S.V. DOBROKVASHIN¹, P.N. SYSOEV^1,2, S.L. DEMYANOV^1,2

¹Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation, 420012

²Municipal Clinical Hospital № 16, 121 Gagarin St., Kazan, Russian Federation, 420039

Dobrokvashin S.V — D. Med. Sc., Professor, Head of Department of General Surgery, tel. (843) 557-39-46, e-mail: gsurgery1@yandex.ru¹

Sysoev P.N. — Head of the Department of Thoracic Surgery, Assistant of the Department of General Surgery, tel. (843) 222-06-53, e-mail: p.sysoev58@yandex.ru^1,2

Demyanov S.L. — Assistant of the Department of General Surgery, operating surgeon of the Department of Thoracic Surgery, tel. +7-904-764-85-45, e-mail: demysel@gmail.com^1,2 

The article analyzes the experience of treating 28 patients with acute mediastinitis of different etiology. Of the causes of acute mediastinitis the first place is occupied by different kinds of esophagus damage (50%), the second place — odontogenic and paratonsillar abscesses (32.1%). Due to inflammatory processes in the mediastinum preference was given to extra pleural approaches (62%). Satisfactory treatment results were obtained in 26 patients (92.8%). Lethal outcome had two (7.2%) patients. Main causes of lethal outcomes were sepsis and progression of mediastinitis.

Key words: acute mediastinitis, odontogenetic mediastinitis, neck phlegmon, esophageal perforation, empyema.

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