Disseminated necrotic mediastinitis spread from odontogenic abscess: our experience

Filiaci, Fabio and Riccardi, Emiliano and Mitro, Valeria and Piombino, Pasquale and Rinna, Claudio and Agrillo, Alessandro and Ungari, Claudio (2015) Disseminated necrotic mediastinitis spread from odontogenic abscess: our experience. Annali di stomatologia, 6 (2). pp. 64-68. ISSN 1971-1441

portiere.php.pdf - Published Version

Download (637kB) | Preview
Official URL: http://www.annalidistomatologia.com/index.php?PAGE...


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. 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. 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. A late diagnosis and an inadequate draining represent the major causes of the elevated mortality rate of disseminated necrotizing mediastinitis.

Item Type: Article
Uncontrolled Keywords: Odontogenic abscess, mediastinitis, pulpal abscess
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
Depositing User: Marina Spanti
Date Deposited: 20 Sep 2019 12:35
Last Modified: 20 Sep 2019 12:35
URI: http://eprints.bice.rm.cnr.it/id/eprint/12530

Actions (login required)

View Item View Item