microflora made 84.6 % of the infection. The total necrotic phlegmon of the deep cell spaces of the neck in 95 % is complicated by descending necrotizing mediastinitis. Local signs of inflammation, with necrotic phlegmons of the neck, do not allow to determine involvement in the inflammatory-destructive process of mediastinum. The absence of early findings from radiological exam does not exclude the presence of descending necrotizing mediastinitis. Autopsy and revision of the deep cellular spaces of the neck in 87.8 % does not eliminate the spread of the necrotic process along the mediastinal fiber. Active surgical tactics in the total phlegmon of the deep cellular spaces of the neck is justified and allows us to recommend one-stage drainage on the neck and thoracic-mediastinal sanation.E. V. LishovA. A. KharitonovA. M. PutintsevScientific Сentre for Family Health and Human Reproduction Problemsarticleneck phlegmonmediastinitisanaerobic infectionScienceQRUActa Biomedica Scientifica, Vol 2, Iss 6, Pp 130-133 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	neck phlegmon mediastinitis anaerobic infection Science Q
spellingShingle	neck phlegmon mediastinitis anaerobic infection Science Q E. V. Lishov A. A. Kharitonov A. M. Putintsev SURGICAL TREATMENT OF ANAEROBIC DEEP NECK INFECTION COMPLICATED BY MEDIASTINITIS
description	The article analyzes the surgical treatment of 78 patients with deep neck total necrotic phlegmon. It was revealed that in 95 % of cases in the early period are complicated by descending mediastinitis. The pre-examination stage included: X-ray of the neck by Zemtsov and chest X-ray, ultrasound examination of pleural cavities, thoracic and mediastinal MSCT The surgical stage included opening and draining of the abscess, revision of the deep cellular spaces of the neck and upper mediastinum. In 65 (83.3 %) case thoracomediastinoscopy and decompressive mediastinotomy were performed. In 58 patients, "programmed" bilateral thoracoscopic sanations were performed, with drainage of the mediastinum. Anaerobic microflora made 84.6 % of the infection. The total necrotic phlegmon of the deep cell spaces of the neck in 95 % is complicated by descending necrotizing mediastinitis. Local signs of inflammation, with necrotic phlegmons of the neck, do not allow to determine involvement in the inflammatory-destructive process of mediastinum. The absence of early findings from radiological exam does not exclude the presence of descending necrotizing mediastinitis. Autopsy and revision of the deep cellular spaces of the neck in 87.8 % does not eliminate the spread of the necrotic process along the mediastinal fiber. Active surgical tactics in the total phlegmon of the deep cellular spaces of the neck is justified and allows us to recommend one-stage drainage on the neck and thoracic-mediastinal sanation.
format	article
author	E. V. Lishov A. A. Kharitonov A. M. Putintsev
author_facet	E. V. Lishov A. A. Kharitonov A. M. Putintsev
author_sort	E. V. Lishov
title	SURGICAL TREATMENT OF ANAEROBIC DEEP NECK INFECTION COMPLICATED BY MEDIASTINITIS
title_short	SURGICAL TREATMENT OF ANAEROBIC DEEP NECK INFECTION COMPLICATED BY MEDIASTINITIS
title_full	SURGICAL TREATMENT OF ANAEROBIC DEEP NECK INFECTION COMPLICATED BY MEDIASTINITIS
title_fullStr	SURGICAL TREATMENT OF ANAEROBIC DEEP NECK INFECTION COMPLICATED BY MEDIASTINITIS
title_full_unstemmed	SURGICAL TREATMENT OF ANAEROBIC DEEP NECK INFECTION COMPLICATED BY MEDIASTINITIS
title_sort	surgical treatment of anaerobic deep neck infection complicated by mediastinitis
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/6cb250d21b7e4bfdb90aae439c9bffaa
work_keys_str_mv	AT evlishov surgicaltreatmentofanaerobicdeepneckinfectioncomplicatedbymediastinitis AT aakharitonov surgicaltreatmentofanaerobicdeepneckinfectioncomplicatedbymediastinitis AT amputintsev surgicaltreatmentofanaerobicdeepneckinfectioncomplicatedbymediastinitis
_version_	1718417011882590208

SURGICAL TREATMENT OF ANAEROBIC DEEP NECK INFECTION COMPLICATED BY MEDIASTINITIS

Ejemplares similares