Mediastenitis as a complication of maxillofacial infection: features of diagnosis and treatment

R.V. Ushakov

Russian Medical Academy of Continuing Professional Education

ORCID: 0000-0003-4821-1758

V.F. Dyudyukin

Russian Medical Academy of Continuing Professional Education;
Angarsk City Hospital

ORCID: 0009-0003-0140-2984

V.V. Kovshov

Russian Medical Academy of Continuing Professional Education;
Angarsk City Hospital

P.A. Belozercev

Angarsk City Hospital

ORCID: 0009-0003-7144-9243

E.N. Ponomarev

Angarsk City Hospital

ORCID: 0009-0006-3733-732X

Mediastenitis as a complication of maxillofacial infection: features of diagnosis and treatment

Authors:

R.V. Ushakov, V.F. Dyudyukin, V.V. Kovshov, P.A. Belozercev, E.N. Ponomarev

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Journal: Russian Rhinology. 2023;31(3): 187‑192

DOI: 10.17116/rosrino202331031187

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To cite this article:

Ushakov RV, Dyudyukin VF, Kovshov VV, Belozercev PA, Ponomarev EN. Mediastenitis as a complication of maxillofacial infection: features of diagnosis and treatment. Russian Rhinology. 2023;31(3):187‑192. (In Russ.)
https://doi.org/10.17116/rosrino202331031187

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

Использование инфографики авторами научных работ

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OBJECTIVE

To improve the treatment of patients with odontogenic infection of the maxillofacial area, complicated by contact mediastenitis.

PATIENTS AND METHODS

In the maxillofacial department of the Angarsk City Hospital 9 patients with mediastenitis were treated for the period from 2015 to 2022 yr. All patients were operated upon emergency indications on the 1 day of admission to hospital with preliminary infusion.

RESULTS

The discussion of tactical issues of anesthesia and surgical treatment of contact odontogenic mediastenitis is presented. The medical discharge report of the patient is given, the inflammatory process in which had «serpiginous» character. It was extended to surrounding regions and cellular spaces against the background of young age and the absence of comorbid pathology.

CONCLUSION

Timely diagnosis and treatment, active surgical tactics with adequate drug therapy and involvement of doctors of related specialities allow to exclude or reduce the adverse outcome probability of mediastenitis.

Keywords:

mediastenitis

mediastinum

inflammation

surgical treatment

Authors:

R.V. Ushakov

Russian Medical Academy of Continuing Professional Education

ORCID: 0000-0003-4821-1758

V.F. Dyudyukin

Russian Medical Academy of Continuing Professional Education;
Angarsk City Hospital

ORCID: 0009-0003-0140-2984

V.V. Kovshov

Russian Medical Academy of Continuing Professional Education;
Angarsk City Hospital

P.A. Belozercev

Angarsk City Hospital

ORCID: 0009-0003-7144-9243

E.N. Ponomarev

Angarsk City Hospital

ORCID: 0009-0006-3733-732X

Received:

20.06.2023

Accepted:

03.07.2023

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