Ondokuz Mayıs University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Kurupelit, Samsun, Turkey.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Sep;114(3):e15-8. doi: 10.1016/j.oooo.2011.09.008. Epub 2012 Feb 25.
Descending necrotizing mediastinitis (DNM) is a rare condition in which an infection from the head and neck propagates into the mediastinum. The most common cause of DNM is odontogenic infection. DNM is spread by the fascial planes from the neck into the mediastinum and requires an aggressive surgical drainage through cervical and thoracic approaches. We report on a 67-year-old male patient, who had acute mediastinitis related to an infected dentigerous cyst in the left parasymphyseal region. A multidisciplinary team approach was used to treat the patient. The team consisted of thoracic surgeons, maxillofacial surgeons, and a radiologist. After the drainage of the mediastinum and pleural cavity, the cyst was enucleated. The patient was discharged at the 42nd day of hospitalization. The aim of this article is to present diagnosis, management, and follow-up of an infected dentigerous cyst that caused DNM.
下行坏死性纵隔炎（DNM）是一种罕见的疾病，其头颈部感染会蔓延至纵隔。DNM 最常见的病因是牙源性感染。DNM 通过筋膜平面从颈部传播至纵隔，需要通过颈胸部入路进行积极的外科引流。我们报告了一位 67 岁男性患者，其因左旁正中区域的含牙囊肿感染而患有急性纵隔炎。采用多学科团队方法治疗患者。该团队由胸外科医生、颌面外科医生和放射科医生组成。纵隔和胸腔引流后，切除了囊肿。患者在住院第 42 天出院。本文旨在介绍导致 DNM 的感染性含牙囊肿的诊断、治疗和随访。
