Aims: Deep neck infections are rare but potentially fatal complication of pulpal abscess of the teeth. If an infection can progress rapidly from a toothache to a life threatening infection, then it is critical that dentists be able to recognize the danger signs and identify the patients who are at risk. Mediastinitis is a severe inflammatory process involving the connective tissues that fills the intracellular spaces and surrounds the organs in the middle of the chest. This pathology has both an acute and a chronic form and, in most cases, it has an infectious etiology. This study want to expose the experience acquired in the Oral and Maxillo-facial Sciences Department, Policlinico Umberto I, “Sapienza” University of Rome, regarding two clinical cases of disseminated necrotizing mediastinitis starting from an odontogenic abscess. Methods: We report two clinical cases of disseminated necrotic mediastinitis with two different medical and surgical approaches. The radiographic and photographic documentation of the patients was collected in the pre-and post-operatively. All patients underwent a CT scan and MRI. Results: Mediastinitis can result from a serious odontogenic abscess, and the extent of its inflammation process must be never underestimated. Dental surgeons play a key role as a correct diagnosis can prevent further increasing of the inflammation process. Conclusions: A late diagnosis and an inadequate draining represent the major causes of the elevated mortality rate of disseminated necrotizing mediastinitis.
Disseminated necrotic mediastinitis spread from odontogenic abscess: our experience / Filiaci, Fabio; Riccardi, Emiliano; Mitro, Valeria; Pasquale, Piombino; Rinna, Claudio; Agrillo, Alessandro; Ungari, Claudio. - In: ANNALI DI STOMATOLOGIA. - ISSN 1971-1441. - STAMPA. - 6:2(2015), pp. 64-68.
|Titolo:||Disseminated necrotic mediastinitis spread from odontogenic abscess: our experience|
FILIACI, FABIO (Primo)
RICCARDI, EMILIANO (Secondo) (Corresponding author)
AGRILLO, Alessandro (Penultimo)
UNGARI, Claudio (Ultimo)
|Data di pubblicazione:||2015|
|Citazione:||Disseminated necrotic mediastinitis spread from odontogenic abscess: our experience / Filiaci, Fabio; Riccardi, Emiliano; Mitro, Valeria; Pasquale, Piombino; Rinna, Claudio; Agrillo, Alessandro; Ungari, Claudio. - In: ANNALI DI STOMATOLOGIA. - ISSN 1971-1441. - STAMPA. - 6:2(2015), pp. 64-68.|
|Appartiene alla tipologia:||01a Articolo in rivista|
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