Severe deep neck space infections and mediastinitis of odontogenic origin: Clinical relevance and implications for diagnosis and treatment

Acta Oto-Laryngologica

Volumn 129, Issue 1, 2009, Pages 62-70

  Kinzer, Susanne ^a   Pfeiffer, Jens ^a   Becker, Silke ^a   Ridder, Gerd Jürgen ^a  

^a UNIVERSITY OF FREIBURG   (Germany)

Author keywords

Abscess; Dental focal infection; Infection; Ludwig's angina; Mediastinitis

Indexed keywords

ANTIBIOTIC AGENT; CEFTRIAXONE; CEFUROXIME; CEPHALOSPORIN; CIPROFLOXACIN; CLARITHROMYCIN; CLINDAMYCIN; ERYTHROMYCIN; IMIPENEM; METRONIDAZOLE; PENICILLIN G; PIPERACILLIN; TAZOBACTAM; VANCOMYCIN;

ADULT; AGED; ANTIBIOTIC THERAPY; ARTICLE; BACTEROIDES; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DEEP NECK SPACE INFECTION; DISEASE SEVERITY; FEMALE; FOLLOW UP; HUMAN; INFECTION; MALE; MEDIASTINITIS; POSTOPERATIVE CARE; PRIORITY JOURNAL; STREPTOCOCCUS; THORACOTOMY; TOOTH INFECTION; TREATMENT OUTCOME; TREATMENT PLANNING;

ABSCESS; ADULT; AGED; AGED, 80 AND OVER; ANTI-BACTERIAL AGENTS; BACTERIAL INFECTIONS; BACTEROIDES INFECTIONS; COMBINED MODALITY THERAPY; DENTAL PROSTHESIS; ESOPHAGEAL PERFORATION; ESOPHAGUS; FEMALE; FOCAL INFECTION, DENTAL; FOREIGN-BODY MIGRATION; HUMANS; LUDWIG'S ANGINA; MALE; MEDIASTINITIS; MIDDLE AGED; NECK; OTORHINOLARYNGOLOGIC DISEASES; PERIODONTAL ABSCESS; PERIODONTITIS; STREPTOCOCCAL INFECTIONS; TOMOGRAPHY, SPIRAL COMPUTED;

EID: 58149100104     PISSN: 00016489     EISSN: 16512553     Source Type: Journal    
DOI: 10.1080/00016480802008181     Document Type: Article

References (20)

1. Ungkanont K, Yellon RF, Weissman JL, Casselbrant ML, Gonzalez-Valdepena H, Bluestone CD. Head and neck space infections in infants and children. Otolaryngol Head Neck Surg 1995;112:375-82.
2. Parhiscar A, Har-El G. Deep neck abscess: a retrospective review of 210 cases. Ann Otol Rhinol Laryngol 2001;110:1051-4.
3. Plaza Mayor G, Millan JM, Martinez-Vidal A. Is conservative treatment of deep neck space infections appropriate? Head Neck 2001;23:126-33.
4. Ridder GJ, Technau-Ihling K, Sander A, Boedeker CC. Spectrum and management of deep neck space infections: an 8-year experience of 234 cases. Otolaryngol Head Neck Surg 2005;133:709-14.
5. Schmelzle R, Schwenzer N. Weichteilinfektionen. In: Schwenzer N, Ehrenfeld M, editors. Zahn-Mund-Kiefer-Heilkunde. Allgemeine Chirurgie 3rd edn. Stuttgart: Thieme, 1999:124-58.
6. Storoe W, Haug RH, Lillich TT. The changing face of odontogenic infections. J Oral Maxillofac Surg 2001;59:739-48.
7. Haug RH, Hoffman MJ, Indresano AT. An epidemiologc and anatomic survey of odontogenic infections. J Oral Maxillofac Surg 1991;49:976-80.
8. Bratton TA, Jackson DC, Nkungula-Howlett T, Williams CW, Bennett CR. Management of complex multi-space odontogenic infections. J Tenn Dent Assoc 2002;82:39-47.
9. Umeda M, Minamikawa T, Komatsubara H, Shibuya Y, Yokoo S, Komori T. Necrotizing fasciitis caused by dental infection: a retrospective analysis of 9 cases and a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95:283-90.
10. Rega AJ, Aziz SR, Ziccardi VB. Microbiology and antibiotic sensitivities of head and neck space infections of odontogenic origin. J Oral Maxillofac Surg 2006;64:1377-80.
11. Gidley PW, Ghorayeb BY, Stiernberg CM. Contemporary management of deep neck space infections. Otolaryngol Head Neck Surg 1997;116:16-22.
12. Estrera AS, Landay MJ, Grischam JM, Sinn DP, Platt MR. Descending necrotizing mediastinitis. Surg Gynecol Obstet 1983;157:545-52.
13. Freeman RK, Vallieres E, Verrier ED. An analysis of the effects of serial surgical debridement on patient mortality. J Thorac Cardiovasc Surg 2000;119:260-7.
14. Weisengreen HH. Ludwigs's angina: historical review and reflections. Ear Nose Throat J 1986;65:457-61.
15. Grodinsky M. Ludwig's angina: an anatomical and clinical study with review of the literature. Surgery 1939;5:678-96.
16. Mora R, Jankowska B, Catrambone U, Passali GC, Mora F, Leoncini G, et al. Descending necrotizing mediastinitis: ten years' experience. Ear Nose Throat J 2004;83:774-80.
17. Exarhos DN, Malagari K, Tsatalou EG, Benakis SV, Peppas C, Kotanidou A, et al. Acute mediastinitis: spectrum of computed tomography findings. Eur Radiol 2005;15:1569-74.
18. Baqain ZH, Newman L, Hyde N. How serious are oral infections? J Laryngol Otol 2004;118:561-5.
19. Ridder GJ, Boedeker CC, Technau-Ihling K, Grunow R, Sander A. Role of cat-scratch disease in lymphadenopathy in the head and neck. Clin Infect Dis 2002;35:643-9.
20. Wheatley MJ, Stirling MC, Kirsh MM, Gago O, Orringer MB. Descending necrotizing mediastinitis: transcervical drainage is not enough. Ann Thorac Surg 1990;49:780-4.