ACUTE MEDIASTINITIS FROM ODONTOGENIC INFECTION : A CASE REPORT

치성감염후 발생한 급성 종격동염의 치험례

  • Jang, Ki-Young (Department of Dentistry and Oral & Maxillofacial Surgery Kumi Hospital College of Medicine SoonChunHyang University) ;
  • Shin, Mi-Jung (Department of Dentistry and Oral & Maxillofacial Surgery Kumi Hospital College of Medicine SoonChunHyang University) ;
  • Kim, Do-Gyeun (Department of Dentistry and Oral & Maxillofacial Surgery Kumi Hospital College of Medicine SoonChunHyang University)
  • 장기영 (순천향대학교 의과대학 구미병원 치과.구강악안면외과) ;
  • 신미정 (순천향대학교 의과대학 구미병원 치과.구강악안면외과) ;
  • 김도균 (순천향대학교 의과대학 구미병원 치과.구강악안면외과)
  • Published : 1995.09.30

Abstract

Acute mediastinitis is almost always secondary to some other condition, and most cases are due to esophageal perforation. Although acute mediastinitis from odontogenic infection is extremely rare in the era of antibiotic drugs, some more fulminant odontogenic infections can produce complications including airway obstruction, necrotizing fascitis and extension of the infection to thorax. Irrespective of the changing incidence of etiologic factors, unless the pathophysiology of acute mediastinitis and its causes are understood and the conditions promptly recognized and properly treated, the result may be prolonged illness and even death. We experienced a case of odontogenic infection followed by acute mediastinitis and present review of literature.

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