The descending @entity39 @entity1764 is a rare but life-threatening @entity32 , and occurs as a complication of deep @entity32 of the neck. The mortality rate is still high by 40% despite the use of a variety of potent antimicrobial drugs. We describe 7 @entity1 with the descending @entity39 @entity1764 treated in our hospital during the last 12 years. The primary site of infection in 5 @entity1 were tonsils and pharynx, and in the other two @entity1 odontogenic @entity32 of the lower molars. Most of the @entity1 belonged to the risk groups ( @entity6 , @entity988 ), the average age of 60.4 years. After the diagnosis with computed tomography (CT), we surgically intervened in all @entity1 . @entity281 are treated with aggressive surgical cervicotomy and high quality mediastinal drainage was performed with transcervical approach in all @entity1 . Perioperative tracheotomy (n=3) was performed for the upper @entity4 and postoperative tracheostomy for extended intubation (n = 1).Only in one case, we subsequently conducted a secondary surgical procedure, lateral thoracotomy because of pleural decortication. All @entity1 were successfully cured with an average length of hospitalization was 24.6 days. For successful treatment of the descending @entity39 @entity1764 diagnosis must be set as early as possible and with the use of computed tomography scanning. Treatment requires the simultaneous application of potent antimicrobial drugs, aggressive surgical debridement of the neck and high-quality drainage of the mediastinum, which can be achieved through the transcervical approach.

[Descendending XXXX @entity1764 single center experience].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity32 :: ('MESH:D007249', 'Disease') :: ['inflammation'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes mellitus'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrotizing'] @entity988 :: ('MESH:D000437', 'Disease') :: ['alcoholism'] @entity4 :: ('MESH:D004487', 'Disease') :: ['airway edema'] @entity1764 :: ('MESH:D008480', 'Disease') :: ['mediastinitis'] @entity281 :: ('MESH:D007239', 'Disease') :: ['Deep neck infections']
@entity39 :: (MESH:D009336,Disease) :: ['necrotizing']
