Between 1995-2002 12 @entity1 , (6 M and 6 F) aged 20-87, (mean 47 years), were treated surgically in our Clinic for descending necrotizing @entity1764 (DNM). The disease was caused by peridental abscess in 7 (54.5%) @entity1 , by peritonsillar abscess in 4 (36.4%), and by retropharyngeal abscess in 1 (9.1%). @entity326 and @entity1576 were diagnosed in 11 (91.7%) @entity1 on admission to the Clinic. Complains and clinical symptoms of various intensity appeared during 3-11 days, prior to admission. Extensive cervicotomy and mediastinal drainage were made in 6 @entity1 , whereas cervicotomy and posterolateral thoracotomy in the other 6. Of the 12 @entity1 , 2 (16.7%) survived. Postmortem eximinastions revealed in all @entity1 @entity13879 , @entity2396 and @entity3509 of both @entity1143 . CONCLUSIONS: 1. No characteristic symptoms and low prevalence are essential causes of problems with proper diagnosis of DNM and related high death rate. 2. Early drainage of neck and mediastinum during thoracotomy should be considered as management of choice in @entity1 with DNM. 3. Symptoms of @entity326 , @entity55 , @entity2396 or @entity3509 diagnosed on admission to hospital are unfavourable prognostic factors.

[Descending necrotic XXXX --course and methods of surgical treatment].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1143 :: ('MESH:D010996', 'Disease') :: ['pleural cavities'] @entity13879 :: ('MESH:D005734', 'Disease') :: ['gangrenous mediastinitis'] @entity326 :: ('MESH:D012772', 'Disease') :: ['septic shock', 'Septic shock'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity2396 :: ('MESH:D010493', 'Disease') :: ['pericarditis'] @entity3509 :: ('MESH:D004653', 'Disease') :: ['empyema'] @entity1764 :: ('MESH:D008480', 'Disease') :: ['mediastinitis'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['acute respiratory failure']
@entity1764 :: (MESH:D008480,Disease) :: ['mediastinitis']
